OLGA BERESNEVA (NPI# 1114345741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114345741 |
| Entity Type | Individual |
| Full Name | OLGA BERESNEVA |
| Credential | M.D. |
| Practice Address |
830 Harrison Ave Moakley, Suite 3500 Boston MA 02118 |
| Mailing Address |
801 Albany Street Fl Ground Boston MA 02119 |
| Practice Telephone | 6174148054 |
| Mailing Telephone | 6174145405 |
| Mailing Fax Number | 6174146031 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 281960 | MA | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 281960 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 88 E Newton St # C515, Boston, MA 021182308 | 6176388409 |
| Street Address |
830 HARRISON AVE MOAKLEY, SUITE 3500 |
| City | BOSTON |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316937436 | Minh Tam Truong | Radiology | 830 Harrison Ave, Moakley Building Ll100, Boston, MA 02118 | 2005-10-28 |
| 1457950131 | Maggie Ruderman | Genetic Counselor, MS | 830 Harrison Ave, Boston, MA 02118-2905 | 2020-10-22 |
| 1760096606 | Fabio Petrocca | Student in an Organized Health Care Education/Training Program | 830 Harrison Ave, Boston, MA 02118-2905 | 2020-09-08 |
| 1801447495 | Kailey Vitale | Speech-Language Pathologist | 830 Harrison Ave, Boston, MA 02118-2905 | 2019-09-25 |
| 1437718228 | Kayla Mcdonald | Physician Assistant | 830 Harrison Ave, Moakley, Suite 3400, Boston, MA 02118 | 2019-06-06 |
| 1154984888 | Elizabeth Tiani | Nurse Practitioner | 830 Harrison Ave, Boston, MA 02118 | 2019-04-18 |
| 1669938981 | Lynsie Rae Adams | Nurse Practitioner | 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 | 2019-02-11 |
| 1548754385 | Lisa Jiyoung Kim | Nurse Practitioner | 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 | 2018-06-15 |
| 1891226650 | Navid Alavi | Internal Medicine | 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 | 2017-03-23 |
| 1952842189 | Samuel Rubin | Otolaryngology | 830 Harrison Ave, 1st Floor, Boston, MA 02118-2905 | 2017-03-20 |
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| 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 | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629377023 | Anne Fabrizio | Colon & Rectal Surgery | 330 Brookline Ave # Gz-605, Boston, MA 02215-5400 | 2011-03-24 |
| 1689892481 | Evangelos Messaris | Colon & Rectal Surgery | 330 Brookline Ave # 6, Boston, MA 02215 | 2007-04-24 |
| 1043505738 | Robert Neil Goldstone | Colon & Rectal Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2011-06-10 |
| 1629110382 | Melissa Monique Murphy | Colon & Rectal Surgery | 75 Francis St, Division of Surgery / Brigham and Women's Hospital, Boston, MA 02115-6110 | 2007-02-12 |
| 1487680427 | Deborah Ann Nagle | Colon & Rectal Surgery | 330 Brookline Avenue, Stoneman 9, Boston, MA 02215-5400 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427262906 | David W Lin | Colon & Rectal Surgery | 21 Village Square, Chelmsford, MA 01824-2712 | 2007-05-10 |
| 1164405585 | Jan B Wojcik | Colon & Rectal Surgery | 175 Carew Street, Suite 110, Springfield, MA 01104 | 2005-11-21 |
| 1881012524 | Sue Jean Hahn | Colon & Rectal Surgery | 55 Lake Ave N, Worcester, MA 01655 | 2014-03-31 |
| 1285954651 | Julia T Saraidaridis | Colon & Rectal Surgery | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2010-06-08 |
| 1063650463 | Deborah Ruth Schnipper | Colon & Rectal Surgery | 2000 Washington St, Suite 365, Newton, MA 02462-1627 | 2009-01-23 |
| 1043475932 | Berkshire Colon & Rectal Surgery, LLC | Colon & Rectal Surgery | 777 North St, Suite 605, Pittsfield, MA 01201-4147 | 2008-07-21 |
| 1447417738 | Todd D Francone | Colon & Rectal Surgery | 41 Mall Rd, Lahey Hospital & Medical Center, Burlington, MA 01805-0001 | 2008-05-22 |
| 1194882472 | Rocco Ricciardi | Colon & Rectal Surgery | 41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 | 2007-01-03 |
| 1316000748 | John A Coller | Colon & Rectal Surgery | Lahey Clinic, 41 Mall Rd., Burlington, MA 01805-0001 | 2006-12-18 |
| 1043379381 | Ignacio Gomez-tellez | Colon & Rectal Surgery | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2006-12-06 |
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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.