DR. ELIZABETH BOWEN FORTESCUE (NPI# 1376799049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376799049 |
| Entity Type | Individual |
| Full Name | DR. ELIZABETH BOWEN FORTESCUE |
| Other Name | DR. ELIZABETH BOWEN MILLER |
| Credential | M.D., M.P.H. |
| Practice Address |
300 Longwood Ave Farley 174 Boston MA 02115-5724 |
| Practice Telephone | 6178996553 |
| Practice Fax Number | 7812374833 |
| Mailing Telephone | 6178996553 |
| Mailing Fax Number | 7812374833 |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744R1102X |
Specialist Specialization: Research Study |
237708 | MA | Other Service Providers |
| Street Address |
300 LONGWOOD AVE FARLEY 174 |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588667539 | Barry Grant Zallen | Pediatrics | 300 Longwood Ave, Children's Hospital, Au 105, Boston, MA 02115-5724 | 2005-05-23 |
| 1730780669 | Hannah Fraser | Registered Nurse | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-06 |
| 1164023776 | Hannah Brewer | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-11-02 |
| 1104423680 | Justin Matthias Hintze | Otolaryngology | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-10-07 |
| 1295340388 | Kathryn Theresa Moffa | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1144835224 | Abby Elizabeth Bandi | Social Worker | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-15 |
| 1558976845 | Hilary Segar Garber | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-13 |
| 1063026003 | Lauren M Dilullo | Psychologist | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-08 |
| 1013521004 | Carl Britto | Student in an Organized Health Care Education/Training Program | 300 Longwood Ave, Boston, MA 02115-5737 | 2020-09-07 |
| 1760096887 | Rebecca Marie Leslie | Nurse Practitioner | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 1744R1102X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Research Study |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427232917 | Kerry Laing Kilbridge | Specialist | 450 Brookline Ave # Lw-204, Boston, MA 02215-5418 | 2007-12-20 |
| 1487856134 | Dana Helga Gabuzda | Specialist | 44 Binney St # Jf816, Dana-farber Cancer Institute, Boston, MA 02115-6013 | 2007-06-04 |
| 1942343736 | Paul A. Toselli | Specialist | 80 E Concord St, Boston University Medical School - Room K107, Boston, MA 02118-2307 | 2007-02-14 |
| 1154939569 | Jeffrey Ulatan | Specialist | 25 Shattuck St, Boston, MA 02115-6027 | 2020-07-21 |
| 1760752828 | Jennifer Thuy-lan Truong | Specialist | 800 Washington St, Box 14, Boston, MA 02111-1552 | 2012-01-06 |
| 1891906632 | Micheline Mary Mathews-roth | Specialist | 181 Longwood Ave, Channing Laboratory, Brigham & Women's Hospital, Boston, MA 02115-5804 | 2007-05-24 |
| 1972654606 | Dennis L. Kasper | Specialist | 181 Longwood Ave, Boston, MA 02115-5804 | 2007-01-16 |
| 1154397008 | Charles Lee | Specialist | 75 Francis St, Brigham and Women's Hospital, Thorn 612a, Boston, MA 02115-6110 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790169100 | Lorianne Masuoka | Specialist | 142 Beverly Rd, Chestnut Hill, MA 02467-3104 | 2015-07-15 |
| 1063762029 | Thomas Christian Wessel | Specialist | 22 Cliffwood St, Lenox, MA 01240-2027 | 2012-09-17 |
| 1902036528 | Steven M Reppert | Specialist | 364 Plantation St, Lrb728, Worcester, MA 01605-4321 | 2009-07-16 |
| 1730523960 | Rinah Yamamoto | Specialist | 115 Mill St, Brain Imaging Center, Mclean Hospital, Belmont, MA 02478-1064 | 2013-04-18 |
| 1417297078 | Massresearch, LLC | Specialist | 42 Weston St, Waltham, MA 02453-7756 | 2013-02-19 |
| 1497023709 | Northeast Medical Research Associates, Inc. | Specialist | 49 State Rd, Watuppa Bldg., Suite 202, North Dartmouth, MA 02747-3300 | 2011-12-01 |
| 1821321530 | Nancy M Kivel | Specialist | 200 West St, Parexel, Waltham, MA 02451-1121 | 2009-09-13 |
| 1063471126 | S David Miller | Specialist | 49 State Rd, Watuppa Building Suite 203, North Dartmouth, MA 02747-3300 | 2006-03-18 |
Please comment or provide details below to improve the information on DR. ELIZABETH BOWEN FORTESCUE.
| 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.