Joannes M Grevelink (NPI# 1538150982, PAC ID# 5294706750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1538150982 |
| PAC ID by PECOS | 5294706750 |
| Professional Enrollment ID | I20060306000776 |
| Full Name | Joannes M Grevelink |
| Organization Legal Name | BOSTON DERMATOLOGY AND LASER CENTER, PC |
| Address |
30 Lancaster St Suite 400 Boston MA 02114-1704 |
| Phone Number | 6177224100 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0941271407 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 30 Lancaster St, Suite 400, Boston, MA 02114-1704 | 6177224100 | BOSTON DERMATOLOGY AND LASER CENTER, PC |
| Organization Legal Name | BOSTON DERMATOLOGY AND LASER CENTER, PC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie Jones | Physician Assistant | Boston Dermatology and Laser Center, PC | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 |
| Erica J Lundgren | Physician Assistant | Boston Dermatology and Laser Center, PC | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 |
| Robert Staszewski | Dermatology | Boston Dermatology and Laser Center, PC | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 |
| Street Address |
30 LANCASTER ST SUITE 400 |
| City | BOSTON |
| State | MA |
| Zip | 02114-1704 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christie Y Lee | Physician Assistant | Frank X Pedlow Jr Md PC | 30 Lancaster St, Fl 2, Boston, MA 02114-1704 |
| Natalie Jones | Physician Assistant | Boston Dermatology and Laser Center, PC | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 |
| Michelle Danley | Physical Therapy | Pinnacle Rehabilitation Network LLC | 30 Lancaster St, 100 Blue Hills Sports and Spine of Boston, Boston, MA 02114-1704 |
| Erik P Holmes | Physical Therapy | Pinnacle Rehabilitation Network LLC | 30 Lancaster St, 100 Blue Hills Sports and Spine of Boston, Boston, MA 02114-1704 |
| Amanda H Auerbach | Dermatology | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 | |
| Erica J Lundgren | Physician Assistant | Boston Dermatology and Laser Center, PC | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 |
| Andrew X Destefano | Physical Therapy | Pinnacle Rehabilitation Network LLC | 30 Lancaster St, 100 Blue Hills Sports and Spine of Boston, Boston, MA 02114-1704 |
| Frank X Pedlow Jr. | Orthopedic Surgery | Frank X Pedlow Jr Md PC | 30 Lancaster St, Fl 2, Boston, MA 02114-1704 |
| Robert Staszewski | Dermatology | Boston Dermatology and Laser Center, PC | 30 Lancaster St, Suite 400, Boston, MA 02114-1704 |
| Anna R Mislitskiy | Physical Therapy | Pinnacle Rehabilitation Network LLC | 30 Lancaster St, 100 Blue Hills Sports and Spine of Boston, Boston, MA 02114-1704 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack V Greiner | Ophthalmology | Charles River Eye Associates | 5 Whittier Pl, Suite 102, Boston, MA 02114-1429 |
| Jennifer C Bingham | Physician Assistant | Frank X. Pedlow, Md PC | 30 Lancaster St, Suite 2, Boston, MA 02114-1704 |
| Paul M Cangiano | Optometry | Paul M Cangiano Inc. | 77 N Washington St, Boston, MA 02114-1908 |
| Cayla M Bergstrom | Optometry | Paul M Cangiano Inc. | 77 N Washington St, Boston, MA 02114-1908 |
| Ralph B Metson | Otolaryngology | 0 Emerson Pl, 2d, Boston, MA 02114-2255 | |
| Gary Scott Perlmutter | Orthopedic Surgery | 1 Hawthorne Pl, Suite 105, Boston, MA 02114-2333 | |
| Francis J Mcgovern | Urology | Althausen Mcgovern Assoc Inc | 1 Hawthorne Pl, Suite 109, Boston, MA 02114-2333 |
| Katherine Logan | Nurse Practitioner | Althausen Mcgovern Assoc Inc | 1 Hawthorne Pl, Suite 109, Boston, MA 02114-2333 |
| Laura Sumner | Nurse Practitioner | John M Siliski Md PC | 1 Hawthorne Pl, Suite 105, Boston, MA 02114-2333 |
| Carolyn B Tolman | Nurse Practitioner | John M Siliski Md PC | 1 Hawthorne Pl, Suite 105, Boston, MA 02114-2333 |
| Find all physicians in zip 02114 | |||
| City | BOSTON |
| Zip Code | 02114 |
| Specialty | DERMATOLOGY |
| City + Specialty | BOSTON + DERMATOLOGY |
Please comment or provide details below to improve the information on Joannes M Grevelink.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.