MRS. TARA HAGGERTY AUTH (NPI# 1447580840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447580840 |
Entity Type | Individual |
Full Name | MRS. TARA HAGGERTY AUTH |
Credential | MS, PA-C |
Practice Address |
1400 Vfw Pkwy Department of Medicine Box 111 Boston MA 02132-4927 |
Practice Telephone | 8572036341 |
Mailing Telephone | 8572036341 |
Enumeration Date | 2010-01-06 |
Last Update Date | 2013-05-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002890 | CT | Physician Assistants & Advanced Practice Nursing Providers |
N | 364SN0800X |
Clinical Nurse Specialist Specialization: Neuroscience |
PA3900 | MA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1400 VFW PKWY DEPARTMENT OF MEDICINE BOX 111 |
City | BOSTON |
State | MA |
Zip Code | 02132-4927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598277071 | Alexandra Nault | Social Worker | 1400 Vfw Pkwy, Boston, MA 02132 | 2017-10-24 |
1922524602 | Elizabeth Joanna Rathje | Physical Therapist | 1400 Vfw Pkwy, Boston, MA 02132-4927 | 2017-08-15 |
1376999839 | Brittany Pietruszka | Pharmacist | 1400 Vfw Pkwy, Boston, MA 02132-4927 | 2016-05-13 |
1871888560 | Peter L. Bekker | Anesthesiology | 1400 Vfw Pkwy, Boston, MA 02132-4927 | 2011-06-10 |
1568774024 | Lauren Finlay | Pharmacist | 1400 Vfw Pkwy, Boston, MA 02132-4927 | 2010-07-12 |
1376726950 | Elizabeth Mossi | Physical Therapist | 1400 Vfw Pkwy, Boston, MA 02132-4927 | 2007-12-06 |
1750579165 | Senthil Sambandam | Orthopaedic Surgery | 1400 Vfw Pkwy, Boston, MA 02132-4927 | 2007-10-10 |
1962557801 | Wendy Doe Abrams | Nurse Practitioner | 1400 Vfw Pkwy, Boston, MA 02132-4927 | 2007-01-23 |
1013009372 | Boston Va Health Care System | General Acute Care Hospital | 1400 Vfw Pkwy, Boston, MA 02130 | 2006-09-28 |
1851402739 | Virginia Elaine Woodbury | Nurse Practitioner | 1400 Vfw Pkwy, Boston, MA 02132-4927 | 2006-08-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
1033639943 | Nahed Lakkis | Dentist | 80 New Haven St, West Roxbury, MA 02132 | 2017-06-21 |
1053780692 | Yanpeng Ding | Optometrist | 2034a Centre St, West Roxbury, MA 02132 | 2015-09-24 |
1013303437 | Alaa Alrababa I | Dentist | 125 Edgemere Road, 202, West Roxbury, MA 02132 | 2015-04-13 |
1023426483 | Kearstin F. Thomas D.m.d.,pc | Dentist | 2075 Centre Street, West Roxbury, MA 02132 | 2014-07-30 |
1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
1780920223 | Kysa Christie | Psychologist | 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 | 2013-01-02 |
1629324652 | Mohamed Al-janabi | Dentist | 250 Spring St, Apt 18, West Roxbury, MA 02132 | 2012-07-27 |
1265704787 | Ronda Denise Jones | Case Manager/Care Coordinator | 2077 Centre Street, West Roxbury, MA 02132 | 2012-01-30 |
1306123419 | Hung Doan | Pharmacist | 1065 Truman Highway, Hyde Park, MA 02132 | 2011-11-03 |
Find all providers in zip 02132 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
1366006330 | Theresa Fukuda | Physician Assistant | 43 Bowdoin St Apt 2f, Boston, MA 02114-4238 | 2019-04-25 |
1649645201 | Andrew R Phenix | Physician Assistant | 75 Francis Street, Pbb-b 428, Brigham and Women's Hospital, Boston, MA 02115 | 2015-12-08 |
1346636123 | Julie Baskind Gilman | Physician Assistant | 800 Washington St # 401, Tufts Gma, Boston, MA 02111-1552 | 2015-04-08 |
1356688030 | Kevin Murtha | Physician Assistant | 6225 Shero Rd, Boston, NY 14025-9707 | 2013-01-15 |
1750560348 | Gretchen Haley Biggins | Physician Assistant | 44 Binney St # D1b30, Boston, MA 02115-6013 | 2007-10-30 |
1538290549 | Stephen Herrington Robinson | Physician Assistant | One Boston Medical Place, Boston, MA 02118 | 2007-03-08 |
1518057306 | Maha B Lund | Physician Assistant | 75 Francis St # Pbb-b4, Boston, MA 02115-6110 | 2006-10-13 |
1346287067 | Kathleen Fischer | Physician Assistant | 150 South Huntington Ave., Va Boston Healthcare System, Boston, MA 02130 | 2006-06-01 |
1659332799 | Cristobal Cornejo Jr. | Physician Assistant | 360 Huntington Ave, 135 Forsyth Building, Boston, MA 02115-5005 | 2006-03-29 |
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.