DR. JESSE T CASAUBON (NPI# 1861834608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861834608 |
| Entity Type | Individual |
| Full Name | DR. JESSE T CASAUBON |
| Credential | D.O. |
| Practice Address |
100 Wason Ave Ste 340 Springfield MA 01107-1179 |
| Mailing Address |
280 Chestnut St Fl 2 Springfield MA 01199-1001 |
| Practice Telephone | 4137945265 |
| Practice Fax Number | 4137941794 |
| Mailing Telephone | 4137943909 |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
281601 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
100 WASON AVE STE 340 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225237704 | Roger Hoon Kim | Surgery | 315 W Carpenter St Fl C2, Springfield, IL 62702-4901 | 2007-07-13 |
| 1861493132 | Elizabeth W. Brady | Surgery | 100 Wason Avenue, Springfield, MA 01107-1179 | 2005-08-09 |
| 1922393669 | Danielle M Lipoff | Surgery | 100 Wason Avenue, Springfield, MA 01107-1179 | 2011-06-10 |
| 1184816829 | Shuja Ahmed | Surgery | 301 N 8th St, Springfield, IL 62701-1041 | 2007-08-16 |
| 1780695320 | Susan Cash | Surgery | 3350 Main Street, Springfield, MA 01199 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265990261 | Eduardo Alberto Vega Pizarro | Surgery | 127 Bay State Rd Apt 4, Boston, MA 02215-1711 | 2019-03-08 |
| 1487910709 | Monica Gabriela Valero Camacho | Surgery | 330 Brookline Ave Rm 507b, Boston, MA 02215-5491 | 2012-04-11 |
| 1053509539 | Diana Laura Caragacianu | Surgery | 14 Prospect St Fl 4, Milford, MA 01757-3003 | 2007-10-09 |
| 1265540975 | Michael D Wertheimer | Surgery | Umass Memorial Health Care, 119 Belmont Street, Worcester, MA 01605 | 2006-08-25 |
| 1316053192 | Cristina R Ferrone | Surgery | 24 Hancock St, Apt. 5, Boston, MA 02114-4161 | 2006-08-22 |
| 1467410845 | John T Mullen | Surgery | Beth Israel Deaconess, 330 Brookline Ave St 912, Boston, MA 02215 | 2006-05-03 |
| 1619947793 | Katherina Zabicki Calvillo | Surgery | 44 Binney St., Mayer 1b34, Bwh/dfci Breast Oncology Center, Boston, MA 02115 | 2006-01-23 |
| 1154764421 | Meghan Elizabeth Garstka | Surgery | 55 Fruit St, Boston, MA 02114-2621 | 2013-04-16 |
| 1003129693 | Nicole J Look-hong | Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2010-07-23 |
| 1366754921 | Alessandra Mele | Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2010-07-11 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.