Kathy Theall, MD

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

81285 Issued in MA

Practice address

800 Washington St # 245
Department of Hematology/ Oncology
Boston, MA 02111-1552

Phone

(617) 636-8148

Fax

(617) 636-8538

NPI assigned

Dec 7, 2005

Last updated

Nov 5, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1881679462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST # 245",
            "address_2": "DEPARTMENT OF HEMATOLOGY/ ONCOLOGY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-8148",
            "fax_number": "617-636-8538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST # 245",
            "address_2": "DEPARTMENT OF HEMATOLOGY/ ONCOLOGY",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021111552",
            "telephone_number": "617-636-8148",
            "fax_number": "617-636-8538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEALL",
        "first_name": "KATHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "RI",
            "license": "MD10105",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MA",
            "license": "81285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2127091",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002761",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The T Life (The T Life, LLC)
• The Therapy Room Associates, LLC
• The Wellbeing Umbrella, LLC
• Donald M. Thea, M.D.
• Alexandra Catherine Puyana Theall, MD, MHPE
• David C Thean, MD, BDS
• Emma Theiler, LICSW
• Jonathan Thein
• Sarah Thein
• Martha A Theirl, PT, DPT

• Medical Oncology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Medical Oncology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; 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.