Hadlock Center for Facial Plastic Surgery PC

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

Legal business name

HADLOCK CENTER FOR FACIAL PLASTIC SURGERY PC

Practice address

200 High St
Boston, MA 02110-3036

Phone

(631) 998-3495

Fax

(631) 288-2447

NPI assigned

Jul 26, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Theresa Hadlock, MDNPI 1578554549

Title

Owner/Physician

Phone

(631) 998-3495

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theresa A. Hadlock, M.D.

  • Facial Plastic Surgery Physician
  • Boston, MA
  • NPI 1578554549
  Medicare reassignment Care Compare group NPD Authorized official
• Julia Mellon, FNP-C

  • Nurse Practitioner
  • Boston, MA
  • NPI 1134667769
  Medicare reassignment Care Compare group NPD
• Carly Bernstein Rose, PA-C

  • Surgery Physician
  • Brookline, MA
  • NPI 1194204701
  Medicare reassignment Care Compare group
• Siobhan Baxter

  • Physician Assistant
  • Boston, MA
  • NPI 1679325310
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1104507854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12234",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117880864",
            "telephone_number": "631-699-2462",
            "fax_number": "631-288-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HIGH ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021103036",
            "telephone_number": "631-998-3495",
            "fax_number": "631-288-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HADLOCK CENTER FOR FACIAL PLASTIC SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "HADLOCK",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "631-998-3495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stavros M Hadjiloizou, MD
• Aristides Hadjinicolaou, MD
• Scott E Hadland, MD, MPH, MS
• Scott Hadley, MD
• Stephanie M Hadley, MD
• Theresa A. Hadlock, M.D.
• Muhamed Hadzipasic, MD,PHD
• Suzanne Haefner
• Susan Haesaert, OD
• Jennifer Haferd, RN

• Facial Plastic Surgery Physician in Boston, MA
• Providers in Boston, MA by specialty
• Facial Plastic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.