JASON VIERECK (NPI# 1205898202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205898202 |
| Entity Type | Individual |
| Full Name | JASON VIERECK |
| Credential | M.D. |
| Practice Address |
720 Harrison Ave Suite 707 Boston MA 02118-2371 |
| Practice Telephone | 6176388456 |
| Practice Fax Number | 6176388465 |
| Mailing Telephone | 6176388456 |
| Mailing Fax Number | 6176388465 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2010-06-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
158808 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0101028 | 05 |
| Street Address |
720 HARRISON AVE SUITE 707 |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528041969 | John Durfee | Obstetrics & Gynecology | 720 Harrison Ave, Suite 1105, Boston, MA 02118-2371 | 2005-11-21 |
| 1407479868 | Bryan Michael Rego | Student in an Organized Health Care Education/Training Program | 720 Harrison Ave, Boston, MA 02118-2371 | 2020-05-20 |
| 1396372249 | Courtney Kaiser | Psychiatry & Neurology | 720 Harrison Ave, Boston, MA 02118-2371 | 2020-03-23 |
| 1144781402 | Sonal Jain | Psychiatry & Neurology | 720 Harrison Ave, Boston, MA 02118-2371 | 2019-03-28 |
| 1801394663 | Raphael Elie Szalat | Student in an Organized Health Care Education/Training Program | 720 Harrison Ave, Boston, MA 02118-2371 | 2018-01-26 |
| 1619403128 | Pooja Bhargava | Internal Medicine | 720 Harrison Ave, Boston, MA 02118-2371 | 2017-05-03 |
| 1669904462 | Devin Nicole Cromartie | Student in an Organized Health Care Education/Training Program | 720 Harrison Ave, Room 914, Boston, MA 02118-2371 | 2017-03-30 |
| 1407388572 | Emmalee Anne Boyle | Student in an Organized Health Care Education/Training Program | 720 Harrison Ave, Boston, MA 02118-2371 | 2017-03-29 |
| 1053843334 | Molly Reissmann | Student in an Organized Health Care Education/Training Program | 720 Harrison Ave, Doctors Office Building, Dob505, Boston, MA 02118-2371 | 2017-03-28 |
| 1417488008 | Abtin Shahanaghi | Psychiatry & Neurology | 720 Harrison Ave, 9th Floor, Suite 915, Boston, MA 02118-2371 | 2017-03-24 |
| Find all providers in the same location | ||||
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626324 | Mary Jane Lim Fat | Psychiatry & Neurology | 450 Brookline Ave Dept Dana2, Boston, MA 02215-5418 | 2018-07-23 |
| 1801256094 | Lincoln S Darla X | Psychiatry & Neurology | 260 Tremont Street 2nd Floor, Tufts Medical Center, Biewend Building, Boston, MA 02111 | 2016-03-01 |
| 1407261605 | Lee Sullivan | Psychiatry & Neurology | 15 Parkman St # 720, Boston, MA 02114 | 2014-06-25 |
| 1093135048 | Pria Anand | Psychiatry & Neurology | 55 Fruit St Ste 835, Boston, MA 02114-2696 | 2014-04-17 |
| 1770925976 | Ammar Kheder | Psychiatry & Neurology | 55 Fruit Street, Epilepsy Service, Wang Acc 7, Massachusetts General Hospital, Boston, MA 02114 | 2013-07-29 |
| 1225477953 | Christopher T Doughty | Psychiatry & Neurology | 60 Fenwood Rd Dept Of, Boston, MA 02115 | 2013-06-16 |
| 1669815486 | Paloma Gonzalez Perez | Psychiatry & Neurology | 165 Cambridge St Fl 8, Boston, MA 02114-2747 | 2013-04-10 |
| 1417235557 | Reza Seyedsadjadi | Psychiatry & Neurology | 165 Cambridge St Ste 820, Boston, MA 02114 | 2011-07-22 |
| 1912216938 | Haythum Osama Tayeb | Psychiatry & Neurology | 55 Fruit Street (mailcode Wacc 8-835), Mass. General Hospital Dept. Neurology, Boston, MA 02114 | 2010-09-26 |
| 1508093675 | Sana Syed | Psychiatry & Neurology | 725 Shapiro, 716, Boston, MA 02118-2307 | 2009-06-16 |
| 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.