MS. ARTEMIS DIANE PANAGOPOULOS (NPI# 1164801486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164801486 |
| Entity Type | Individual |
| Full Name | MS. ARTEMIS DIANE PANAGOPOULOS |
| Practice Address |
30 Winter St 12th Floor Boston MA 02108-4720 |
| Practice Telephone | 6174260600 |
| Mailing Telephone | 6174260600 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA5238 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 WINTER ST 12TH FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02108-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588626501 | Peggy Lyn Johnson | Psychiatry & Neurology | 30 Winter St, Suite 802, Boston, MA 02108-4720 | 2006-04-05 |
| 1417554858 | Robin Alsarras | Registered Nurse | 30 Winter St, Boston, MA 02108-4720 | 2020-10-08 |
| 1780231779 | Andrew Mendonsa | Registered Nurse | 30 Winter St, Boston, MA 02108-4720 | 2019-08-23 |
| 1427605997 | Sergio Serpa | Registered Nurse | 30 Winter St, Boston, MA 02108-4720 | 2019-08-20 |
| 1013570605 | Changhee Park | Nurse Practitioner | 30 Winter St, Boston, MA 02108-4720 | 2019-04-18 |
| 1851797542 | Commonwealth Care Alliance, Inc. | Exclusive Provider Organization | 30 Winter St, Boston, MA 02108-4720 | 2014-11-07 |
| 1245640853 | Zelys Yiseirie Adorno | Pharmacist | 30 Winter St, Boston, MA 02108-4720 | 2014-05-05 |
| 1205252731 | Brynn O'donnell | Registered Nurse | 30 Winter St, Boston, MA 02108 | 2014-03-07 |
| 1740579499 | Amparo Velasquez | Counselor | 30 Winter St, Boston, MA 02108-4720 | 2011-04-04 |
| 1447562335 | Lady-thelma W Bolduc | Registered Nurse | 30 Winter St, Boston, MA 02108-4720 | 2010-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
| 1619225786 | Ahmed M Hamada-ibrahim | Dentist | 32 Tremont Sytreet, Citidental, Boston, MA 02108 | 2012-08-21 |
| 1114226750 | Richard J Osorio | Counselor | 30 Winter Street, Boston Asap, Boston, MA 02108 | 2011-03-22 |
| 1487956835 | Melissa Jean Leite | Dental Hygienist | 250 Washington Street, Boston, MA 02108 | 2010-11-17 |
| 1518274117 | Ada Stefanescu | Internal Medicine | Mgh Downtown Associates, 294 Washington St Ste 210, Boston, MA 02108 | 2010-09-03 |
| 1679798599 | Lauren Carter Ledbetter | Social Worker | Ten Milk Street, Boston, MA 02108 | 2007-04-16 |
| 1790900157 | Lawrence K Gottlieb | Internal Medicine | Intermed Advisors Inc., One Boston Place, Suite 2815, Boston, MA 02108 | 2007-04-13 |
| 1285761841 | Gerardo A Yanayaco | Internal Medicine | Laser Hair Removal, LLC, 333 Washington Street, #221, Boston, MA 02108 | 2007-02-28 |
| 1295863603 | William F Sullivan | Counselor | Adcare, 14 Beacon Street, 801, Boston, MA 02108 | 2007-02-28 |
| 1659432573 | Madeleine I Littman | Psychologist | 15 Court Square, Suite 830, Boston, MA 02108 | 2006-12-13 |
| Find all providers in zip 02108 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
| 1366006330 | Theresa Fukuda | Physician Assistant | 43 Bowdoin St Apt 2f, Boston, MA 02114-4238 | 2019-04-25 |
| 1649645201 | Andrew R Phenix | Physician Assistant | 75 Francis Street, Pbb-b 428, Brigham and Women's Hospital, Boston, MA 02115 | 2015-12-08 |
| 1346636123 | Julie Baskind Gilman | Physician Assistant | 800 Washington St # 401, Tufts Gma, Boston, MA 02111-1552 | 2015-04-08 |
| 1356688030 | Kevin Murtha | Physician Assistant | 6225 Shero Rd, Boston, NY 14025-9707 | 2013-01-15 |
| 1750560348 | Gretchen Haley Biggins | Physician Assistant | 44 Binney St # D1b30, Boston, MA 02115-6013 | 2007-10-30 |
| 1538290549 | Stephen Herrington Robinson | Physician Assistant | One Boston Medical Place, Boston, MA 02118 | 2007-03-08 |
| 1518057306 | Maha B Lund | Physician Assistant | 75 Francis St # Pbb-b4, Boston, MA 02115-6110 | 2006-10-13 |
| 1346287067 | Kathleen Fischer | Physician Assistant | 150 South Huntington Ave., Va Boston Healthcare System, Boston, MA 02130 | 2006-06-01 |
| 1659332799 | Cristobal Cornejo Jr. | Physician Assistant | 360 Huntington Ave, 135 Forsyth Building, Boston, MA 02115-5005 | 2006-03-29 |
| 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.