MRS. AMANDA ELIZABETH DIDAS (NPI# 1851558969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851558969 |
Entity Type | Individual |
Full Name | MRS. AMANDA ELIZABETH DIDAS |
Credential | PA-C |
Practice Address |
333 Longwood Ave Boston MA 02115-5711 |
Practice Telephone | 6173554593 |
Practice Fax Number | 6177300337 |
Mailing Telephone | 6173554593 |
Mailing Fax Number | 6177300337 |
Enumeration Date | 2008-05-19 |
Last Update Date | 2014-03-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YP0228X |
Otolaryngology Specialization: Pediatric Otolaryngology |
AP2350 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA | MC1618997 | 01 | |
MA | MASS CONTROLLED SUBSTANCE | MC0681874J | 01 |
MA | MASSACHUSETTS PA LICENSE | AP2350 | 01 |
Street Address |
333 LONGWOOD AVE |
City | BOSTON |
State | MA |
Zip Code | 02115-5711 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285619155 | Herbert Boerstling | Pediatrics | 333 Longwood Ave, Children's Hospital, Boston, MA 02115-5711 | 2005-12-13 |
1790390771 | Amanda Welty | Student in an Organized Health Care Education/Training Program | 333 Longwood Ave, Boston, MA 02115-5711 | 2020-09-15 |
1407466956 | Anna Docurral | Social Worker | 333 Longwood Ave, Boston, MA 02115-5711 | 2020-08-08 |
1750917142 | Haidee Cano | Social Worker | 333 Longwood Ave, Boston, MA 02115-5711 | 2020-03-17 |
1053950899 | Elsey Weisberg | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2019-12-26 |
1427699313 | Carolina Luz Ruiz Valenzuela | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2019-10-02 |
1184272031 | Kathryn Doss Broughton | Audiologist | 333 Longwood Ave, Boston, MA 02115-5711 | 2019-09-03 |
1184187585 | Megan Skerry | Speech-Language Pathologist | 333 Longwood Ave, Boston, MA 02115-5711 | 2019-04-11 |
1790253771 | Jessica Geist | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115-5711 | 2018-11-07 |
1174003651 | Celina Chan | Dietitian, Registered | 333 Longwood Ave, Boston, MA 02115 | 2018-08-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
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Taxonomy Code | 207YP0228X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Pediatric Otolaryngology |
A pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225546419 | Gerard Thong | Otolaryngology | Department of Otolaryngology, Boston Childrens Hospital, 330 Longwood Avenue, Bch 3129, Boston, MA 02115 | 2018-01-22 |
1265857536 | Julie Elizabeth Strychowsky | Otolaryngology | 333 Longwood Ave. 3rd Floor, Boston Children's Hospital, Boston, MA 02115 | 2014-02-24 |
1043840432 | Fergal Kavanagh | Otolaryngology | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-01-24 |
1568935831 | Ross Joseph O'shea | Otolaryngology | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-01-09 |
1679015168 | Richard Benjamin Speaker | Otolaryngology | 300 Longwood Ave, Boston Children's Hospital Bch3129, Boston, MA 02115-5724 | 2016-11-15 |
1376843268 | Stephen Kieran | Otolaryngology | 300 Longwood Ave, Department of Otolaryngology Chidlren's Hospital Boston, Boston, MA 02115 | 2010-10-26 |
1487819785 | Jacob Raemer Brodsky | Otolaryngology | 300 Longwood Ave, Lo-367, Boston, MA 02115-5724 | 2008-07-25 |
1477523546 | Michael Adrian Williams | Otolaryngology | 133 Brookline Ave, Boston, MA 02215-3904 | 2006-01-23 |
1811988181 | Michael J. Cunningham | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2005-11-04 |
1568453660 | Donald G. Keamy Jr. | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2005-10-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.