MR. IAN ZACHARY PERVIL (NPI# 1881030039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881030039 |
| Entity Type | Individual |
| Full Name | MR. IAN ZACHARY PERVIL |
| Practice Address |
1493 Cambridge St. Cambridge Health Alliance, Cambridge Hospital Cambridge MA 02139 |
| Practice Telephone | 6175755784 |
| Mailing Telephone | 6175755784 |
| Enumeration Date | 2013-05-15 |
| Last Update Date | 2013-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1493 CAMBRIDGE ST. CAMBRIDGE HEALTH ALLIANCE, CAMBRIDGE HOSPITAL |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306984372 | Paula Ann Cushner | Nurse Practitioner | 1493 Cambridge St., Cambridge, MA 02139 | 2007-02-02 |
| 1114407350 | Shobana Raghuram Modur | Social Worker | 1493 Cambridge St., Cambridge Hospital, Cambridge, MA 02139 | 2018-08-17 |
| 1013433614 | Marlees Rachel West | Social Worker | 1493 Cambridge St., Cambridge, MA 02139 | 2017-08-16 |
| 1629590351 | Julia Rachel Blencowe | Social Worker | 1493 Cambridge St., Cambridge Health Alliance, Cambridge, MA 02139 | 2017-07-14 |
| 1841727948 | Sierra Corin Klotz | Social Worker | 1493 Cambridge St., Cambridge, MA 02139 | 2017-05-19 |
| 1639600257 | Jenny Dohlman | Student in an Organized Health Care Education/Training Program | 1493 Cambridge St., Cambridge, MA 02139 | 2017-03-24 |
| 1558730069 | Jonathan Bicknell | Social Worker | 1493 Cambridge St., Cambridge Health Alliance, Cambridge Hospital, Cambridge, MA 02139 | 2015-09-15 |
| 1407115033 | Amber Landers | Psychologist | 1493 Cambridge St., Cambridge Health Alliance, Cambridge Hospital, Cambridge, MA 02139 | 2012-05-16 |
| 1386954287 | Steven Kniffley Jr. | Student in an Organized Health Care Education/Training Program | 1493 Cambridge St., Cambridge Health Alliance, Cambridge Hospital, Cambridge, MA 02139 | 2010-10-14 |
| 1992025001 | Tonguc Pinar | Student in an Organized Health Care Education/Training Program | 1493 Cambridge St., Cambridge Health Alliance, Cambridge, MA 02139 | 2010-06-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972119600 | Michael Kristopher Jefferson | Student in an Organized Health Care Education/Training Program | 75 7th St Apt 3, Cambridge, MA 02141-1588 | 2020-09-18 |
| 1578178927 | David Harris | Student in an Organized Health Care Education/Training Program | 328 Prospect St Unit C, Cambridge, MA 02139-1315 | 2020-09-12 |
| 1467064543 | Shifali Singh | Student in an Organized Health Care Education/Training Program | 425 Massachusetts Ave Apt 305, Cambridge, MA 02139-2126 | 2020-08-19 |
| 1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
| 1962020925 | Stefan Mcnamara | Student in an Organized Health Care Education/Training Program | 225 Johnson St, Cambridge, WI 53523-9492 | 2020-07-07 |
| 1194340406 | Ava Kathryn Mokhtari | Student in an Organized Health Care Education/Training Program | 83 Cambridge Pkwy Unit W506, Cambridge, MA 02142-1298 | 2020-06-11 |
| 1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
| 1265052435 | Elizabeth Karas | Student in an Organized Health Care Education/Training Program | 18 Whittier St Unit 2f, Cambridge, MA 02140-2606 | 2020-04-17 |
| 1437778156 | Claire Stauffer | Student in an Organized Health Care Education/Training Program | 15 Bigelow St Apt 2, Cambridge, MA 02139-2385 | 2020-04-13 |
| 1336768050 | Matthew Tomm | Student in an Organized Health Care Education/Training Program | 417 Cardinal Medeiros Ave Unit 4, Cambridge, MA 02141-1467 | 2020-04-13 |
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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.