Tristram C Dammin, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

42019 Issued in MA

Practice address

41 Mall Raod
Burlington, MA 01805-0001

Phone

(781) 744-8000

Fax

(781) 744-5659

NPI assigned

Apr 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1730309899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MALL RAOD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8000",
            "fax_number": "781-744-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MALL RAOD",
            "city": "BURLINGTON",
            "state": "MA",
            "postal_code": "018050001",
            "telephone_number": "781-744-8000",
            "fax_number": "781-744-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMMIN",
        "first_name": "TRISTRAM",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "42019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6199666",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Dacruz, RN
• Kristyn Daigle, PA-C
• Brian Matthew Daly, PHYSICIAN ASSISTANT
• Tracy Daly, FNP-C
• Devanshi Narendra Damani, MBBS
• Dana J Kludjian,OD & Assoc.,PC
• Nava Dana, MD
• Kaye Elizabeth Dandrea, DO
• Eduardo Gabriel Danduch
• Sourbha Satish Dani, MD

• Emergency Medicine Physician in Burlington, MA
• Providers in Burlington, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.