DR. THERESA A. HADLOCK M.D. NPI 1578554549

NPI Information

  • NPI: 1578554549
  • Provider Name: DR. THERESA A. HADLOCK, M.D.
  • Classification: Otolaryngology - 207YS0123X
  • Specialization: Facial Plastic Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 243 CHARLES ST
    BOSTON, MA
    ZIP 02114
  • Phone: (617) 573-4458

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NPI Details

DR. Theresa A. Hadlock, M.D. is a facial plastic surgery otolaryngology in Boston, MA with 31 years of experience. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Theresa A. Hadlock, M.D. NPI is 1578554549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1994

The provider's business location address is:

243 CHARLES ST
BOSTON, MA
ZIP 02114-002
Phone: (617) 573-4458

The NPI 1578554549 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection of chemical for paralysis of nerve muscles on side of face (HCPCS:64612)
  • Repair of wound by transferring skin, each additional 30.0 sq cm (HCPCS:14302)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Repair of wound by transferring skin, 30.1-60.0 sq cm (HCPCS:14301)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 10/31/2005 and was last updated on 9/19/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YS0123XOtolaryngologyFacial Plastic Surgery213813MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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