CAROLINE J KISTIN (NPI# 1417114059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417114059 |
Entity Type | Individual |
Full Name | CAROLINE J KISTIN |
Credential | MD |
Practice Address |
850 Harrison Avenue Yacc Bn-c7 Boston MA 02118 |
Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118-2371 |
Practice Telephone | 6174145946 |
Practice Fax Number | 6174144541 |
Enumeration Date | 2008-05-21 |
Last Update Date | 2014-11-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 235079 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110079849A | 05 |
Street Address |
850 HARRISON AVENUE YACC BN-C7 |
City | BOSTON |
State | MA |
Zip Code | 02118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851372759 | Mandy Sara Coles | Pediatrics | 850 Harrison Avenue, Yacc 5, Boston, MA 02118 | 2005-11-08 |
1245796887 | Sigride Jean-sicard | Nurse Practitioner | 850 Harrison Avenue, Yawkey 4, Boston, MA 02118 | 2019-02-19 |
1992164933 | Melissa Nelson | Advanced Practice Midwife | 850 Harrison Avenue, Yacc 5, Boston, MA 02118 | 2016-02-18 |
1689054108 | Ashley Lauren Comfort | Obstetrics & Gynecology | 850 Harrison Avenue, Yacc 5, Boston, MA 02118-4001 | 2015-06-01 |
1053687558 | Jessica C. Brick | Pediatrics | 850 Harrison Avenue, Yacc 5, Boston, MA 02118 | 2012-03-28 |
1407169717 | Sara Nicole Stulac | Pediatrics | 850 Harrison Avenue, Yawkey 4, Boston, MA 02118 | 2010-07-16 |
1992026983 | Lakedra S. Pam | Obstetrics & Gynecology | 850 Harrison Avenue, Yacc 5, Boston, MA 02118-4001 | 2010-06-14 |
1124354691 | Marie G. Cantave-ayer | Nurse Practitioner | 850 Harrison Avenue, Yacc, 3rd Floor, Boston, MA 02118-4001 | 2009-10-19 |
1902071640 | Megan Elizabeth Young | Internal Medicine | 850 Harrison Avenue, Yacc 3rd Floor, Boston, MA 02118 | 2008-04-24 |
1720205404 | Melissa T Nass | Pediatrics | 850 Harrison Avenue, Yacc 5, Boston, MA 02118 | 2007-04-20 |
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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 | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639790280 | Allison Seats | Pediatrics | 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 | 2020-05-05 |
1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
1346871381 | Heather Mccaslin Kempczinski | Pediatrics | 360 Beacon St Apt 1, Boston, MA 02116-1063 | 2020-01-29 |
1083148167 | Daniel Digiacomo | Pediatrics | 55 Fruit St # 165, Boston, MA 02114-2621 | 2017-04-17 |
1568814283 | Jessica Leigh Dicarlo | Pediatrics | 800 Tufts Medical Center, Box 286, Department of Pediatrics, Boston, MA 02111-1651 | 2016-07-06 |
1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
1255793493 | Kelsey A. Egan | Pediatrics | 840 Harrison Ave # Menino4, Boston, MA 02118-2905 | 2016-03-27 |
1851787626 | Tierney Mancuso Morrison | Pediatrics | 300 Longwood Ave # 961, Boston, MA 02115-5724 | 2015-04-08 |
1710379797 | Marleny Yordania Aquino Cabrera | Pediatrics | 725 Albany St Ste 8c, Boston, MA 02118-2526 | 2015-02-27 |
1558762203 | Desiree Sierra Velez | Pediatrics | 32 Fruit St Fl 6, Boston, MA 02114-2620 | 2014-09-12 |
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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.