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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
270618 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 0443473 | 05 | |
IA | WELLMARK BCBS | 36963 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
200 Hawkins Dr, Iowa City, IA 522421009 | 3193566360 | 3193849184 |
Street Address |
75 FRANCIS ST |
City | BOSTON |
State | MA |
Zip Code | 02115-6106 |
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 |
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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 Code | 207PE0004X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Emergency Medical Services |
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. |
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 |
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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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.