ELLEN T GEMINIANI (NPI# 1457312472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457312472 |
| Entity Type | Individual |
| Full Name | ELLEN T GEMINIANI |
| Credential | M.D. |
| Practice Address |
319 Longwood Ave Children's Hospital Boston MA 02115-5728 |
| Mailing Address |
319 Longwood Ave Boston MA 02115-5728 |
| Practice Telephone | 6173556028 |
| Practice Fax Number | 6177315298 |
| Mailing Telephone | 6173556028 |
| Mailing Fax Number | 6177315298 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2008-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 226579 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2119510 | 05 |
| Street Address |
319 LONGWOOD AVE CHILDREN'S HOSPITAL |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040080 | Gary P Kearney | Urology | 319 Longwood Ave, Boston, MA 02115-5728 | 2005-08-12 |
| 1124518329 | Brianna Quintiliani | Physician Assistant | 319 Longwood Ave, Boston, MA 02115 | 2018-05-14 |
| 1831687300 | Kevin Walter Wenner | Physician Assistant | 319 Longwood Ave, Boston, MA 02115-5728 | 2018-04-30 |
| 1740723139 | Shannon Savage | Physician Assistant | 319 Longwood Ave, Boston, MA 02115-5728 | 2016-12-02 |
| 1336591023 | Meghan Leigh Keating | Physician Assistant | 319 Longwood Ave, Floor Six, Boston, MA 02115-5728 | 2016-07-06 |
| 1528418001 | Mary Mihovan | Nurse Practitioner | 319 Longwood Ave, Boston, MA 02115-5728 | 2016-06-15 |
| 1386014173 | Jacqueline Hastings | Nurse Practitioner | 319 Longwood Ave, 6th Floor Sports Medicine, Boston, MA 02115-5728 | 2015-10-06 |
| 1205243078 | Agnieszka Kowalczyk | Pediatrics | 319 Longwood Ave, Boston, MA 02115-5728 | 2014-07-14 |
| 1093121055 | Emily Hanson | Specialist/Technologist | 319 Longwood Ave, Boston, MA 02115-5728 | 2014-07-10 |
| 1053743245 | Rachel Stephanie Shade | Psychologist | 319 Longwood Ave, Boston, MA 02115-5728 | 2013-07-30 |
| Find all providers in the same location | ||||
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1578099404 | Medexpress Primary Care Massachusetts, P.C. | Family Medicine | 578 Huntington Ave Fl 2, Boston, MA 02115-5902 | 2017-05-11 |
| 1144761438 | Shravya Budidi | Family Medicine | 72 E Concord St # 2600, Boston, MA 02118-2642 | 2017-03-20 |
| 1942650106 | Morgan Younkin | Family Medicine | 801 Massachusetts Ave Fl 2, Boston, MA 02118-2605 | 2016-06-20 |
| 1205220126 | Brian T Kroener | Family Medicine | 1 Dowling Medical Center Place, Dowling 5, Boston, MA 02119-2908 | 2015-03-28 |
| 1093129488 | Maya Yasmin Mauch | Family Medicine | South End Community Health Center, 1601 Washington St., Boston, MA 02118 | 2014-06-13 |
| 1528478500 | Maria Joan Bachman | Family Medicine | Boston Medical Center, 1 Bmc Place, Department of Family Medicine / Dowling 5, Boston, MA 02118 | 2014-04-30 |
| 1154680668 | Brian Robert Clear | Family Medicine | 68 Harrison Ave Fl 6, Boston, MA 02111-1929 | 2012-05-04 |
| 1861750333 | Jessica R Gray | Family Medicine | 720 Harrison Ave., Dob 503, Boston, MA 02118 | 2012-05-02 |
| 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.