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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 3180468 | 05 |
Street Address |
CTR FOR FERTILITY & REPRO HLTH 133 BROOKLINE AVE |
City | BOSTON |
State | MA |
Zip Code | 02215 |
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 Code | 207VE0102X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Reproductive Endocrinology |
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. |
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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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.