JACLYN SHAMEKLIS (NPI# 1528446192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528446192 |
| Entity Type | Individual |
| Full Name | JACLYN SHAMEKLIS |
| Credential | M.D. |
| Practice Address |
Mgh Division of Palliative Care & Geriatric Medicine 55 Fruit Street, Founders 600 Boston MA 02114 |
| Practice Telephone | 6177249509 |
| Mailing Telephone | 6177249509 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2020-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD16174 | RI | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | LP03331 | RI | Allopathic & Osteopathic Physicians |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
ET90070 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
MGH DIVISION OF PALLIATIVE CARE & GERIATRIC MEDICINE 55 FRUIT STREET, FOUNDERS 600 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114 |
| 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 | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225544034 | Hibah Osman | Internal Medicine | 55 Fruit St, Founders 600, Boston, MA 02114-2696 | 2017-12-18 |
| 1982021135 | Samantha Shapiro | Internal Medicine | 330 Brookline Ave, Boston, MA 02215-5491 | 2014-03-26 |
| 1861816050 | Jonathan Chong-yen Yeh | Internal Medicine | 330 Brookline Ave, Palliative Care, Yamins 100, Boston, MA 02215 | 2014-02-10 |
| 1376832303 | Laura Anne Petrillo | Internal Medicine | 55 Fruit St, Boston, MA 02114-2621 | 2011-03-30 |
| 1588974968 | Haipeng Zhang | Internal Medicine | 55 Fruit St, Founders Suite 600, Boston, MA 02114-2621 | 2010-10-19 |
| 1801113550 | Isaac Shin Chua | Internal Medicine | 450 Brookline Ave, Boston, MA 02215-5418 | 2010-04-21 |
| 1194051771 | Joshua Lakin | Internal Medicine | 450 Brookline Ave, Boston, MA 02215-5418 | 2009-11-02 |
| 1437312220 | David Karingantil Thomas | Internal Medicine | 75 Francis St, Boston, MA 02115-6110 | 2008-07-02 |
| 1376596635 | Robert J Friedlander Jr. | Internal Medicine | 133 Brookline Ave, Boston, MA 02215-3904 | 2006-05-18 |
| 1043290810 | Irene May Yeh | Internal Medicine | 450 Brookline Ave, Boston, MA 02215-5418 | 2006-01-18 |
| 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.