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KATHY THEALL MD NPI 1881679462


NPI Information

NPI: 1881679462
Provider Name: KATHY THEALL, MD
Classification: Internal Medicine - 207RX0202X
Entity Type: Individual

Specialization: Medical Oncology

Address:
800 WASHINGTON ST # 245
DEPARTMENT OF HEMATOLOGY/ ONCOLOGY
BOSTON, MA
ZIP 02111
Phone: (617) 636-8148
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Kathy Theall, MD is a medical oncology internal medicine in Boston, MA. The provider is an internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. Kathy Theall, MD NPI is 1881679462. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

800 WASHINGTON ST # 245
DEPARTMENT OF HEMATOLOGY/ ONCOLOGY
BOSTON, MA
ZIP 02111-552
Phone: (617) 636-8148
Fax: (617) 636-8538

The enumeration date for this NPI number is 12/7/2005 and was last updated on 11/5/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & OncologyMD10105RHODE ISLANDNo
2207RX0202XInternal MedicineMedical Oncology81285MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12127091MEDICAIDMASSACHUSETTS
29002761MEDICAIDRHODE ISLAND
3A40909MEDICARE PINMASSACHUSETTS
4119002761MEDICARE ID-TYPE UNSPECIFIEDRHODE ISLANDMEDICARE
5G93978MEDICARE UPINRHODE ISLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.