DR. MICHIEL M DEMOOR (NPI# 1336117043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336117043 |
| Entity Type | Individual |
| Full Name | DR. MICHIEL M DEMOOR |
| Credential | MD |
| Practice Address |
800 Washington St # 313 Tufts Medical Center Boston MA 02111-1552 |
| Practice Telephone | 6176365067 |
| Practice Fax Number | 6176362354 |
| Mailing Telephone | 6176365067 |
| Mailing Fax Number | 6176362354 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2010-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 160252 | MA | Allopathic & Osteopathic Physicians |
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
160252 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3164616 | 05 | |
| MA | BCBS MA | J17454 | 01 |
| MA | TUFTS HEALTH PLAN | 764607 | 01 |
| Street Address |
800 WASHINGTON ST # 313 TUFTS MEDICAL CENTER |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467933309 | Chavisa Rassameehirun | Pediatrics | 300 Longwood Ave Unit, Boston, MA 02115-5724 | 2018-08-28 |
| 1407300858 | Carolina Escudero | Pediatrics | 240 Heath St, Ph 16, Boston, MA 02130-1149 | 2016-08-14 |
| 1396368460 | Lauren Sell | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-05-25 |
| 1356998645 | Ciara Mcmanus | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-08-21 |
| 1699297374 | Katie Maree Moynihan | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-07-13 |
| 1609328988 | Luciana De Franco Marcondes Gomes | Pediatrics | 300 Longwood Ave, Boston Children's Hospital Cardiology Department, Boston, MA 02115-5724 | 2016-11-02 |
| 1598211203 | Hanita Shai | Pediatrics | 300 Longwood Avenue, Boston, MA 02115 | 2016-09-01 |
| 1003298126 | Daniel Alexander Castellanos | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-06-25 |
| 1871989236 | Amara Majeed | Pediatrics | 300 Longwood Ave, Boston, MA 02115 | 2015-04-13 |
| 1912314519 | Max Godfrey | Pediatrics | 300 Longwood Ave, Boston Children's Hospital - Cardiology Dept, Boston, MA 02115-5724 | 2014-07-15 |
| 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.