David Menon Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DAVID MENON CORPORATION

Practice address

33 Bow St
Somerville, MA 02143-2937

Phone

(617) 625-9992

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David Menon, MD

Title

President/Owner

Phone

(617) 625-9992

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 2

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

• Rian McCormack

  • Physician Assistant
  • Somerville, MA
  • NPI 1699186312
  NPD
• Cynthia L Holloran, NP

  • Nurse Practitioner
  • Woodsville, NH
  • NPI 1114954864
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1891709309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021430004",
            "telephone_number": "617-625-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BOW ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021432937",
            "telephone_number": "617-625-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID MENON CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "MENON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "617-625-9992",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "M18125",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "694457",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9716599",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Kayla Danis, MS, CCC-SLP
• Dark Horse, Incor.
• Mohammad Hossein Dashti, DMD
• Duleclino M Dasilva, LMHC
• Irida Dautaj, D.M.D.
• Rachel Davidow
• Lisa-Anne Davidson
• Ana Yasmin Davie, RN
• Davis Square Chiropractic, PC
• Davis Square Dental Group

• Internal Medicine Physician in Somerville, MA
• Providers in Somerville, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.