ERIC JAMES NILLES


Address: 75 Francis St, Boston, MA 02115-6106
Phone: 7819957077

ERIC JAMES NILLES (NPI# 1124007109) 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) 1124007109
Entity Type Individual
Full Name ERIC JAMES NILLES
Credential MD
Practice Address 75 Francis St
Boston
MA 02115-6106
Mailing Address 43 Hancock St
Lexington
MA 02420-3433
Practice Telephone 7819957077
Mailing Telephone 7819957077
Enumeration Date 2006-01-10
Last Update Date 2018-11-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PE0004X Emergency Medicine
Specialization: Emergency Medical Services
270618 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 0443473 05
IA WELLMARK BCBS 36963 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
200 Hawkins Dr, Iowa City, IA 522421009 3193566360 3193849184

Office Location

Street Address 75 FRANCIS ST
City BOSTON
State MA
Zip Code 02115-6106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710980370 Michael W Groff Specialist 75 Francis St, Neurosurgery, Boston, MA 02115-6110 2005-05-27
1841891405 Judith Jordan Lauerman Registered Nurse 75 Francis St, Boston, MA 02115-6106 2020-11-02
1215535158 Katherine Elizabeth Dubois Social Worker 75 Francis St, Boston, MA 02115-6106 2020-10-13
1720695935 Kelly Casey Nurse Practitioner 75 Francis St, Boston, MA 02115-6110 2020-09-30
1104433556 Laura Anne Murphy Nuclear Medicine 75 Francis St, Boston, MA 02115-6106 2020-09-29
1801402300 Xiao Ou He Radiology 75 Francis St, Boston, MA 02115-6110 2020-09-20
1811503469 Kelsey Killeen Social Worker 75 Francis St, Boston, MA 02115-6106 2020-09-18
1346855384 Kendall Lenore Mehinagic Physician Assistant 75 Francis St, Boston, MA 02115-6110 2020-09-15
1689289027 Rania El Fekih Internal Medicine 75 Francis St, Boston, MA 02115-6106 2020-09-12
1881206340 Jean-francois Toupin Radiology 75 Francis St, Boston, MA 02115-6110 2020-08-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
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Taxonomy Information

Taxonomy Code 207PE0004X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Emergency Medical Services

Taxonomy Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104280189 Keiran Warner Emergency Medicine 785 Albany St, Boston, MA 02118-2521 2016-04-06
1285999060 Isabel Marie Algaze-gonzalez Emergency Medicine 55 Fruit St, Mgh, Emergency Medicine Department, Boston, MA 02114-2621 2012-07-09
1669635124 David Evan Leaf Emergency Medicine 75 Francis St, Boston, MA 02115-6110 2008-07-05
1790820504 Mazen Jamil El-sayed Emergency Medicine 1 Boston Medical Ctr Pl, Emergency Department, Boston, MA 02118-2908 2007-02-20
1013935550 Brigham and Womens Physicians Organization Inc Emergency Medicine 75 Francis St, Boston, MA 02115-6110 2006-07-17
1952358533 Associated Physicians of Harvard Medical Faculty Physicians At Beth Is Emergency Medicine 330 Brookline Ave, Boston, MA 02215 2006-05-28
1295781037 Lori L Harrington Emergency Medicine 1 Boston Medical Ctr Pl, Dowling 1 South, Boston, MA 02118-2908 2006-05-25
1427007822 Joseph Marcel-saint-louis Demertine Emergency Medicine 581 Boylston St, 800, Boston, MA 02116-3608 2006-05-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1952768558 Westfield Medical Corp Emergency Medicine 24 North Westfield St, Ste 1, Feeding Hills, MA 01030 2016-01-27
1689006322 Westfield Medical Corporation Emergency Medicine 57 Union St, Ste 101, Westfield, MA 01085-2658 2013-08-05
1023215696 Howard Theodore Hermann Emergency Medicine 34 Prospect Park, Newtonville, MA 02460-2309 2007-06-28
1770694556 Iqubal S. Dhaliwal Emergency Medicine 24 Common St, Suite 3, Wrentham, MA 02093-1399 2006-08-31
1295849198 Yong Hwa Lee Emergency Medicine 280 Highland Ave, Somerville, MA 02143-1324 2006-08-18
1730103268 James Phillip Varner Emergency Medicine 2324 Washington St, Suite 1, Canton, MA 02021-1159 2006-07-27
1730136425 Anita Karcz Emergency Medicine 89 Bailey Rd, East Watertown, MA 02472-4925 2006-05-28
1750334371 Kimberly Schoen Emergency Medicine 370 Providence Hwy, Dedham, MA 02026-1875 2006-05-17
1588622070 David J Doyle Emergency Medicine 1515 Allen Street, Springfield, MA 01118 2006-05-03
1194715292 Robert L. Spangler Emergency Medicine 84 Pinewood Dr, Unit 3-b, Gardner, MA 01440 2005-10-28
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Competitor

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City BOSTON
Zip Code 02115

Improve Information

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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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