MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC (NPI# 1245306976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245306976 |
| Entity Type | Organization |
| Organization Name | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC |
| Other Organization Name | VINCENT REPORDUCTIVE MEDICINE AND IVF |
| Practice Address |
55 Fruit St Yaw 10a Boston MA 02114-2621 |
| Mailing Address |
Po Box 9142 Charlestown MA 02129-9142 |
| Practice Telephone | 6177268868 |
| Mailing Telephone | 6177240287 |
| Mailing Fax Number | 6172284315 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2009-02-09 |
| Authorized Official Name | MS. ANNE J. DUBITZKY (VICE PRESIDENT OF CONTRACTING) |
| Authorized Official Telephone | 6177267853 |
| Is Organization Subpart | Y |
| Parent Organization Name | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC, |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 759007 | 01 |
| Other Name | Type Code |
|---|---|
| VINCENT REPORDUCTIVE MEDICINE AND IVF | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942691803 | Massachusetts General Physicians Organization, Inc | Durable Medical Equipment & Medical Supplies | 52 2nd Ave, Waltham, MA 02451-1127 | 2015-02-13 |
| 1306186523 | Massachusetts General Physicians Organization, Inc | Durable Medical Equipment & Medical Supplies | 175 Cambridge St, Suite 400, Boston, MA 02114-2750 | 2013-02-25 |
| 1801874573 | Massachusetts General Physicians Organization, Inc | Oral & Maxillofacial Surgery | 55 Fruit St, Bul 2, Boston, MA 02114-2621 | 2006-01-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC | 55 Fruit St Bulfinch 208, Boston, MA 02114-2621 |
| Oregon Corporations, Companies and Business Names | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC. | 55 Fruit Street, Boston, MA 2114 |
| Street Address |
55 FRUIT ST YAW 10A |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465888 | Michael A Nichols | Nurse Anesthetist, Certified Registered | 55 Fruit St, Boston, MA 02114-2696 | 2005-05-31 |
| 1740881374 | Katelyn Mary Bushey | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-11-02 |
| 1316546849 | Amy Lauren Greenblatt | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-26 |
| 1134728116 | Stephanie Qualls | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-21 |
| 1811596190 | Andrea S Hansen | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1649879974 | Barbara Healy | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1770181117 | Molly Cristina Reynolds | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-16 |
| 1245838325 | Katerina Eleni Kafkas | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-12 |
| 1578179040 | Vivian Ellen Donahue | Registered Nurse | 55 Fruit St, Boston, MA 02114-2696 | 2020-09-21 |
| 1699380956 | Joanne Gover | Registered Nurse | 55 Fruit St, Boston, MA 02114-2621 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013022078 | Charles-chidi W Obasiolu | Obstetrics & Gynecology | Ctr for Fertility & Repro Hlth, 133 Brookline Ave, Boston, MA 02215 | 2006-08-20 |
| 1639150394 | Serene Samir Srouji | Obstetrics & Gynecology | Department of Obstetrics and Gynecology, 75 Francis Street Asb1, Boston, MA 02115 | 2005-11-09 |
| 1508937269 | Grace Lee | Obstetrics & Gynecology | 133 Brookline Ave, Fertility and Reproductive Endocrinology, Boston, MA 02215-3904 | 2006-11-13 |
| 1255345146 | Antonio Rosario Gargiulo | Obstetrics & Gynecology | 75 Francis Street, Brigham and Womens Hospital Center for Reproductive Med, Boston, MA 02115 | 2006-07-28 |
| 1518985050 | Brigham and Womens Physicians Organization Inc | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115-6110 | 2006-07-17 |
| 1437100310 | Janis Heidi Fox | Obstetrics & Gynecology | 75 Francis St, Brigham and Womens Hospital Dept of Obstetrics and Gyne, Boston, MA 02115 | 2006-05-15 |
| 1720038276 | Mark Donald Hornstein | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115 | 2006-05-12 |
| 1528026143 | Mary E Morris | Obstetrics & Gynecology | 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 | 2006-05-03 |
| 1245297878 | Brian William Walsh | Obstetrics & Gynecology | 75 Francis Street, Center for Reproductive Medicine, Boston, MA 02115 | 2006-04-27 |
| 1871574285 | John Christopher Petrozza | Obstetrics & Gynecology | 55 Fruit St, Yaw 10 Vincent Ob/gyn- Reproductive Med & Ivf, Boston, MA 02114-2621 | 2005-11-11 |
| 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.