DEDHAM MEDICAL ASSOCIATES, INC. (NPI# 1972503043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972503043 |
| Entity Type | Organization |
| Organization Name | DEDHAM MEDICAL ASSOCIATES, INC. |
| Practice Address |
1 Lyons St Dedham MA 02026-5599 |
| Mailing Address |
Po Box 9120 Dedham MA 02027-9120 |
| Practice Telephone | 7813291400 |
| Practice Fax Number | 7812785667 |
| Mailing Telephone | 7813291400 |
| Mailing Fax Number | 7812785667 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MR. RICHARD M RUSSO (CFO) |
| Authorized Official Telephone | 7812785540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | ========= | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9766545 | 05 | |
| MA | 9766618 | 05 | |
| MA | 9766553 | 05 | |
| MA | 976626 | 05 | |
| MA | 9766561 | 05 | |
| MA | 9766634 | 05 | |
| MA | 9766588 | 05 | |
| MA | 9766596 | 05 | |
| MA | 9766529 | 05 | |
| MA | 9766537 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174765994 | Dedham Medical Associates, Inc. | Internal Medicine | 1 Lyons St, Dedham, MA 02026-5599 | 2009-03-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | DEDHAM MEDICAL ASSOCIATES, INC. | 743 High St, Dedham, MA 02026 |
| Street Address |
1 LYONS ST |
| City | DEDHAM |
| State | MA |
| Zip Code | 02026-5599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780680488 | Michael S Shusterman | Pediatrics | 1 Lyons St, Dedham, MA 02026-5599 | 2005-06-27 |
| 1760014732 | Kwai Ying Lam | Dietitian, Registered | 1 Lyons St, Dedham, MA 02026-5599 | 2020-02-07 |
| 1841857422 | Lauren Elizabeth Rogerson | Physical Therapist | 1 Lyons St, Dedham, MA 02026-5599 | 2019-05-20 |
| 1619453859 | Mathew Steven Sadowski | Physical Therapist | 1 Lyons St, Dedham, MA 02026-5599 | 2018-07-11 |
| 1689160269 | Brittany Thibodeau | Audiologist | 1 Lyons St, Dedham, MA 02026-5599 | 2018-07-06 |
| 1568964054 | Mario Fernando Jaramillo | Technician/Technologist | 1 Lyons St, Dedham, MA 02026-5599 | 2018-03-01 |
| 1902338023 | Laurie Cook | Technician/Technologist | 1 Lyons St, Dedham, MA 02026-5599 | 2017-03-29 |
| 1952858441 | Nicole Marie Ikeda | Physician Assistant | 1 Lyons St, Dept. of Dermatology, Dedham, MA 02026 | 2016-09-01 |
| 1982072153 | Atrius Health, Inc. | Dietitian, Registered | 1 Lyons St, Dedham, MA 02026-5599 | 2015-09-04 |
| 1336521319 | Michael Tanzi | Technician/Technologist | 1 Lyons St, Dedham, MA 02026-5599 | 2015-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
| 1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
| 1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
| 1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
| 1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
| 1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
| 1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
| 1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
| 1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
| Find all providers in zip 02026 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720085376 | Barry J Benjamin | Otolaryngology | 1 Lyons St, Dedham, MA 02026-5599 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215497938 | Emily Gall | Otolaryngology | 860 Washington St Fl 1, Boston, MA 02111-1521 | 2019-03-20 |
| 1538628789 | Pratima Agarwal | Otolaryngology | 800 Harrison Avenue, Bcd 5th Floor, Boston, MA 02118 | 2019-03-18 |
| 1669945887 | Meea-cape Cod Pho LLC | Otolaryngology | 5 Industrial Dr Ste 201, Mashpee, MA 02649-3465 | 2019-01-10 |
| 1184118564 | Massachusetts Ent Consultants LLC | Otolaryngology | 100 Sylvan Rd Ste 750, Woburn, MA 01801-1852 | 2018-06-19 |
| 1497259212 | Michal Plocienniczak | Otolaryngology | 830 Harrison Ave Fl 1, Boston, MA 02118-2905 | 2018-03-19 |
| 1124479282 | Jordan Glicksman | Otolaryngology | 104 Endicott St Ste 100, Danvers, MA 01923-3623 | 2016-06-29 |
| 1396158507 | Erin Haser | Otolaryngology | 800 Washington St # 850, Department of Otolaryngology, Boston, MA 02111-1552 | 2014-06-05 |
| 1447675152 | Taleb Barghouthi | Otolaryngology | 300 Longwood Venue, Boston Children's Hospital, Boston, MA 02115 | 2014-03-04 |
| 1538507512 | Ameer Trilok Shah | Otolaryngology | 35 Pearl St Ste 200, Brockton, MA 02301 | 2013-06-12 |
| 1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
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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.