DR. MARK PAUL SLOVENKAI (NPI# 1871530980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871530980 |
Entity Type | Individual |
Full Name | DR. MARK PAUL SLOVENKAI |
Credential | M.D. |
Practice Address |
840 Winter Street Waltham MA 02451-1433 |
Mailing Address |
840 Winter Street Attn: Boston Sports & Shoulder Center Waltham MA 02451-1433 |
Practice Telephone | 7818902133 |
Practice Fax Number | 7818902177 |
Mailing Telephone | 7818902133 |
Mailing Fax Number | 7818902177 |
Enumeration Date | 2006-05-31 |
Last Update Date | 2017-01-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
71602 | MA | Allopathic & Osteopathic Physicians |
Street Address |
840 WINTER STREET |
City | WALTHAM |
State | MA |
Zip Code | 02451-1433 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609833953 | Suzanne L Miller | Orthopaedic Surgery | 840 Winter Street, Waltham, MA 02451-1433 | 2006-04-28 |
1568671188 | Andrew Jawa | Orthopaedic Surgery | 840 Winter Street, Waltham, MA 02451-1433 | 2007-05-21 |
1902828304 | Brian P. Mckeon | Orthopaedic Surgery | 840 Winter Street, Waltham, MA 02451 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538719190 | Haeun Yang | Behavior Technician | 303 Wyman Street Suite 354, 344, 345, Waltham, MA 02451 | 2019-09-16 |
1982252599 | Sinclair Fashaw-braxton | Behavior Technician | 303 Wyman Street, Suite 354, 344, 345, Waltham, MA 02451 | 2019-08-27 |
1245715879 | Annie F Friedman | Social Worker | Extended Stay America, 32 4the Avenue, Waltham, MA 02451 | 2018-09-28 |
1760964118 | Elizabeth Boardman Harris | Social Worker | 60 Hickory Drive 4th Floor, Waltham, MA 02451 | 2018-09-02 |
1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
1962998013 | Leighann Teresa Healy | Behavior Technician | 303 Wyman Suite 300, Waltham, MA 02451 | 2018-07-02 |
1194234492 | Bruna Rossi Hoffman | Dentist | 12 Grant Place, Apt 1, Waltham, MA 02451 | 2017-09-29 |
1265959159 | Matthew C Page-shelton | Counselor | 2208 Stearns Hill Road, Waltham, MA 02451 | 2017-08-23 |
1306380837 | Sherri Lynn Duquette | Behavior Technician | 1430 Main Street, Waltham, MA 02451 | 2016-12-19 |
1649628728 | Keren Matveev | Family Medicine | 75 Third Avenue, First Floor, Waltham, MA 02451 | 2016-05-30 |
Find all providers in zip 02451 |
Taxonomy Code | 207XX0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Foot and Ankle Surgery |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093210718 | Yechiel Nisan Gellman | Orthopaedic Surgery | New England Baptist Hospital, 125 Parker Hill Avenue, Boston, MA 02120-2847 | 2018-03-26 |
1447679428 | Mostafa Abousayed | Orthopaedic Surgery | 15 Roche Brothers Way Ste 200, North Easton, MA 02356-1000 | 2014-04-07 |
1639171101 | George H Theodore | Orthopaedic Surgery | 175 Cambridge St, 4th Floor, Boston, MA 02114-2743 | 2005-08-12 |
1265434229 | Thom A. Tarquinio | Orthopaedic Surgery | 123 Summer St, Suite 320, Worcester, MA 01608-1216 | 2005-06-02 |
1235399924 | Craig Richard Lareau | Orthopaedic Surgery | 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107 | 2008-06-16 |
1790824282 | Morton D Lynn | Orthopaedic Surgery | 300 Birnie Ave, Ste 201, Springfield, MA 01107-1107 | 2007-02-05 |
1386672343 | Kenneth M Leavitt | Orthopaedic Surgery | 125 Parker Hill Ave, Ste 390, Boston, MA 02120-2847 | 2006-06-29 |
1639139868 | Thomas Aloysius Mcdonald | Orthopaedic Surgery | 300 Birnie Ave, Suite 201, Springfield, MA 01107-1107 | 2006-03-23 |
1689649006 | Eric Michael Bluman | Orthopaedic Surgery | 1153 Centre Street, Suite 56, Jamaica Plain, MA 02130 | 2006-02-20 |
1215925888 | George H. Theodore, Md PC | Orthopaedic Surgery | 175 Cambridge St, 4th Floor, Boston, MA 02114-2743 | 2005-10-07 |
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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.