Erica Diane Dommasch (NPI# 1003136771, PAC ID# 5698907103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1003136771 |
| PAC ID by PECOS | 5698907103 |
| Professional Enrollment ID | I20140808001835 |
| Full Name | Erica Diane Dommasch |
| Organization Legal Name | FENWAY COMMUNITY HEALTH CENTER, INC |
| Address |
1340 Boylston St Boston MA 02215-4302 |
| Phone Number | 6172670900 |
| Gender | F |
| Medical School | UMDNJ-ROBERT WOOD JOHNSON MEDICAL SCHOOL |
| Graduation Year | 2010 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 0941299655 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220086 | BETH ISRAEL DEACONESS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1340 Boylston St, Boston, MA 02215-4302 | 6172670900 | FENWAY COMMUNITY HEALTH CENTER, INC |
| 330 Brookline Ave, Boston, MA 02215-5491 | 6177548612 | HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC |
| Organization Legal Name | FENWAY COMMUNITY HEALTH CENTER, INC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine D Odell | Family Medicine | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Melissa Cranston-bates | Clinical Social Worker | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Kathleen Ann Sprengel | Clinical Social Worker | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Jennifer L Mclain | Psychiatry | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Ksenia Meshcheryakova | Clinical Social Worker | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Alex Gonzalez | Internal Medicine | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Alex S Keuroghlian | Psychiatry | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Rebekah P Viloria | Obstetrics/gynecology | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Diane Ah Kine Ng Poon Hing | Optometry | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Kevin D Kapila | Internal Medicine | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Street Address |
1340 BOYLSTON ST |
| City | BOSTON |
| State | MA |
| Zip | 02215-4302 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine D Odell | Family Medicine | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Melissa Cranston-bates | Clinical Social Worker | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Kathleen Ann Sprengel | Clinical Social Worker | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Jennifer L Mclain | Psychiatry | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Ksenia Meshcheryakova | Clinical Social Worker | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Alex Gonzalez | Internal Medicine | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Alex S Keuroghlian | Psychiatry | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Rebekah P Viloria | Obstetrics/gynecology | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Diane Ah Kine Ng Poon Hing | Optometry | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Kevin D Kapila | Internal Medicine | Fenway Community Health Center, Inc | 1340 Boylston St, Boston, MA 02215-4302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Gibson | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| David Carleton | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| Jennifer L Washkevich | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| Cole Clinton Howell | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| Mora Modisette | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| Mary A Mckinnon | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| Aileen Ledingham | Physical Therapy | Joint Ventures Physical Therapy, Inc. | 1079 Commonwealth Ave, Boston, MA 02215-1016 |
| Ishir Bhan | Nephrology | New England Nephrology Associates | 888 Commonwealth Ave, Boston, MA 02215-1205 |
| Timothy J Bossie | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Sari R Schwartz | Optometry | New England Eye Institute, Inc. | 930 Commonwealth Ave, Boston, MA 02215-1220 |
| Find all physicians in zip 02215 | |||
| City | BOSTON |
| Zip Code | 02215 |
| Specialty | DERMATOLOGY |
| City + Specialty | BOSTON + DERMATOLOGY |
Please comment or provide details below to improve the information on Erica Diane Dommasch.
| 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.