CHARLES-CHIDI W OBASIOLU


Address: Ctr for Fertility & Repro Hlth, 133 Brookline Ave, Boston, MA 02215
Phone: 6174212987

CHARLES-CHIDI W OBASIOLU (NPI# 1013022078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013022078
Entity Type Individual
Full Name CHARLES-CHIDI W OBASIOLU
Credential M.D.
Practice Address Ctr for Fertility & Repro Hlth
133 Brookline Ave
Boston
MA 02215
Mailing Address 147 Milk St Fl 9
Provider Enrollment
Boston
MA 02109-4806
Practice Telephone 6174212987
Practice Fax Number 6174212989
Mailing Telephone 6174216540
Enumeration Date 2006-08-20
Last Update Date 2011-07-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VE0102X Obstetrics & Gynecology
Specialization: Reproductive Endocrinology
73931 MA Allopathic & Osteopathic Physicians
N 207VG0400X Obstetrics & Gynecology
Specialization: Gynecology
73931 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 3180468 05

Office Location

Street Address CTR FOR FERTILITY & REPRO HLTH
133 BROOKLINE AVE
City BOSTON
State MA
Zip Code 02215

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336746775 Lee T Gernon-lakin Physician Assistant 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 2020-10-08
1821695933 Matthew John Needham Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 2020-10-02
1114533866 Cdg Back Bay LLC Clinic/Center 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 2020-09-18
1619595105 Natasha Larocque Radiology 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 2020-07-10
1538783089 Yutsz Cherng Counselor 870r Commonwealth Avenue, Boston, MA 02215 2020-06-01
1306495924 Anthony Rosellini Psychologist 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 2019-09-06
1427605278 Liana Zucco Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 2019-08-26
1831759430 Brian William Hayes Radiology 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 2019-06-17
1396304358 Elizabeth Hai Yen Du Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 2019-06-12
1922665439 Corey Shaphard Miller Student in an Organized Health Care Education/Training Program 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 2019-05-21
Find all providers in zip 02215

Taxonomy Information

Taxonomy Code 207VE0102X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Reproductive Endocrinology

Taxonomy Definition

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639150394 Serene Samir Srouji Obstetrics & Gynecology Department of Obstetrics and Gynecology, 75 Francis Street Asb1, Boston, MA 02115 2005-11-09
1245306976 Massachusetts General Physicians Organization, Inc Obstetrics & Gynecology 55 Fruit St, Yaw 10a, Boston, MA 02114-2621 2006-11-27
1508937269 Grace Lee Obstetrics & Gynecology 133 Brookline Ave, Fertility and Reproductive Endocrinology, Boston, MA 02215-3904 2006-11-13
1255345146 Antonio Rosario Gargiulo Obstetrics & Gynecology 75 Francis Street, Brigham and Womens Hospital Center for Reproductive Med, Boston, MA 02115 2006-07-28
1518985050 Brigham and Womens Physicians Organization Inc Obstetrics & Gynecology 75 Francis St, Boston, MA 02115-6110 2006-07-17
1437100310 Janis Heidi Fox Obstetrics & Gynecology 75 Francis St, Brigham and Womens Hospital Dept of Obstetrics and Gyne, Boston, MA 02115 2006-05-15
1720038276 Mark Donald Hornstein Obstetrics & Gynecology 75 Francis St, Boston, MA 02115 2006-05-12
1528026143 Mary E Morris Obstetrics & Gynecology 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 2006-05-03
1245297878 Brian William Walsh Obstetrics & Gynecology 75 Francis Street, Center for Reproductive Medicine, Boston, MA 02115 2006-04-27
1871574285 John Christopher Petrozza Obstetrics & Gynecology 55 Fruit St, Yaw 10 Vincent Ob/gyn- Reproductive Med & Ivf, Boston, MA 02114-2621 2005-11-11
Find all providers in BOSTON

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City BOSTON
Zip Code 02215

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Dataset Information

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.

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