DR. TRAJAN ALISTAIR CUELLAR (NPI# 1407015001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407015001 |
| Entity Type | Individual |
| Full Name | DR. TRAJAN ALISTAIR CUELLAR |
| Credential | MD |
| Practice Address |
45 Francis St Boston MA 02115 |
| Mailing Address |
161 South Huntington Ave Apt 405 Jamaica Plain MA 02130 |
| Practice Telephone | 6177326967 |
| Mailing Telephone | 3526422704 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 23151 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 024723200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 N State St, University of Mississippi, Jackson, MS 392164500 | 6019841000 |
| Street Address |
45 FRANCIS ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679568950 | Debbie F Canoa | Physical Therapist | 45 Francis St, Boston, MA 02115-6105 | 2005-09-13 |
| 1689144982 | Brigham & Womens Hospital, Inc. | Pharmacy | 45 Francis St, Boston, MA 02115-6105 | 2018-11-29 |
| 1013499359 | Rossella Intini | Student in an Organized Health Care Education/Training Program | 45 Francis St, Boston, MA 02115-6105 | 2018-09-04 |
| 1881171429 | Amal Bajonaid | Student in an Organized Health Care Education/Training Program | 45 Francis St, Boston, MA 02115-6105 | 2018-07-26 |
| 1619453420 | Melissa Huynh | Urology | 45 Francis St, Boston, MA 02115-6105 | 2018-07-15 |
| 1255817482 | Chelsea Morgan Nunez | Physician Assistant | 45 Francis St, Boston, MA 02115-6105 | 2018-07-11 |
| 1356835508 | Martin Aguilar | Student in an Organized Health Care Education/Training Program | 45 Francis St, Boston, MA 02115-6105 | 2018-06-20 |
| 1932691359 | Balimkiz Senman | Student in an Organized Health Care Education/Training Program | 45 Francis St, Boston, MA 02115-6105 | 2018-06-01 |
| 1558853978 | Sophia Tess Bellin Warren | Student in an Organized Health Care Education/Training Program | 45 Francis St, Boston, MA 02115 | 2018-06-01 |
| 1730671157 | Luai Zakaria | Student in an Organized Health Care Education/Training Program | 45 Francis St, Boston, MA 02115-6105 | 2018-06-01 |
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| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598907420 | Ryan Patrick Cauley | Plastic Surgery | 110 Francis St Ste 5a, Boston, MA 02215 | 2009-03-24 |
| 1447372511 | Daniel A Delvecchio | Plastic Surgery | 38 Newbury St, Boston, MA 02116-3210 | 2007-04-06 |
| 1104817006 | Thomas C Cochran Jr. | Plastic Surgery | 170 Commonwealth Ave, Boston, MA 02116-2704 | 2005-10-31 |
| 1811995806 | Eleanor C Pitts | Plastic Surgery | 1153 Centre St, Suite 5790, Boston, MA 02130-3446 | 2005-07-13 |
| 1518471796 | Haley Anne Chrisos | Plastic Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-11-26 |
| 1154681393 | Brady Sieber | Plastic Surgery | 75 Francis St, Boston, MA 02115-6110 | 2012-05-22 |
| 1750647863 | Edward M Kobraei | Plastic Surgery | 75 Francis St, Boston, MA 02115-6110 | 2012-04-03 |
| 1871895037 | Olubimpe Ayeni | Plastic Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2010-11-21 |
| 1528202553 | David Chong Kim | Plastic Surgery | 300 Longwood Ave, Hu-158, Boston, MA 02115-5724 | 2009-04-21 |
| 1811150865 | Thomas C. Cochran Jr., M.d. P.C. | Plastic Surgery | 170 Commonwealth Ave, Boston, MA 02116-2704 | 2008-07-09 |
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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.