DR. SUSAN PERLMUTTER PAUKER (NPI# 1528058799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528058799 |
| Entity Type | Individual |
| Full Name | DR. SUSAN PERLMUTTER PAUKER |
| Credential | MD |
| Practice Address |
133 Brookline Ave Harvard Vanguard Medical Boston MA 02215-3904 |
| Mailing Address |
147 Milk St Fl 9 Mass General Physician Organization Boston MA 02109-4806 |
| Practice Telephone | 6174213320 |
| Practice Fax Number | 6174212989 |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2011-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
34393 | MA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 34393 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3193951 | 05 |
| Street Address |
133 BROOKLINE AVE HARVARD VANGUARD MEDICAL |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-3904 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 02215 | ||||
| Taxonomy Code | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104395656 | Walla Al-hertani | Medical Genetics | 300 Longwood Ave, Boston Children's Hospital., 5th Floor, Hunnewell Building, Boston, MA 02115 | 2018-11-14 |
| 1962819516 | Almundher Al Maawali | Medical Genetics | 300 Longwood Ave # Cls15064, Boston, MA 02115-5724 | 2014-07-15 |
| 1912162835 | Ashadeep Chandrareddy | Medical Genetics | 800 Washington St # 340, Division of Clinical Genetics, Tufts Nemc, Boston, MA 02111 | 2008-07-21 |
| 1013182500 | Brian Gary Skotko | Medical Genetics | 185 Cambridge St Rm 2222, Boston, MA 02114-2790 | 2008-04-25 |
| 1558456392 | Aubrey Milunsky | Medical Genetics | 700 Albany Street, 4th Floor Suite 408 Center for Human Genetics, Boston, MA 02118-2526 | 2006-10-04 |
| 1558320762 | David Alan Sweetser | Medical Genetics | 55 Fruit St Yaw 8b, Pediatric Hematology Oncology, Boston, MA 02114-2696 | 2006-03-17 |
| 1831169721 | Dwight Cordero | Medical Genetics | 77 Francis St, Boston, MA 02115-6110 | 2006-01-24 |
| 1457868382 | Hila Romi | Medical Genetics | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-12-31 |
| 1730574997 | Philip Michael Boone | Medical Genetics | 300 Longwood Ave., Boston Children's Hospital, Housestaff Lounge, Pav. 129, Boston, MA 02115 | 2015-04-03 |
| 1457745341 | Jasmine L Knoll | Medical Genetics | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-03-27 |
| 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.