MISS LEANNE NASSAR WINES (NPI# 1073663324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073663324 |
| Entity Type | Individual |
| Full Name | MISS LEANNE NASSAR WINES |
| Credential | PA-C |
| Practice Address |
100 Blossom St Cox 630 Boston MA 02114-2606 |
| Mailing Address |
75 Francis St Hospitalist Office, Brigham and Women's Hospital Boston MA 02115-6110 |
| Practice Telephone | 6177244810 |
| Mailing Telephone | 6176991808 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2014-01-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA2258 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 BLOSSOM ST COX 630 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619967270 | Robin Schoenthaler | Radiology | 100 Blossom St, Cox 3, Boston, MA 02114-2606 | 2005-10-25 |
| 1831467885 | Neelam Ameya Phadke | Internal Medicine | 100 Blossom St, Cox 201, Boston, MA 02114 | 2011-12-06 |
| 1710208731 | Joanna Y Tansky | Radiology | 100 Blossom St, Cox Level 3, Boston, MA 02114-2606 | 2010-06-14 |
| 1073718672 | Roby P Bhattacharyya | Internal Medicine | 100 Blossom St, Massachusetts General Hospital, Cox-5, Boston, MA 02114-2606 | 2007-06-15 |
| 1154539583 | Maureen Teresa Doran | Registered Nurse | 100 Blossom St, Cox 5-506c, Boston, MA 02114-2606 | 2007-05-18 |
| 1174669980 | Melin Janardan Khandekar | Radiology | 100 Blossom St, Cox 3, Boston, MA 02114-2606 | 2007-01-29 |
| 1689724171 | David T. Miyamoto | Radiology | 100 Blossom St, Cox 3, Boston, MA 02114-2606 | 2007-01-10 |
| 1295884674 | Karen Marie Gacicia | Registered Nurse | 100 Blossom St, Boston, MA 02114-2606 | 2007-01-09 |
| 1790883106 | Peggy A. Leland | Nurse Practitioner | 100 Blossom St, Boston, MA 02114-2606 | 2006-09-20 |
| 1871535534 | Tahir Tellioglu | Psychiatry & Neurology | 100 Blossom St, Mgh Cox Clinic, Boston, MA 02114-0211 | 2006-06-10 |
| Find all providers in the same location | ||||
| 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 | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1366006330 | Theresa Fukuda | Physician Assistant | 43 Bowdoin St Apt 2f, Boston, MA 02114-4238 | 2019-04-25 |
| 1649645201 | Andrew R Phenix | Physician Assistant | 75 Francis Street, Pbb-b 428, Brigham and Women's Hospital, Boston, MA 02115 | 2015-12-08 |
| 1346636123 | Julie Baskind Gilman | Physician Assistant | 800 Washington St # 401, Tufts Gma, Boston, MA 02111-1552 | 2015-04-08 |
| 1356688030 | Kevin Murtha | Physician Assistant | 6225 Shero Rd, Boston, NY 14025-9707 | 2013-01-15 |
| 1750560348 | Gretchen Haley Biggins | Physician Assistant | 44 Binney St # D1b30, Boston, MA 02115-6013 | 2007-10-30 |
| 1538290549 | Stephen Herrington Robinson | Physician Assistant | One Boston Medical Place, Boston, MA 02118 | 2007-03-08 |
| 1518057306 | Maha B Lund | Physician Assistant | 75 Francis St # Pbb-b4, Boston, MA 02115-6110 | 2006-10-13 |
| 1346287067 | Kathleen Fischer | Physician Assistant | 150 South Huntington Ave., Va Boston Healthcare System, Boston, MA 02130 | 2006-06-01 |
| 1659332799 | Cristobal Cornejo Jr. | Physician Assistant | 360 Huntington Ave, 135 Forsyth Building, Boston, MA 02115-5005 | 2006-03-29 |
| 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.