DR. MICHAEL PRENDERGAST (NPI# 1245568088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245568088 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PRENDERGAST |
| Credential | MB BCH BAO |
| Practice Address |
Massachusetts General Hospital 55 Fruit St. Boston MA 02114 |
| Mailing Address |
300 Longwood Ave Enders 961 Children's Hospital Boston Boston MA 02115 |
| Practice Telephone | 6177249040 |
| Mailing Telephone | 6179192341 |
| Mailing Fax Number | 6179192341 |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2011-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
L-239528 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619365053 | Michael Joseph Prendergast | Urology | 1165 Turnberry Ln, York, PA 17403-9116 | 2015-01-08 |
| 1730743964 | Michael Patrick Prendergast | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2019-04-23 |
| 1518278886 | Michael John Prendergast | Psychologist | 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256-5334 | 2010-07-01 |
| 1780851113 | Michael A Prendergast | Emergency Medicine | 777 Bannock St, Mc 7782, Denver, CO 80204-4507 | 2008-05-14 |
| 1568570158 | Michael Prendergast | Specialist | 800 Austin St, East Tower, Suite 563, Evanston, IL 60202-3439 | 2006-08-25 |
| 1003886920 | Michael J Prendergast | Nurse Practitioner | 22089 Us Highway 19 N, Clearwater, FL 33765-2364 | 2006-01-24 |
| Street Address |
MASSACHUSETTS GENERAL HOSPITAL 55 FRUIT ST. |
| City | BOSTON |
| State | MA |
| Zip Code | 02114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831189737 | Gus J Vlahakes | Surgery | Massachusetts General Hospital, Cox652, Boston, MA 02114 | 2005-10-24 |
| 1144872060 | Colleen Mcgauley | Nurse Practitioner | Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 | 2019-07-11 |
| 1205397023 | Stefanie Gerstberger | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 | 2019-03-26 |
| 1730661760 | Jennifer D'alotto | Social Worker | Massachusetts General Hospital, 15 Parkman Street Wacc037, Boston, MA 02114 | 2018-09-06 |
| 1669950366 | Maeve Jones-o'connor | Internal Medicine | Massachusetts General Hospital, 55 Fruit St, Boston, MA 02114 | 2018-08-03 |
| 1528556446 | Alex Colbath Bender | Internal Medicine | Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114 | 2018-04-26 |
| 1639667561 | Javier Eduardo Rivera | Nurse Practitioner | Massachusetts General Hospital, 55 Fruit Street, Cox 5, Boston, MA 02114 | 2018-04-26 |
| 1275052383 | Amy Falk | Social Worker | Massachusetts General Hospital, 175 Cambridge Street, Suite 340, Boston, MA 02114 | 2017-09-11 |
| 1265956445 | Emma Zumsande | Nurse Practitioner | Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114-0211 | 2017-07-31 |
| 1043731656 | Andrew D Skoirchet | Psychiatry & Neurology | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2017-07-05 |
| 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 | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811371123 | Neha Chaudhary | Pediatrics | 330 Brookline Ave # Rose313, Boston, MA 02215-5400 | 2015-07-16 |
| 1578950770 | Lauren Frazer | Pediatrics | 300 Longwood Ave # Enders9, Boston, MA 02115 | 2015-04-25 |
| 1821312893 | Ruggero Spadafora | Pediatrics | 912 Beacon St, Boston, MA 02215-3016 | 2010-03-19 |
| 1902003544 | Sonal Saxena Patel | Pediatrics | 660 Washington St, Apt 7h, Boston, MA 02111-3200 | 2007-06-28 |
| 1073693412 | Ann Stark | Pediatrics | 330 Brookline Ave # Rose3, Boston, MA 02215 | 2006-10-17 |
| 1063432482 | Silvia Patrizi | Pediatrics | New England Medical Center, 750 Washington St, Newborn Med, Boston, MA 02111 | 2006-07-20 |
| 1588693667 | Sadath A. Sayeed | Pediatrics | 651 Huntington Ave, 6th Floor, Fxb, Division of Medical Ethics, Boston, MA 02115-6009 | 2006-07-01 |
| 1639116817 | Jane E Stewart | Pediatrics | 330 Brookline Street, Beth Israel Hosp/neonat, Boston, MA 02215 | 2006-05-31 |
| 1720062409 | Wanda Denise Barfield | Pediatrics | 850 Harrison Ave # Yacc6, Boston, MA 02118-4001 | 2005-12-06 |
| 1972584654 | Mayya Geha | Pediatrics | 55 Fruit Street, Fnd 530, Massachusetts General Hospital, Boston, MA 02114-2621 | 2005-11-09 |
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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.