DR. RENEE STONEBRIDGE (NPI# 1396181368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396181368 |
| Entity Type | Individual |
| Full Name | DR. RENEE STONEBRIDGE |
| Credential | MD |
| Practice Address |
720 Albany St Boston MA 02118-2885 |
| Practice Telephone | 6172676767 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2020-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZF0201X |
Pathology Specialization: Forensic Pathology |
269384 | MA | Allopathic & Osteopathic Physicians |
| Y | 207ZN0500X |
Pathology Specialization: Neuropathology |
269384 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
720 ALBANY ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326021965 | Kimberley Morita Springer | Pathology | 720 Albany St, Boston, MA 02118-2518 | 2005-11-29 |
| 1376028043 | Deborah Jean Mendoza-lochrie | Social Worker | 720 Albany St, Boston, MA 02118-2885 | 2018-09-28 |
| 1346620721 | Adebola Sherifatu Yakubu-owolewa | Pathology | 720 Albany St, Boston, MA 02118-2885 | 2015-06-01 |
| 1366654527 | Peter M Cummings | Pathology | 720 Albany St, Boston, MA 02118-2518 | 2007-05-03 |
| 1851412084 | Peter J Leahy | Internal Medicine | 720 Albany St, Boston, MA 02118-2518 | 2007-04-03 |
| 1144345091 | William M Zane | Pathology | 720 Albany St, Boston, MA 02118-2518 | 2007-03-20 |
| 1881743557 | Richard J Evans | Pathology | 720 Albany St, Boston, MA 02118-2518 | 2007-01-10 |
| 1992899975 | Henry M Nields | Pathology | 720 Albany St, Office of The Chief Medical Examiner, Boston, MA 02118-2518 | 2006-10-03 |
| 1063467488 | Marie Elizabeth Cannon | Pathology | 720 Albany St, Boston, MA 02118-2518 | 2006-05-24 |
| 1477517654 | Elizabeth A Bundock | Pathology | 720 Albany St, Boston, MA 02118-2518 | 2006-04-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
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| Taxonomy Code | 207ZN0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Neuropathology |
| A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124450671 | Jane Cryan | Pathology | 75 Francis St, Department of Neuropathology, Boston, MA 02115-6110 | 2013-08-07 |
| 1467781732 | Hasini Reddy | Pathology | 330 Brookline Ave, Boston, MA 02215-5400 | 2009-12-16 |
| 1912143835 | Tracie Pham Gardner | Pathology | 800 Washington St, Box #802, Boston, MA 02111-1552 | 2008-12-23 |
| 1174774582 | Jeffrey A Golden | Pathology | 75 Francis St, Boston, MA 02115-6110 | 2008-10-03 |
| 1700958915 | Sandro Santagata | Pathology | 75 Francis St, Deparrment of Pathology, Boston, MA 02115-6110 | 2006-11-14 |
| 1558474601 | Rolf Pfannl | Pathology | 750 Washington St, Boston, MA 02111-1526 | 2006-08-15 |
| 1770592941 | Hart Gw Lidov | Pathology | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-08-06 |
| 1316956584 | Hannah C Kinney | Pathology | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-08-06 |
| 1073540258 | Mel B Feany | Pathology | 75 Francis Street Amory 3, Brigham and Womens Hospital Department of Pathology, Boston, MA 02115 | 2006-06-26 |
| 1427098342 | Lan Zhou | Pathology | 725 Albany St, Shapiro, Suite B, Boston, MA 02118 | 2006-06-08 |
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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.