DR. CARLO BUONOMO (NPI# 1366480857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366480857 |
| Entity Type | Individual |
| Full Name | DR. CARLO BUONOMO |
| Credential | MD |
| Practice Address |
755 Washington St Boston MA 02111-1520 |
| Practice Telephone | 6173558382 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
74120 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 30831887 | 05 |
| Street Address |
755 WASHINGTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750945036 | Diane Sophia Saint-victor | Pediatrics | 755 Washington St, Boston, MA 02111-1520 | 2019-04-23 |
| 1366905457 | Rebecca Clayman | Student in an Organized Health Care Education/Training Program | 755 Washington St, Boston, MA 02111-1520 | 2019-04-08 |
| 1215499363 | Courtney Hanna | Pediatrics | 755 Washington St, Boston, MA 02111-1520 | 2019-04-05 |
| 1639663909 | Laura Lynn Gineo | Pediatrics | 755 Washington St, Boston, MA 02111-1520 | 2018-06-19 |
| 1639660558 | Taylor Charlotte Wolfgang | Internal Medicine | 755 Washington St, Boston, MA 02111-1520 | 2018-05-26 |
| 1619407715 | Hannah Brummer | Pediatrics | 755 Washington St, Boston, MA 02111-1520 | 2017-06-13 |
| 1821525734 | Erin Mcmillan | Pediatrics | 755 Washington St, Boston, MA 02111-1520 | 2017-05-23 |
| 1396278354 | Olivia Kathryn Perrone | Student in an Organized Health Care Education/Training Program | 755 Washington St, Boston, MA 02111-1520 | 2017-04-06 |
| 1629336367 | Laura Margaret Wiltsie | Pediatrics | 755 Washington St, Boston, MA 02111-1520 | 2012-05-01 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604570 | Yarab Mubarak Habib Al Bulushi | Radiology | 330 Brookline Ave Dept of Radiology, Boston, MA 02215-5400 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1417507740 | Daniel Andres Vargas Zapata | Radiology | 330 Brookline Ave # Es-215, Boston, MA 02215-5491 | 2019-09-18 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1790270239 | Rahul Gujrathi | Radiology | 450 Brookline Ave Dana-farber Cancer Institute, Department of Imaging Dl-198, Boston, MA 02215 | 2018-06-27 |
| 1700381282 | Casey Keith Bishop | Radiology | 820 Harrison Ave Dept Of, Boston, MA 02118-2905 | 2018-03-27 |
| 1922517713 | Arwa Alzaghal | Radiology | Department of Radiology, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115 | 2017-09-25 |
| 1053838623 | Tyler Michael Coupal | Radiology | 55 Fruit Street, Yawkey 6e, Musculoskeletal Imaging, Massachusetts General Hospital, Boston, MA 02114 | 2017-08-24 |
| 1912439068 | Hamza Rahimi | Radiology | 820 Harrison Ave Fgh Building 3rd Floor, Boston, MA 02118 | 2017-03-29 |
| 1467983106 | Donghoon Derek Shin | Radiology | 820 Harrison Ave # Fgh3022, Boston, MA 02118 | 2017-03-24 |
| 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.