DR. DAVID HENRY EBB (NPI# 1003898297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003898297 |
| Entity Type | Individual |
| Full Name | DR. DAVID HENRY EBB |
| Credential | MD |
| Practice Address |
55 Fruit St, Yaw 8b Pediatric Hematolgy-oncology Boston MA 02114-2696 |
| Mailing Address |
Po Box 9142 Charlestown MA 02129-9142 |
| Practice Telephone | 6177262737 |
| Practice Fax Number | 6177240702 |
| Mailing Telephone | 6177262737 |
| Mailing Fax Number | 6177240702 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2012-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 77317 | MA | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
77317 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 730166 | 01 |
| MA | 3111202 | 05 | |
| MA | BCBS MA | J13960 | 01 |
| Street Address |
55 FRUIT ST, YAW 8B PEDIATRIC HEMATOLGY-ONCOLOGY |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558788869 | John Prensner | Pediatrics | 44 Binney St Bldg Floor3, Boston, MA 02115-6013 | 2014-03-25 |
| 1649556879 | Yasser Elborai | Pediatrics | 450 Brookline Ave # Sw301, Boston, MA 02215-5418 | 2011-11-02 |
| 1386834422 | Sonia Franco | Pediatrics | 1 Blackfan Cir, Karp Rbo9006f, Boston, MA 02115-5713 | 2007-07-25 |
| 1841354941 | Todd R Golub | Pediatrics | Dana-farber Cancer Inst, 44 Binney Street, Boston, MA 02115 | 2006-12-21 |
| 1184702722 | Daniel P. Kronish | Pediatrics | 66 Revere St, Boston, MA 02114-4405 | 2006-11-01 |
| 1992766984 | Jennifer S Whangbo | Pediatrics | 44 Binney Street, Dana 3, Dana Farber Cancer Institute, Boston, MA 02115 | 2006-03-29 |
| 1902874241 | Kapil Saxena | Pediatrics | 300 Longwood Ave # Fegan707, Children's Hospital Boston, Boston, MA 02115-5724 | 2006-03-11 |
| 1912900507 | Carlos Rodriguez-galindo | Pediatrics | 44 Binney St, Sw350, Boston, MA 02115-6013 | 2005-05-27 |
| 1134547532 | Ulrike Gerdemann | Pediatrics | 450 Brookline Ave, Boston, MA 02215-5450 | 2014-04-02 |
| 1366869257 | Kirsty Hillier | Pediatrics | 450 Brookline Ave, Boston, MA 02215 | 2014-03-28 |
| Find all providers in BOSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.