SIDHARTA P GANGADHARAN (NPI# 1184656605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184656605 |
| Entity Type | Individual |
| Full Name | SIDHARTA P GANGADHARAN |
| Credential | M.D. |
| Practice Address |
Beth Israel Deaconess Med Ctr 110 Francis St, Ste 2a Boston MA 02215 |
| Mailing Address |
124 Davis Ave #3 Brookline MA 02445-7634 |
| Practice Telephone | 6176328383 |
| Mailing Telephone | 6176328383 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 158136 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
BETH ISRAEL DEACONESS MED CTR 110 FRANCIS ST, STE 2A |
| City | BOSTON |
| State | MA |
| Zip Code | 02215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710147491 | Karen S Lee | Radiology | Beth Israel Deaconess Med Ctr, 330 Brookline Avenue, Boston, MA 02115 | 2008-06-16 |
| 1699848846 | Rafael Campo | Internal Medicine | Beth Israel Deaconess Med Ctr, 330 Brookline Avenue, Boston, MA 02215 | 2006-11-16 |
| 1053413476 | Risa Beth Burns | Internal Medicine | Beth Israel Deaconess Med Ctr, 330 Brookline Ave, Boston, MA 02215 | 2006-09-05 |
| 1225147721 | Malgorzata E Klonowska | Psychiatry & Neurology | Beth Israel Deaconess Med Ctr, 330 Brookline Ave- Ksb23, Boston, MA 02215 | 2006-08-29 |
| 1225143282 | Jeffrey D Goldsmith | Pathology | Beth Israel Deaconess Med Ctr, 330 Brookline Ave., Pathology, Boston, MA 02215 | 2006-08-20 |
| 1396770327 | Stuart M Berman | Radiology | Beth Israel Deaconess Med Ctr, Boston, MA 02215 | 2006-07-11 |
| 1396777827 | Donald E Cutlip | Internal Medicine | Beth Israel Deaconess Med Ctr, 330 Brookline Ave., Es-217, Boston, MA 02215 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
| 1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
| 1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
| 1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
| 1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871826644 | Jennifer Lynn Wilson | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 185 Pilgrim Road, Deaconess 201, Boston, MA 02215 | 2009-09-11 |
| 1922268424 | Eric N Feins | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Boston Children's Hospital -- 300 Longwood Avenue, Bader, 2nd Floor, Boston, MA 02115-5724 | 2008-06-10 |
| 1992991657 | Lana Schumacher Beal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Fruit St # 7, Boston, MA 02114-2696 | 2007-09-17 |
| 1548303936 | Robert L Thurer | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Harvard Medical International, One Renaissance Pk, Ste 900, Boston, MA 02120 | 2007-02-15 |
| 1891832150 | Aditya K Kaza | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 300 Longwood Ave Bader 273, Department of Cardiac Surgery, Boston, MA 02115 | 2007-01-30 |
| 1922188580 | David A D'alessandro | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Fruit Street, Cox 630, Massachusetts General Hospital, Division of Cardiac Sur, Boston, MA 02114 | 2006-10-17 |
| 1598877748 | Luis M Argote-greene | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 75 Francis St # 204, Division of Thoracic Surgery, Boston, MA 02115-6110 | 2006-08-31 |
| 1508890260 | Afshin Ehsan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Tufts New England Medical Center, 750 Washington St #266, Boston, MA 02111 | 2006-07-10 |
| 1124019351 | Ciaran J Mcnamee | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 75 Francis Street, Pbb5, Room 547, Div. of Thoracic Surgery, Boston, MA 02115 | 2005-11-05 |
| 1982601373 | Richard Ian Whyte | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 110 Francis St, Ste 9f, Boston, MA 02215-5501 | 2005-06-30 |
| 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.