RICHARD V GRENTZENBERG (NPI# 1538122536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538122536 |
| Entity Type | Individual |
| Full Name | RICHARD V GRENTZENBERG |
| Credential | M.D. |
| Practice Address |
830 Harrison Avenue Suite 1400 Boston MA 02118 |
| Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118-2371 |
| Practice Telephone | 6176388124 |
| Practice Fax Number | 6176386424 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2014-04-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 30440 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110035935A | 05 |
| Street Address |
830 HARRISON AVENUE SUITE 1400 |
| City | BOSTON |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316929342 | Jennifer F Tseng | Surgery | 830 Harrison Avenue, Moakley, Suite 3400, Boston, MA 02118 | 2005-11-16 |
| 1629569702 | Kelsey Jean Burke | Physician Assistant | 830 Harrison Avenue, Moakley, Suite 3400, Boston, MA 02118 | 2018-05-23 |
| 1881131019 | Nora Carr | Nurse Practitioner | 830 Harrison Avenue, Moakley, Suite 1200, Boston, MA 02118 | 2017-01-25 |
| 1336697382 | Samuel Robert Lajoie | Physician Assistant | 830 Harrison Avenue, Moakley, Suite 3500, Boston, MA 02118 | 2016-09-20 |
| 1790148864 | Charlene Julien | Nurse Practitioner | 830 Harrison Avenue, Moakley, 2nd Floor, Boston, MA 02118-2335 | 2016-04-05 |
| 1740640739 | Nicholas Peter Simms | Physician Assistant | 830 Harrison Avenue, Suite 1400, Boston, MA 02118-2784 | 2016-03-03 |
| 1699150938 | Brandy Nichole Kenner Keefe | Nurse Practitioner | 830 Harrison Avenue, Suite 1400, Boston, MA 02118 | 2015-07-28 |
| 1508278169 | Hossein Sadrzadeh | Internal Medicine | 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118 | 2014-05-29 |
| 1952729717 | Eric I Marks | Internal Medicine | 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118 | 2014-03-30 |
| 1780018077 | Kimberly Ann Nehiley | Nurse Practitioner | 830 Harrison Avenue, Moakley, 3rd Floor, Boston, MA 02118 | 2013-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215497938 | Emily Gall | Otolaryngology | 860 Washington St Fl 1, Boston, MA 02111-1521 | 2019-03-20 |
| 1538628789 | Pratima Agarwal | Otolaryngology | 800 Harrison Avenue, Bcd 5th Floor, Boston, MA 02118 | 2019-03-18 |
| 1497259212 | Michal Plocienniczak | Otolaryngology | 830 Harrison Ave Fl 1, Boston, MA 02118-2905 | 2018-03-19 |
| 1396158507 | Erin Haser | Otolaryngology | 800 Washington St # 850, Department of Otolaryngology, Boston, MA 02111-1552 | 2014-06-05 |
| 1447675152 | Taleb Barghouthi | Otolaryngology | 300 Longwood Venue, Boston Children's Hospital, Boston, MA 02115 | 2014-03-04 |
| 1518229228 | James G Naples | Otolaryngology | 110 Francis St Ste 6e, Boston, MA 02215-5501 | 2012-06-10 |
| 1700143013 | Rami Abdou | Otolaryngology | 20 E Springfield St Apt 5, Boston, MA 02118-3258 | 2012-04-12 |
| 1366739153 | Daniel Faden | Otolaryngology | 830 Harrison Ave Ste 1400, Boston, MA 02118 | 2011-06-30 |
| 1578868485 | Brian Lin | Otolaryngology | 110 Francis St Ste 9b, Boston, MA 02215-5501 | 2011-01-24 |
| 1588825541 | Tiffiny Ann Hron | Otolaryngology | One Bowdoin Square, 11th Floor, Boston, MA 02114 | 2008-06-23 |
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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.