DR. MICHAEL J CARUSO


Address: 55 Fruit Street, Blk Sb, Rm 0029a, Boston, MA 02114
Phone: 7817245246

DR. MICHAEL J CARUSO (NPI# 1114176906) 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) 1114176906
Entity Type Individual
Full Name DR. MICHAEL J CARUSO
Credential D.O.
Practice Address 55 Fruit Street
Blk Sb, Rm 0029a
Boston
MA 02114
Mailing Address 55 Lake Ave N
Worcester
MA 01655-0002
Practice Telephone 7817245246
Mailing Telephone 5083341000
Enumeration Date 2008-09-16
Last Update Date 2018-07-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
249182 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA MASSACHUSETTS STATE LICENSE 274187 01
MA DEA NUMBER FC7710925 01
MA DRUG CONTROL PROGRAM MC1147203G 01

Other Providers MICHAEL CARUSO

NPI Name Taxonomy Address Enumeration
1114583515 Michael Caruso Contractor 19 Burreed Ct, Etna, OH 43062-9638 2019-05-13
1316439177 Michael James Caruso Optometrist 139 Eastwood Hall Rd, Watertown, CT 06795-1853 2018-06-06
1215328760 Michael Caruso Physical Therapist Rt 108 and Rt 216 (b. 618), Highland, MD 20777 2015-02-05
1124423322 Michael Caruso Licensed Practical Nurse 421 Dennis Dr, Galloway, NJ 08205-9630 2014-10-30
1235220864 Michael Andres Caruso Family Medicine 24785 Stewart St Ste 111, Loma Linda, CA 92350-1721 2006-09-27
1437124252 Michael J Caruso Ophthalmology 207 Stone Harbor Boulevard, Cape May Court House, NJ 08210-2137 2006-02-23
1972142701 Michael Louis Caruso Counselor 1455 Dixon Ave, Lafayette, CO 80026-8879 2019-12-26
1659646065 Michael Caruso Physician Assistant 9768 Liberty Dr, Painted Post, NY 14870-9094 2012-03-19
1720267891 Michael Candio Caruso Family Medicine 156 N Main St, Clayton, GA 30525-4266 2007-10-25
1992926968 Michael Caruso Psychologist 615 W Harwood Rd, Hurst, TX 76054-3106 2007-05-01

Office Location

Street Address 55 FRUIT STREET
BLK SB, RM 0029A
City BOSTON
State MA
Zip Code 02114

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407854094 Adam Scott Landsman Podiatrist 55 Fruit Street, Dept. of Orthopaedics/podiatry Service, Boston, MA 02114-2696 2005-07-08
1013532373 Fei Wu Student in an Organized Health Care Education/Training Program 55 Fruit Street, Grb444, Boston, MA 02114-2696 2020-06-12
1376163816 Amine Mohamed Marc Awad Student in an Organized Health Care Education/Training Program 55 Fruit Street, Internal Medicine Residency Program Manager, Gary Bigel, Boston, MA 02114 2020-04-24
1760011167 Ellen Clare Mail Social Worker 55 Fruit Street, Wacc 023, Boston, MA 02114 2020-04-07
1831726199 Bennet S Cho Student in an Organized Health Care Education/Training Program 55 Fruit Street, Grb-425, Boston, MA 02114 2020-03-26
1841827276 Brian Jacob Kinsman Student in an Organized Health Care Education/Training Program 55 Fruit Street, Grb444, Boston, MA 02114 2020-03-25
1700413408 Madhur Nayan Student in an Organized Health Care Education/Training Program 55 Fruit Street, Boston, MA 02114 2020-03-24
1629605233 Jimmitti Teysir Student in an Organized Health Care Education/Training Program 55 Fruit Street, Grb-7-730, Boston, MA 02114 2020-03-24
1841823010 Mark Wu Student in an Organized Health Care Education/Training Program 55 Fruit Street, Department of Radiology, Boston, MA 02114-2698 2020-02-17
1831721430 William Yuanchen Shi Student in an Organized Health Care Education/Training Program 55 Fruit Street, Division of Cardiac Surgery, Cox 630, Massachusetts Gen, Boston, MA 02114 2020-02-11
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821604570 Yarab Mubarak Habib Al Bulushi Radiology 330 Brookline Ave Dept of Radiology, Boston, MA 02215-5400 2020-09-18
1619595105 Natasha Larocque Radiology 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 2020-07-10
1417507740 Daniel Andres Vargas Zapata Radiology 330 Brookline Ave # Es-215, Boston, MA 02215-5491 2019-09-18
1851870992 Robert Kevin Moreland Radiology 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 2018-08-09
1790270239 Rahul Gujrathi Radiology 450 Brookline Ave Dana-farber Cancer Institute, Department of Imaging Dl-198, Boston, MA 02215 2018-06-27
1700381282 Casey Keith Bishop Radiology 820 Harrison Ave Dept Of, Boston, MA 02118-2905 2018-03-27
1922517713 Arwa Alzaghal Radiology Department of Radiology, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115 2017-09-25
1053838623 Tyler Michael Coupal Radiology 55 Fruit Street, Yawkey 6e, Musculoskeletal Imaging, Massachusetts General Hospital, Boston, MA 02114 2017-08-24
1912439068 Hamza Rahimi Radiology 820 Harrison Ave Fgh Building 3rd Floor, Boston, MA 02118 2017-03-29
1467983106 Donghoon Derek Shin Radiology 820 Harrison Ave # Fgh3022, Boston, MA 02118 2017-03-24
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City BOSTON
Zip Code 02114

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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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