DR. PETER STEFANOVICH (NPI# 1508857251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508857251 |
| Entity Type | Individual |
| Full Name | DR. PETER STEFANOVICH |
| Credential | MD |
| Practice Address |
55 Fruit Street Cln 309 Anesthesia Associates Boston MA 02114-2696 |
| Mailing Address |
Po Box 9142 Mass General Physician Organization Charlestown MA 02129-9142 |
| Practice Telephone | 6177263030 |
| Mailing Telephone | 6177240287 |
| Mailing Fax Number | 6177262894 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 206540 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS HEALTH PLAN | 206540 | 01 |
| MA | 0199061 | 05 | |
| MA | BCBS MA | J25208 | 01 |
| Street Address |
55 FRUIT STREET CLN 309 ANESTHESIA ASSOCIATES |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295800217 | Celeste Jeannine Maria Day | Nurse Anesthetist, Certified Registered | 55 Fruit Street Cln 309, Mgh Anesthesia Associates, Boston, MA 02114 | 2006-11-22 |
| 1801814322 | Ala Nozari | Anesthesiology | 55 Fruit Street Cln 309, Massachusetts General Hospital, Boston, MA 02114 | 2006-07-17 |
| 1801826722 | Heidi Petra Bas | Anesthesiology | 55 Fruit Street Cln 309, Anesthesia Associates, Boston, MA 02114-2696 | 2006-07-04 |
| 1326013160 | Rodger Musser White | Anesthesiology | 55 Fruit Street Cln 309, Anesthesia Associates, Boston, MA 02114-2696 | 2006-02-22 |
| 1265411532 | Jill Alison Morganstern | Anesthesiology | 55 Fruit Street Cln 309, Anesthesia Associates, Boston, MA 02114-2696 | 2006-01-13 |
| 1649253683 | Giora Landesberg | Anesthesiology | 55 Fruit Street Cln 309, Anesthesia Associates, Boston, MA 02114-2696 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053803478 | Allen Wang | Anesthesiology | 25 Jan Karski Way Apt D510, Boston, MA 02125-2776 | 2018-06-01 |
| 1295223683 | Jonathan Erdman | Anesthesiology | 55 Fruit Street Grb444, Boston, MA 02114-5502 | 2018-05-01 |
| 1427578038 | Claudia Santamaria | Anesthesiology | 330 Brookline Ave # Es217, Boston, MA 02215-5400 | 2017-06-23 |
| 1689106700 | Michelle Dyrholm | Anesthesiology | Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 | 2017-03-29 |
| 1639610843 | Nicholas Flores-conner | Anesthesiology | 750 Albany St # 2r, Boston, MA 02118-2520 | 2017-03-20 |
| 1609225127 | Janna Taylor | Anesthesiology | 330 Brookline Ave # Rabb239, Beth Israel Deaconess Medical Center, Boston, MA 02215-5400 | 2016-06-06 |
| 1366898801 | Yun-yun Chen | Anesthesiology | 75 Francis St # Streetl1, Boston, MA 02115-6110 | 2016-05-13 |
| 1609221209 | David Christopher Moore | Anesthesiology | 75 Francis St # Cw-l1, Boston, MA 02115-6110 | 2016-05-02 |
| 1619322336 | Matthew James Mccormick | Anesthesiology | 75 Francis Street, Cwn L1, Bwh, Department of Anesthesiology, Boston, MA 02115 | 2016-05-01 |
| 1952765323 | Warren Mackie-jenkins | Anesthesiology | Bwh, 75 Francis Street, Boston, MA 02115 | 2016-04-11 |
| 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.