MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC (NPI# 1306186523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306186523 |
| Entity Type | Organization |
| Organization Name | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC |
| Other Organization Name | MASS GENERAL PHYSICIANS ORG/SPORTS MEDICINE |
| Practice Address |
175 Cambridge St Suite 400 Boston MA 02114-2750 |
| Mailing Address |
55 Fruit St Bulfinch 2 Boston MA 02114-2621 |
| Practice Telephone | 6177267500 |
| Practice Fax Number | 6176430808 |
| Mailing Telephone | 6177262684 |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2013-08-21 |
| Authorized Official Name | JAMES HEFFERNAN (SENIOR VP OF FINANCE) |
| Authorized Official Telephone | 6177262684 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110000037/C | 05 |
| Other Name | Type Code |
|---|---|
| Mass General Physicians Org/Sports Medicine | 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 |
| 1245306976 | Massachusetts General Physicians Organization, Inc | Obstetrics & Gynecology | 55 Fruit St, Yaw 10a, Boston, MA 02114-2621 | 2006-11-27 |
| 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 |
175 CAMBRIDGE ST SUITE 400 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639171101 | George H Theodore | Orthopaedic Surgery | 175 Cambridge St, 4th Floor, Boston, MA 02114-2743 | 2005-08-12 |
| 1134614738 | Allison Marie Caravana-lilly | Social Worker | 175 Cambridge St, Boston, MA 02114-2743 | 2018-06-26 |
| 1366935249 | Lisa Goss Staffiere | Social Worker | 175 Cambridge St, Boston, MA 02114-2743 | 2018-06-14 |
| 1275037343 | Amanda May Heater Tourjee | Nurse Practitioner | 175 Cambridge St, Boston, MA 02114-2743 | 2018-03-22 |
| 1184139677 | Angela Kristen Stearns | Physical Therapy Assistant | 175 Cambridge St, Boston, MA 02114-2743 | 2017-12-06 |
| 1215389879 | Nikolaos Paschos | Orthopaedic Surgery | 175 Cambridge St, Boston, MA 02114 | 2016-07-07 |
| 1447621305 | Dana Jill Hindman | Physical Therapist | 175 Cambridge St, 4th Floor, Boston, MA 02114-2743 | 2015-10-16 |
| 1366820854 | Melissa Ann Summers | Orthopaedic Surgery | 175 Cambridge St, Boston, MA 02114-2743 | 2015-05-15 |
| 1063809895 | Jessica Levitsky | Physical Therapy Assistant | 175 Cambridge St, Suite 470, Boston, MA 02114-2743 | 2015-04-20 |
| 1285020990 | Katharine S. Davidoff | Pediatrics | 175 Cambridge St, Boston, MA 02114-2743 | 2015-04-09 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972137222 | Intriguing Hair LLC | Durable Medical Equipment & Medical Supplies | 82 Fairmount Ave, Boston, MA 02136-2734 | 2020-02-25 |
| 1720611072 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 55 Fruit St Ste 3c, Yawkey Bldg, Boston, MA 02114-2621 | 2020-02-14 |
| 1386106953 | Star Markets Company Inc | Durable Medical Equipment & Medical Supplies | 90 Causeway St, Boston, MA 02144 | 2019-04-03 |
| 1871065599 | Tactile Systems Technology, Inc. | Durable Medical Equipment & Medical Supplies | 535 Boylston St Ste 203, Boston, MA 02116-3786 | 2018-12-19 |
| 1457832933 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 341 Harrison Ave, Boston, MA 02118-2265 | 2018-08-23 |
| 1346765591 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 Cambridge St Ste 102, Boston, MA 02114-2531 | 2017-08-09 |
| 1568916302 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 85 Seaport Blvd, Unit H, Boston, MA 02210-2010 | 2016-08-10 |
| 1669848701 | Ibeam Medical Massachusetts | Durable Medical Equipment & Medical Supplies | 1085 Commonwealth Ave Ste 302, Boston, MA 02215-1002 | 2015-08-12 |
| 1821487802 | Ahc Allied Healthcare of New England, Inc. | Durable Medical Equipment & Medical Supplies | 469 Neponset Ave, Suite 1, Boston, MA 02122-3133 | 2015-01-14 |
| 1386061406 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 700 Atlantic Ave, Boston, MA 02111-2813 | 2014-03-26 |
| 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.