PRATT MEDICAL GROUP, INC (NPI# 1386964179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386964179 |
| Entity Type | Organization |
| Organization Name | PRATT MEDICAL GROUP, INC |
| Other Organization Name | PRATT MEDICAL GROUP, INC- HEMATOLOGY/ONCOLOGY |
| Practice Address |
800 Washington St Box 1013 Boston MA 02111-1552 |
| Practice Telephone | 6176360249 |
| Practice Fax Number | 6176368538 |
| Mailing Telephone | 6176360249 |
| Mailing Fax Number | 6176368538 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | EDWARD GALLEGOS (DIRECTOR) |
| Authorized Official Telephone | 6176367549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0000X |
Internal Medicine Specialization: Hematology |
MA | Allopathic & Osteopathic Physicians | |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MA | Allopathic & Osteopathic Physicians | |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pratt Medical Group, Inc- Hematology/Oncology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447525241 | Pratt Medical Group, Inc | Internal Medicine | 1690 Crown Colony Dr, Suite 209, Quincy, MA 02169-0913 | 2012-03-13 |
| 1982119566 | Pratt Medical Group, Inc | Pediatrics | 800 Washington St, Boston, MA 02111-1552 | 2017-12-05 |
| 1831539592 | Pratt Medical Group, Inc | Internal Medicine | 85 Worcester Rd, Framingham, MA 01701-5348 | 2013-06-26 |
| 1639485790 | Pratt Medical Group, Inc | General Acute Care Hospital | 800 Washington St, #398, Boston, MA 02111-1552 | 2010-08-27 |
| 1508187642 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-11 |
| 1164743209 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-11 |
| 1336460476 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-11 |
| 1871814913 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-11 |
| 1013237809 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-03 |
| 1104146992 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-03 |
| Street Address |
800 WASHINGTON ST BOX 1013 |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306848643 | Christopher B. Geary | Orthopaedic Surgery | 800 Washington St, Box 306, Boston, MA 02111-1552 | 2005-06-01 |
| 1720687767 | Johnson Ching | Pharmacist | 800 Washington St, Boston, MA 02111-1552 | 2020-10-21 |
| 1174120075 | Sarah Woodruff | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-10-04 |
| 1255946448 | Tufts Medical Center | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2020-09-14 |
| 1639784408 | Pankaj Jain | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2020-09-09 |
| 1053926907 | Arlind Decka | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2020-09-08 |
| 1518571124 | Abdulrahman Mohammad Alshiban | Psychiatry & Neurology | 800 Washington St, Boston, MA 02111-1552 | 2020-09-01 |
| 1922610229 | Taylor Elizabeth Maffett | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-08-18 |
| 1467063685 | Heather April Mills Tong | Physical Therapist | 800 Washington St, Boston, MA 02111-1552 | 2020-08-11 |
| 1245840032 | Lindsey Holland | Nurse Practitioner | 800 Washington St, Boston, MA 02111-1552 | 2020-08-06 |
| Find all providers in the same location | ||||
| 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 | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689191090 | Clinton Wayne Lewis | Internal Medicine | 450 Brookline Ave # 2-058, Boston, MA 02215-5418 | 2017-08-25 |
| 1457732711 | Camille Johnson | Internal Medicine | Section of Hematology and Oncology Bu/bmc Cancer Center, Boston University 650 Albany St, Ebrc 406, Boston, MA 02118 | 2015-06-12 |
| 1457669293 | Plymouth Medal Group Inc | Internal Medicine | 71 Commercial St, Ste 307, Boston, MA 02109-1320 | 2010-09-14 |
| 1285893453 | Gabriela Soriano Hobbs | Internal Medicine | 55 Fruit St # Street1, Boston, MA 02114-2621 | 2008-06-03 |
| 1326101288 | Paula G Fraenkel | Internal Medicine | 330 Longwood Ave, Beth Israel Deaconess Medical Center, Shapiro 9, Boston, MA 02115-5746 | 2006-12-19 |
| 1790869691 | David Allen Reardon | Internal Medicine | 450 Brookline Avenue, G460f, Center for Neuro-oncology, Dana-farber Cancer Institute, Boston, MA 02215 | 2006-10-25 |
| 1417046624 | Janice G Galinsky | Internal Medicine | 55 Fruit Street Ell14, Boston, MA 02114-2696 | 2006-10-12 |
| 1841396975 | David Eric Golan | Internal Medicine | 250 Longwood Ave Rm 304c, Harvard Medical School-dept of Biological Chemistry, Boston, MA 02115 | 2006-09-16 |
| 1568566842 | Dwight Gary Gilliland | Internal Medicine | 1 Blackfan Circle, Room 5210 Childrens Hospital Research Building, Boston, MA 02115 | 2006-09-08 |
| 1861414278 | Lowell E. Schnipper | Internal Medicine | Bidmc - Division of Hematology/oncology, 330 Brookline Avenue, Rabb 430, Boston, MA 02215 | 2006-07-24 |
| 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.