Active NPIIndividual provider

Dr. Michael T Nathan, MD

Internal Medicine in Revere, Massachusetts

NPI Number1821070160
Practice location
300 Ocean Ave, Rhc Revere Healthcare Center, Revere, MA 02151-3675
Fax
781-485-6392
Last updated
April 16, 2014

Michael Thomas Nathan is an Internal Medicine based in Revere, MA. Michael Thomas Nathan practices in Revere, MA and has the professional credentials of MD. The NPI Number for Michael Thomas Nathan is 1821070160 and holds a License No. 72450 (MA). The current practice location address for Michael Thomas Nathan is 300 Ocean Ave, Rhc Revere Healthcare Center, Revere, MA 02151-3675 and can be reached out via phone at 781-485-6300 and via fax at 781-485-6392.

Provider Profile Details

NPI Number
1821070160
Provider Name
Michael Thomas Nathan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
300 Ocean Ave, Rhc Revere Healthcare Center, Revere, MA 02151-3675
Phone Number
781-485-6300
Fax Number
781-485-6392
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
November 14, 2005
Last Update Date
April 16, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Ocean Ave
Rhc Revere Healthcare Center
Revere, MA 02151-3675
City
Revere
Zip
02151-3675
Phone Number
781-485-6300
Fax Number
781-485-6392
Revere, MA 02151Get directions →

Provider Business Mailing Address Details

Address
Po Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142
City
Charlestown
State
MA
Zip
02129-9142
Phone Number
781-485-6300
Fax Number
781-485-6392

License Information

License Number (1)
72450
License State (1)
MA
Taxonomy (1)
Internal Medicine · 207R00000X · Primary
License Number (2)
72450
License State (2)
MA
Taxonomy (2)
Internal Medicine, Geriatric Medicine · 207RG0300X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Internal Medicine providers near Revere, MA

View all Internal Medicine providers in Revere →

Frequently Asked Questions

What is the NPI number of Dr. Michael T Nathan, MD?

The NPI number of Dr. Michael T Nathan, MD is 1821070160. It was assigned on November 14, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Michael T Nathan, MD?

Dr. Michael T Nathan, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 72450.

Where does Dr. Michael T Nathan, MD practice?

The practice location is 300 Ocean Ave, Rhc Revere Healthcare Center, Revere, MA 02151-3675. The office can be reached at 781-485-6300 (phone) or 781-485-6392 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821070160 directly on the NPPES registry website.

Browse related providers