CHARLES T. BUZANIS


Address: 133 Brookline Ave, Boston, MA 02215-3904
Phone: 6174211380

CHARLES T. BUZANIS (NPI# 1487764965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487764965
Entity Type Individual
Full Name CHARLES T. BUZANIS
Credential MD
Practice Address 133 Brookline Ave
Boston
MA 02215-3904
Mailing Address 147 Milk St
Provider Enrollment 9th Floor
Boston
MA 02109-4806
Practice Telephone 6174211380
Practice Fax Number 6174212115
Mailing Telephone 6174212508
Enumeration Date 2006-08-30
Last Update Date 2011-06-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
79160 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 3192512 05
MA TUFTS HEALTH PLAN 079160 01
MA BLUE CROSS J30911 01
MA CIGNA 4569412-002 01
MA HARVARD PILGRIM V515 01
MA NEIGHBORHOOD HEALTH PLAN 0015305 01

Office Location

Street Address 133 BROOKLINE AVE
City BOSTON
State MA
Zip Code 02215-3904

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720084833 Claire Tine Cronin Surgery 133 Brookline Ave, Boston, MA 02215-3904 2005-06-23
1750992921 Jessica Yang Clinical Nurse Specialist 133 Brookline Ave, Boston, MA 02215-3904 2020-08-12
1386266104 Mhg Physician Services - California General Practice 133 Brookline Ave, Boston, MA 02215-3904 2020-05-14
1164051520 Mhg Physician Services - Oregon LLC General Practice 133 Brookline Ave, Boston, MA 02215-3904 2020-04-07
1629604889 Jessica Lareau Counselor 133 Brookline Ave, Boston, MA 02215-3904 2020-03-19
1922651199 Rachel Lang Caso Social Worker 133 Brookline Ave, Boston, MA 02215-3904 2019-07-17
1134698244 Ewan D Mcnicol Pharmacist 133 Brookline Ave, Boston, MA 02215-3904 2018-11-19
1518433531 Mhg Physician Services - Massachusetts Pllc General Practice 133 Brookline Ave, Boston, MA 02215-3904 2018-10-17
1477038867 Chantal C. Coughlin Nurse Practitioner 133 Brookline Ave, Boston, MA 02215-3904 2018-10-01
1376027227 Mhg Clinical Services LLC General Practice 133 Brookline Ave, Boston, MA 02215-3904 2018-09-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336746775 Lee T Gernon-lakin Physician Assistant 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 2020-10-08
1821695933 Matthew John Needham Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 2020-10-02
1114533866 Cdg Back Bay LLC Clinic/Center 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 2020-09-18
1619595105 Natasha Larocque Radiology 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 2020-07-10
1538783089 Yutsz Cherng Counselor 870r Commonwealth Avenue, Boston, MA 02215 2020-06-01
1306495924 Anthony Rosellini Psychologist 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 2019-09-06
1427605278 Liana Zucco Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 2019-08-26
1831759430 Brian William Hayes Radiology 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 2019-06-17
1396304358 Elizabeth Hai Yen Du Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 2019-06-12
1922665439 Corey Shaphard Miller Student in an Organized Health Care Education/Training Program 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 2019-05-21
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Taxonomy Information

Taxonomy Code 207RG0100X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Gastroenterology

Taxonomy Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194366849 Halpert Medical LLC Internal Medicine 27 Pier 7, Boston, MA 02129-4226 2019-10-03
1861913881 Aymeric Becq Internal Medicine 330 Brookline Avenue, Dana 603, Boston, MA 02215 2017-06-29
1386019503 Boston Food Allergy Center LLC Internal Medicine 65 Harrison Ave Ste 201, Boston, MA 02111-1924 2015-12-14
1477996650 William Thomas Clarke Internal Medicine 330 Brookline Ave # Rabb400, Boston, MA 02215-5400 2013-04-08
1487908141 Jose Manuel Mella Internal Medicine 330 Brookline Ave Da 501, East Campus, Beth Israel Deaconess Medical Center, Boston, MA 02215-5403 2012-11-02
1003169327 Rong J Guan, Md LLC Internal Medicine 30 Kneeland St Fl 5, Boston, MA 02111-1528 2012-10-24
1043479587 Vilas R Patwardhan Internal Medicine 110 Francis St, Suite 8e, Beth Israel Deaconess Medical Center, Boston, MA 02215 2008-06-09
1639378789 Alan Colm Moss Internal Medicine 725 Albany St Ste 6b, Boston, MA 02118-3549 2007-07-17
1508080060 Daisy De-peralta-daly Internal Medicine 389 Commonwealth Ave, Boston, MA 02115-1802 2007-04-13
1043306558 Harry T Anastopoulos Internal Medicine 110 Francis St Suite 8e, Boston, MA 02215 2006-10-04
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Competitor

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City BOSTON
Zip Code 02215

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Dataset Information

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.

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