DEEPAK THATAI (NPI# 1992742993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992742993 |
| Entity Type | Individual |
| Full Name | DEEPAK THATAI |
| Credential | MD |
| Practice Address |
103 Garland St Medical Specialties Everett MA 02149-5066 |
| Practice Telephone | 6178430752 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-02-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301069394 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
238276 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2168235 | 05 |
| Street Address |
103 GARLAND ST MEDICAL SPECIALTIES |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-5066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962498378 | Gary Blair | Emergency Medicine | 103 Garland St, Everett, MA 02149-5066 | 2005-09-21 |
| 1093379737 | Lisa Marie Shoulders | Physician Assistant | 103 Garland St, Everett, MA 02149-5066 | 2019-04-29 |
| 1952964983 | Samantha Christine Bianchi | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2019-04-16 |
| 1851862080 | Nicole Theresa Desimone | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-12-16 |
| 1194210542 | Susan Catherine Reilly | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-06-28 |
| 1962995738 | Catherine Ande Sinelien | Respiratory Therapist, Registered | 103 Garland St, Everett, MA 02149-5066 | 2018-06-07 |
| 1912499625 | Karla Marie Osorio | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-05-30 |
| 1417447475 | Justin Puckett | Physician Assistant | 103 Garland St, Everett, MA 02149-5066 | 2018-05-15 |
| 1508362633 | Stephanie Healy | Registered Nurse | 103 Garland St, Everett, MA 02149-5066 | 2018-04-05 |
| 1639695554 | Beili Zhu | Physical Therapist | 103 Garland St, Everett, MA 02149-5066 | 2017-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558317651 | Sanjeev Garhwal | Internal Medicine | 12728 19th Avenue Se, Suite 200, Everett, WA 98208-6526 | 2006-05-26 |
| 1417219874 | Joshua Schilling | Internal Medicine | 12728 19th Ave Se Ste 200, Everett, WA 98208 | 2012-06-12 |
| 1316209851 | Paula Marmont | Internal Medicine | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2012-06-11 |
| 1568747012 | Jason Anthony Talavera | Internal Medicine | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 | 2011-10-17 |
| 1184912636 | Naseem Afrasiabi Ghazanfari | Internal Medicine | 2930 Maple St, Everett, WA 98201-3832 | 2011-07-19 |
| 1477847606 | Western Washington Cardiology Tr | Internal Medicine | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 | 2011-06-06 |
| 1114217510 | Western Washington Cardiology Tr | Internal Medicine | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 | 2011-04-19 |
| 1699094359 | Vivek Bhatia | Internal Medicine | 1330 Rockefeller Ave, Ste 310, Everett, WA 98201-1684 | 2010-05-20 |
| 1609005370 | Sirikarn Napan | Internal Medicine | 1330 Rockefeller Ave, Ste 310, Everett, WA 98201-1684 | 2009-07-02 |
| 1396906129 | Cynthia A Warner | Internal Medicine | 1330 Rockefeller Ave Ste 310, Everett, WA 98201 | 2008-06-24 |
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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.