1558345835 npi number — dr. alice whittier newton md · alice whittier newton md. records...
TRANSCRIPT
1558345835 NPI Number — DR. ALICE WHITTIER NEWTON MD
Table of Content
Additional Information
NPI Profile Modification
General Information Detailed Information
Driving Directions
Additional Information
You can get information about the owner of the 1558345835 NPI number — DR. ALICE
WHITTIER NEWTON MD in the PDF and Text formats.
NPI Profile Modification
You are about to modify NPI profile 1558345835. Click a link below to begin the modification
process.
Modify your profile: Edit | Delete | Synchronize
General Information
NPI Number : 1558345835
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALICE WHITTIER NEWTON
MD
Provider Business Mailing Address
First Line : 411 WAVERLEY OAKS RD
Second Line : BLDG 3 STE 302
City : WALTHAM
State : MA
Zip : 02452-8448
Country : US
Telephone Number : 781-891-3706
Fax Number : 781-891-3564
Provider Business Practice Location
Address
First Line : 15 PARKMAN STREET WAC 027
Second Line : CHILD PROTECTION TEAM
City : BOSTON
State : MA
Zip : 02114-3117
Country : US
Telephone Number : 617-724-0285
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2005
Last Update Date : 05/10/2013
Detailed Information
NPI Number 1558345835 has the “Individual” type of ownership and has been registered
to the following primary business legal name (which is a provider name or healthcare
organization name) — DR. ALICE WHITTIER NEWTON MD.
Records indicate that the provider gender is “Female”.
The enumeration date of this NPI Number is 12/01/2005. NPI Numer information was last updated at 05/10/2013.
The provider is physically located (Business Practice Location) at:
15 PARKMAN STREET WAC 027
CHILD PROTECTION TEAM BOSTON , MA
02114-3117
US
The provider can be reached at his practice location using the following numbers:
Phone 617-724-0285
Fax
The provider's official mailing address is:
411 WAVERLEY OAKS RD
BLDG 3 STE 302
WALTHAM , MA 02452-8448
US
The contact numbers associated with the mailing address are:
Phone 781-891-3706 Fax 781-891-3564
The authorized official registered with the “1558345835” NPI Number is .
The authorized official title (position) is .
You can reach the authorized official at the following phone number .
Scope of Practice
The following information about the speciality of the provider is available:
# Taxonomy Code Taxonomy License Number License Number State
1 208000000X Pediatrics 77762 MA
Legacy Identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
# Other Provider
Identifier
Other Provider
Identifier Type
Other Provider
Identifier State
Other Provider
Identifier Issuer
1 A2255802 MEDICARE PIN MA
2 G46916 MEDICARE UPIN
3 110058546A MEDICAID MA
4 J18063 OTHER MA BCBS MA
5 077762 OTHER MA TUFTS HEALTH
PLAN
Similar Providers
1902158603 — CRISTINA MARIA MATTHEWS NP
Practice Location Address:
15 PARKMAN ST , W-021
BOSTON, MA 02114-3117
Practice Phone: 617-726-1002
Practice Fax:
HTML | PDF | TXT
1740416643 — SHIQIAN SHEN M.D.
Practice Location Address:
15 PARKMAN STREET , WAC 340
BOSTON, MA 02114-3117
Practice Phone: 617-726-8810
Practice Fax:
HTML | PDF | TXT
1447242318 — STEPHEN P DRETLER M.D.
Practice Location Address:
15 PARKMAN ST , SUITE 486 BOSTON, MA
02114-3117
Practice Phone: 617-726-3512
Practice Fax: 617-726-3519
HTML | PDF | TXT
1831185719 — DR. DOUGLAS S ROSS MD
Practice Location Address: 15 PARKMAN ST , THYROID UNIT WAC 730 MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA
02114-3117
Practice Phone: 617-726-3872
Practice Fax: 617-726-5905
HTML | PDF | TXT
1982690731 — CHARLES RIVER UROLOGY INC
Practice Location Address: 15 PARKMAN ST , SUITE 486
BOSTON, MA
02114-3117
Practice Phone: 617-726-3512 Practice Fax: 617-726-3519
HTML | PDF | TXT
1841286887 — DR. DAVID MISCHOULON M.D., PH.D.
Practice Location Address:
15 PARKMAN ST , MASSACHUSETTS GENERAL HOSPITAL, WAC-812 BOSTON, MA
02114-3117
Practice Phone: 617-724-5198
Practice Fax: 617-724-3028
HTML | PDF | TXT
1417944141 — DR. KATHARINE KENNEDY TREADWAY MD
Practice Location Address: 15 PARKMAN ST , WAC 615 INTERNAL MEDICINE ASSOCIATES TEAM 2
BOSTON, MA
02114-3117
Practice Phone: 617-726-2674 Practice Fax: 617-724-0656
HTML | PDF | TXT
Reference Data
Full replica of the NPPES NPI record:
# Field Name Value Description
1 NPI 1558345835 10-position all-numeric identification number assigned by the NPS to
uniquely identify a health care provider.
2 Entity Type Individual
Code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that
furnishes health care (for example, hospital, SNF, hospital subunit,
pharmacy, or HMO).
3 Is Sole Proprietor N
Indicate whether provider is a sole proprietor.
A sole proprietor is the sole (the only) owner of a business that is not
incorporated; that unincorporated business is a sole proprietorship.
In a sole proprietorship, the sole proprietor owns all of the assets of the
business and is solely liable for all of the debts of the business.
There is no difference between a sole proprietorship and a sole
proprietor; they are legally a single entity: an individual.
In terms of NPI assignment, a sole proprietor is an Entity type 1
(Individual) and is eligible for only one NPI (the sole proprietorship
business is not eligible for its own NPI).
As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)
A sole proprietorship may or may not have employees.
Often, the IRS assigns an EIN to a sole proprietorship in order to
protect the sole proprietor's SSN from disclosure in claims or on W-2s.
NPPES does not capture a sole proprietorship's EIN.
Many types of health care providers could be sole proprietorships (for
example, group practices, pharmacies, home health agencies).
4 Provider Last Name (Legal
Name) NEWTON
The last name of the provider (if an individual). If the provider is an
individual, this is the legal name. This name must match the name on file with
the Social Security Administration (SSA). In addition, the date of birth must
match that on file with SSA. (First and last names are required for initial
applications.) The First, Middle, Last and Credential(s) fields allow the
following special characters: ampersand, apostrophe, colon, comma, forward
slash, hyphen, left and right parentheses, period, pound sign, quotation mark,
and semi-colon. A field cannot contain all special characters.
5 Provider First Name ALICE The first name of the provider, if the provider is an individual.
6 Provider Middle Name WHITTIER The middle name of the provider, if the provider is an individual.
7 Provider Name Prefix Text DR. The name prefix or salutation of the provider if the provider is an individual;
for example, Mr., Mrs., or Corporal.
8 Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the
provider, if the provider is an individual. Examples are MD, DDS, CSW,
CNA, AA, NP, RNA, or PSY. These credential designations will not be
verified by NPS.
9 Provider First Line
Business Mailing Address
411 WAVERLEY
OAKS RD
The first line mailing address of the provider being identified. This data
element may contain the same information as ''Provider first line location
address''.
10 Provider Second Line
Business Mailing Address BLDG 3 STE 302
The second line mailing address of the provider being identified. This data
element may contain the same information as ''Provider second line location
address''.
11 Provider Business Mailing
Address City Name WALTHAM
The City name in the mailing address of the provider being identified. This
data element may contain the same information as ''Provider location address
City name''.
12 Provider Business Mailing
Address State Name MA
The State or Province name in the mailing address of the provider being
identified. This data element may contain the same information as ''Provider
location address State name''.
13 Provider Business Mailing
Address Postal Code 02452-8448
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data
element may contain the same information as ''Provider location address
postal code''.
14 Provider Business Mailing
Address Country Code US
The country code in the mailing address of the provider being identified. This
data element may contain the same information as ''Provider location address
country code''.
15 Provider Business Mailing
Address Telephone Number 781-891-3706
The telephone number associated with mailing address of the provider being
identified. This data element may contain the same information as ''Provider
location address telephone number''.
16 Provider Business Mailing
Address Fax Number 781-891-3564
The fax number associated with the mailing address of the provider being
identified. This data element may contain the same information as ''Provider
location address fax number''.
17
Provider First Line
Business Practice Location
Address
15 PARKMAN
STREET WAC
027
The first line location address of the provider being identified. For providers
with more than one physical location, this is the primary location. This
address cannot include a Post Office box.
18
Provider Second Line
Business Practice Location
Address
CHILD
PROTECTION
TEAM
The second line location address of the provider being identified. For
providers with more than one physical location, this is the primary location.
This address cannot include a Post Office box.
19
Provider Business Practice
Location Address City
Name
BOSTON The city name in the location address of the provider being identified.
20
Provider Business Practice
Location Address State
Name
MA The State or Province name in the location address of the provider being
identified.
21
Provider Business Practice
Location Address Postal
Code
02114-3117 The postal ZIP or zone code in the location address of the provider being
identified. NOTE: ZIP code plus 4-digit extension, if available.
22
Provider Business Practice
Location Address Country
Code
US The country code in the location address of the provider being identified.
23
Provider Business Practice
Location Address
Telephone Number
617-724-0285 The telephone number associated with the location address of the provider
being identified.
24 Provider Enumeration Date 12/01/2005 The date the provider was assigned a unique identifier (assigned an NPI).
25 Last Update Date 05/10/2013 The date that a record was last updated or changed.
26 Provider Gender Code F The code designating the provider's gender if the provider is a person.
27 Provider Gender Female The provider's gender if the provider is a person.
28 Healthcare Provider
Taxonomy Code #1 208000000X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten
characters in length. The code set is structured into three distinct "Levels"
including Provider Type, Classification, and Area of Specialization.
29 Healthcare Provider
Taxonomy 1 Pediatrics Healthcare Provider Taxonomy #1
30 Provider License Number 1 77762
Certain taxonomy selections will require you to enter your license number and
the state where the license was issued. Select Foreign Country in the state
drop down box if the license was issued outside of United States. The License
Number field allows the following special characters: ampersand, apostrophe,
colon, comma, forward slash, hyphen, left and right parentheses, period,
pound sign, quotation mark, and semi-colon. A field cannot contain all special
characters. DO NOT report the Social Security Number (SSN), IRS Individual
Taxpayer Identification Number (ITIN) in this section.
31 Provider License Number
State Code 1 MA Provider License Number State Code #1
32
Healthcare Provider
Primary Taxonomy Switch
1
Y
Primary Taxonomy:
X - The primary taxonomy switch is Not Answered;
Y - The taxonomy is the primary taxonomy (there can be only one per
NPI record);
N - The taxonomy is not the primary taxonomy.
33 Other Provider Identifier 1 A2255802 Other Provider Identifier #1
34 Other Provider Identifier
Type 1 MEDICARE PIN Other Provider Identifier Type #1
35 Other Provider Identifier
State 1 MA Other Provider Identifier State #1
36 Other Provider Identifier 2 G46916 Other Provider Identifier #2
37 Other Provider Identifier
Type 2
MEDICARE
UPIN Other Provider Identifier Type #2
38 Other Provider Identifier 3 110058546A Other Provider Identifier #3
39 Other Provider Identifier
Type 3 MEDICAID Other Provider Identifier Type #3
40 Other Provider Identifier
State 3 MA Other Provider Identifier State #3
41 Other Provider Identifier 4 J18063 Other Provider Identifier #4
42 Other Provider Identifier
Type 4 OTHER Other Provider Identifier Type #4
43 Other Provider Identifier
State 4 MA Other Provider Identifier State #4
44 Other Provider Identifier
Issuer 4 BCBS MA Other Provider Identifier Issuer #4
45 Other Provider Identifier 5 077762 Other Provider Identifier #5
46 Other Provider Identifier
Type 5 OTHER Other Provider Identifier Type #5
47 Other Provider Identifier
State 5 MA Other Provider Identifier State #5
48 Other Provider Identifier
Issuer 5
TUFTS HEALTH
PLAN Other Provider Identifier Issuer #5
Driving Directions to “ DR. ALICE WHITTIER NEWTON MD” Practice Location
Language Start Address Practice Location
English
San Diego
15 PARKMAN STREET WAC 027 CHILD PROTECTION T
These directions are
for planning
purposes only. You
may find that
construction
projects, traffic, or
other events may
cause road
conditions to differ
from the map results.
San Diego, CA, USA
2,994 mi - about 1 day 20 hours
1.
Head north 39 ft
2.
Turn left toward 8th Ave
66 ft
3.
Turn left onto 8th Ave
0.2 mi
4.
Turn left onto G St
0.5 mi
5.
Take the California 94 E/ML King Jr. Freeway ramp
0.3 mi
6.
Merge onto CA-94 E
7.9 mi
7.
Take the exit on the left onto CA-125 N
2.2 mi
8.
Take the exit onto I-8 E Entering Arizona
272 mi
9.
Take exit 115 toward AZ-85/Phoenix/Ajo
0.2 mi
10.
Slight left onto W Pima St
3.3 mi
11.
Continue onto AZ-85
1.0 mi
12.
Continue onto AZ-238 E/W Maricopa Rd Continue to follow AZ-238 E
39.2 mi
13.
Turn left onto AZ-347 N/N John Wayne Pkwy
14.7 mi
14.
Continue onto E Queen Creek Rd
3.6 mi
15.
Turn left onto S Price Rd
2.4 mi
16.
Merge onto AZ-101 Loop N via the ramp on the left to Price Rd
9.0 mi
17.
Take exit 51A-51B to merge onto AZ-202 Loop E
3.5 mi
18.
Take exit 13 for Country Club Dr
0.3 mi
19.
Turn left onto AZ-87 N/N Country Club Dr Continue to follow AZ-87 N
73.5 mi
20.
Turn right onto AZ-260 E
52.9 mi
21.
Turn left onto AZ-277 N
6.8 mi
22.
Turn left onto AZ-377 N/Dry Lake Rd Continue to follow AZ-377 N
33.9 mi
23.
Turn left onto AZ-77 N
3.1 mi
24.
Turn right to merge onto I-40 E Passing through New
760
Mexico, Texas Entering Oklahoma
mi
25.
Take exit 139 for John Kilpatrick Turnpike
0.8 mi
26.
Keep right at the fork to stay on Exit 139, follow signs for Kilpatrick Turnpike E and merge onto John Kilpatrick Turnpike Partial toll road
25.7 mi
27.
Continue onto I-44 E Partial toll road
87.1 mi
28.
Take the Interstate 44 E/Oklahoma 66 Eexit toward Joplin
0.3 mi
29.
Merge onto I-44 E
18.2 mi
30.
Take the exit to stay on I-44
379
E towardJoplin/Turnpike Partial toll road Entering Missouri
mi
31.
Take exit 209A for I-55 N/I-64 N/I-70 E/U.S. 40 E toward Illinois
0.3 mi
32.
Merge onto I-55 N Entering Illinois
2.8 mi
33.
Keep left to stay on I-55 N
16.2 mi
34.
Take exit 20A to merge onto I-70 E towardIndianapolis Entering Indiana
224 mi
35.
Keep right to stay on I-70 E, follow signs forInterstate 70 E/Columbus OH Entering Ohio
166 mi
36.
Take exit 93B to merge onto I-270 N towardCleveland
16.7 mi
37.
Take exit 26 to merge onto I-71 N towardCleveland
102 mi
38.
Take exit 220 to merge onto I-271 N towardErie Pa
25.4 mi
39.
Keep left to stay on I-271 N
15.0 mi
40.
Merge onto I-90 E Partial toll road Passing through Pennsylvania Entering New York
448 mi
41.
Continue onto NY-915H (signs for I-87 S/New York/Boston) Toll road
0.9 mi
Map data ©2014 Google, INEGI Terms of Use
42.
Continue onto I-87 S Toll road
13.6 mi
43.
Take exit 21A toward I-90 E/Mass Turnpike/Boston Toll road
1.0 mi
44.
Merge onto NY-912M E Toll road
6.4 mi
45.
Continue onto I-90 E Partial toll road Entering Massachusetts
152 mi
46.
Take exit 24 A-B-C on the left toward S Station/Interstate 93 N/Interstate 93 S Toll road
0.1 mi
47.
Take exit 24B-24C on the left for Interstate 93 S/Interstate 93 N towardQuincy/Concord NH Toll road
492 ft
48.
Take exit 24B for Interstate 93 N towardConcord NH Toll road
0.2 mi
49.
Merge onto Thomas P. O'Neill Jr. Tunnel
0.2 mi
50.
Merge onto I-93 N/Thomas P. O'Neill Jr. Tunnel
1.1 mi
51.
Take exit 26 toward Storrow Drive
0.5 mi
52.
Keep left at the fork, follow signs for MA-28 N/Leverett Cir/N Station
0.1 mi
53.
Turn right onto Nashua St
0.3 mi
54.
Turn left onto Lomasney Way
46 ft
Boston, MA 02114, USA
Map data ©2014 Google, INEGI
Map Satellite