DEDHAM MEDICAL ASSOC INC (NPI# 1992705065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992705065 |
| Entity Type | Organization |
| Organization Name | DEDHAM MEDICAL ASSOC 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 | 2020-08-22 |
| 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 | 207K00000X | Allergy & Immunology | ========= | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9766545 | 05 | |
| MA | 9766561 | 05 | |
| MA | 9766529 | 05 | |
| MA | 9766626 | 05 | |
| MA | 9766634 | 05 | |
| MA | 9766588 | 05 | |
| MA | 9766618 | 05 | |
| MA | 9766553 | 05 | |
| MA | 9766537 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407860968 | Dedham Medical Assoc Inc | Urology | One Lyons St, Dedham, MA 02026 | 2006-07-28 |
| 1932112117 | Dedham Medical Assoc Inc | Radiology | One Lyons Street, Dedham, MA 02026 | 2006-08-15 |
| 1326064312 | Dedham Medical Assoc Inc | Surgery | One Lyons Street, Dedham, MA 02026 | 2006-07-14 |
| 1013942390 | Dedham Medical Assoc Inc | Podiatrist | One Lyons Street, Dedham, MA 02026 | 2006-07-12 |
| 1205836376 | Dedham Medical Assoc Inc | Dentist | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1922008093 | Dedham Medical Assoc Inc | Audiologist | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1831199900 | Dedham Medical Assoc Inc | Dietitian, Registered | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1740280817 | Dedham Medical Assoc Inc | Pediatrics | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1902806078 | Dedham Medical Assoc Inc | Physical Therapist | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 1548260615 | Dedham Medical Assoc Inc | Physical Medicine & Rehabilitation | 1 Lyons St, Dedham, MA 02026-5599 | 2005-07-29 |
| 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 | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861466716 | John N Renneburg Jr. | Allergy & Immunology | 1 Lyons St, Dedham, MA 02026-5599 | 2006-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427404110 | Frank Twarog Md and Curtis Moody Md LLP | Allergy & Immunology | 86 Baker Avenue Extenstion, Suite 304, Concord, MA 01886 | 2016-05-11 |
| 1538574082 | Allergy and Immunology Associates of New England, LLC | Allergy & Immunology | 269 Locust St., Suite 201, Florence, MA 01062 | 2014-06-24 |
| 1144649575 | Nancy I Joseph | Allergy & Immunology | 33 Cohasset Ave Ste 2, Buzzards Bay, MA 02532-3270 | 2014-04-14 |
| 1861815656 | Northeast Allergy Asthma & Immunology, PC | Allergy & Immunology | 616 Boston Post Road, Sudbury, MA 01776 | 2014-01-29 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1053755611 | Margo Rockwell Stevenson | Allergy & Immunology | 2377 Boston Rd Ste 1, Wilbraham, MA 01095-1254 | 2013-04-24 |
| 1134466881 | Asthma & Allergy Specialists, PC | Allergy & Immunology | 955 Main St Ste G3, Winchester, MA 01890-1992 | 2013-01-14 |
| 1588927263 | Alberta L Wang | Allergy & Immunology | Pediatric Pulmonary and Allergy, 725 Albany Street, Shapiro 8, Boston, MA 02118 | 2012-06-19 |
| 1023398294 | Northeast Allergy Asthma & Immunology, PC | Allergy & Immunology | 1400 Centre St Ste 205, Newton, MA 02459-2415 | 2011-08-19 |
| 1972749430 | Robert Weinstein | Allergy & Immunology | 177 Commonwealth Ave, Boston, MA 02116-2213 | 2009-01-05 |
| Find all providers with the same taxonomy | ||||
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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.