MICHELLE P DURHAM (NPI# 1073740056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073740056 |
| Entity Type | Individual |
| Full Name | MICHELLE P DURHAM |
| Credential | M.D., M.P.H. |
| Practice Address |
One Boston Medical Center Place Boston MA 02118-4001 |
| Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118-2371 |
| Practice Telephone | 6174145245 |
| Practice Fax Number | 6176386836 |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2017-10-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
259044 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
259044 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110101175A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794969 | Michelle Lee Durham | Audiologist | 111 Commonwealth Ave Ste 100, Bristol, VA 24201-3832 | 2020-06-12 |
| 1578101523 | Michelle Durham | Counselor | 12504 Keynote Ln, Bowie, MD 20715-2746 | 2019-12-19 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1619524733 | Michelle Durham | Nurse Practitioner | 236 Wendel H Ford Blvd, Erlanger, KY 41018-1272 | 2019-08-22 |
| 1700223120 | Michelle Lynne Durham | Case Manager/Care Coordinator | 221 Hamilton St, Ogdensburg, NY 13669-1707 | 2013-05-24 |
| 1295071587 | Michelle Elizabeth Durham | Counselor | 2616 S Clack St, Abilene, TX 79606-1557 | 2012-12-14 |
| 1316173735 | Michelle Dawn Durham | Physical Therapist | 6400 Trinity Dr, Pine Bluff, AR 71603-7802 | 2009-06-01 |
| 1023287067 | Michelle Renee Durham | Optometrist | 86-120 Farrington Hwy, Waianae, HI 96792-3000 | 2008-02-25 |
| 1023172202 | Michelle Durham | Nurse Practitioner | 789 Pre Emption Rd, Suite 600, Geneva, NY 14456-2069 | 2006-12-21 |
| Street Address |
ONE BOSTON MEDICAL CENTER PLACE |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-4001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174514855 | Elizabeth B Caronna | Pediatrics | One Boston Medical Center Place, Child Health Foundation of Boston Dowling 3 South, Boston, MA 02118 | 2005-11-02 |
| 1346877446 | Alina Khurgel | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place, Bcd Building - 1st Floor - Room 1004, Boston, MA 02118 | 2020-03-26 |
| 1750917621 | Allison Goulet-scott | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place, Bcd Building-1st Floor- Room 1004, Boston, MA 02118 | 2020-03-23 |
| 1619503505 | Andrew Wallace Thompson | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place, Bcd Building 1st Floor Room 1004, Boston, MA 02118 | 2020-03-23 |
| 1023570868 | Manon Loonis | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place, Bcd Building 1st Floor Room 1004, Boston, MA 02118 | 2019-04-02 |
| 1215496120 | Michael Scott Char | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place, Bcd Building, 1st Floor, Room 1004, Boston, MA 02118 | 2019-03-19 |
| 1518461573 | Rebecca Hughes | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place, Dowling 1 South Room 1322, Boston, MA 02118 | 2018-03-22 |
| 1386148906 | Curtis Yungine Honshideler | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place, Boston, MA 02118 | 2018-03-19 |
| 1407366644 | Nivea Ortiz | Social Worker | One Boston Medical Center Place, Boston, MA 02118 | 2017-10-02 |
| 1306377163 | Taha Mur | Otolaryngology | One Boston Medical Center Place, Boston, MA 02118 | 2017-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
| 1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
| 1851534788 | Serena Fernandes | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2009-04-07 |
| 1316026685 | Joseph John Jankowski | Psychiatry & Neurology | 750 Washington St # 1007, Boston, MA 02111-1526 | 2006-11-06 |
| 1659305316 | Sara M Salek | Psychiatry & Neurology | Children's Hospital, 300 Longwood Ave, Boston, MA 02115 | 2006-07-10 |
| 1568409209 | Myron L Belfer | Psychiatry & Neurology | 25 Shattuck Street, Harvard Medical School, Boston, MA 02115 | 2006-06-01 |
| 1295266104 | Stephanie Ann Stramotas | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2017-03-22 |
| 1588018733 | Nicholas H Skefos | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2016-04-13 |
| 1881085744 | Emily Olsen Hall | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-02-13 |
| 1316201080 | Jung Won Kim | Psychiatry & Neurology | 300 Longwood Ave, Boston, MA 02115-5724 | 2012-06-27 |
| 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.