J.EDMOND LLC (NPI# 1619567195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619567195 |
| Entity Type | Organization |
| Organization Name | J.EDMOND LLC |
| Practice Address | 1330 Boylston St Unit 809 Boston MA 02215-5524 |
| Practice Telephone | 4109354608 |
| Mailing Address | 1330 Boylston St Unit 809 Boston MA 02215-5524 |
| Mailing Telephone | 4109354608 |
| Certification Date | 2021-01-19 |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |
| Authorized Official Telephone | 4109354608 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine & OMM | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians |
| Street Address | 1330 BOYLSTON ST UNIT 809 |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-5524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-Lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center · Dental | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology · Diagnostic Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor · Mental Health | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist · Clinical | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology · Neuroradiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 204D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine & OMM |
| The Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. |
| Notes: Source: American Osteopathic Association, 2017 [7/1/2017: added definition] - Additional Resources: American Osteopathic Board of Neuromusculoskeletal Medicine, 2017, http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043506926 | Thomas Paul Macari | 40 Salem St Bldg 3, Suite 3, Lynnfield, MA 01940-2673 | 2011-06-20 | |
| 1578752606 | Funtional Medicine Group Inc | 88 Sandwich St, Plymouth, MA 02360-3334 | 2007-10-15 | |
| 1518160837 | James Scott Wrede, D.o., LLC | 109a County Rd, North Falmouth, MA 02556-2019 | 2007-06-06 | |
| 1952525412 | James H Gronemeyer | 290 Massachusetts Ave, Arlington, MA 02474-8305 | 2007-04-13 | |
| 1881732386 | Wayne Dillard, D.o. | 80 Erdman Way Ste 309, Leominster, MA 01453-1818 | 2007-02-05 | |
| 1548316508 | Judith Victoria Aldrich | 42 Summer St Ste 301, Pittsfield, MA 01201 | 2007-01-25 | |
| 1023190634 | James Scott Wrede | 109 County Rd # A, North Falmouth, MA 02556-2019 | 2006-10-20 | |
| 1326097486 | Hallie J Robbins | 207 Oregon Rd, Ashland, MA 01721-1048 | 2006-05-08 | |
| 1851351506 | William A Seeglitz Jr. | 437 Newtonville Ave, Suite 3, Newtonville, MA 02460-1934 | 2006-03-26 | |
| 1598740227 | William Foley | 134 Rumford Ave, Suite 206, Newton, MA 02466-1316 | 2005-12-15 | |
| Find all providers in the same taxonomy | ||||
| City | BOSTON |
| Zip Code | 02215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033362231 | Edmond Podiatry Associates LLC · Central Oklahoma Foot and Ankle Center of Edmond | Clinic/Center | 105 S Bryant Ave Ste 104, Edmond, OK 73034-6361 | 2008-10-31 |
| 1871908913 | Edmond Memory Care, LLC · Autumn Leaves of Edmond | Assisted Living Facility | 1001 S Bryant Ave, Edmond, OK 73034-5745 | 2014-06-27 |
| 1235226416 | Thi of Oklahoma At Edmond, LLC · Edmond Specialty Hospital | Long Term Care Hospital | 1100 E 9th St, Edmond, OK 73034-5705 | 2006-10-07 |
| 1740383603 | Board of Regents of The Univ of Oklahoma-Ou Phys Edmond Clinic · Ou Physicians Edmond Clinic | Clinic/Center | 105 N Bryant, Suite 305, Edmond, OK 73034 | 2006-09-06 |
| 1215008438 | Traditions Hospice of Edmond, LLC · Traditions Health of Edmond | Hospice Care, Community Based | 14324 N Western Ave, Edmond, OK 73013-1943 | 2006-11-10 |
| 1235674730 | Second To None, Inc · Right At Home Edmond | In Home Supportive Care | 320 W Edmond Rd, Edmond, OK 73003-5600 | 2016-12-20 |
| 1760655773 | Edmond Am Clinic LLC · Edmond Am Clinic | Family Medicine | 1714 S Kelly Ave, Edmond, OK 73013-3624 | 2008-04-10 |
| 1407838113 | Edmond Dental Associates Pllc | Dentist · General Practice | 950 Medical Park Blvd, Edmond, OK 73013-3024 | 2005-11-17 |
| 1891069852 | Edmond Family and Child Center LLC | Counselor · Mental Health | 1819 Mill Creek Rd, Edmond, OK 73025-2829 | 2012-03-08 |
| 1295930410 | Premier Eyecare of Edmond Pllc | Optometrist | 2841 Nw 173rd Street, Edmond, OK 73003 | 2007-06-18 |
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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.