DR. ANSU MAMMEN NORONHA


Address: 830 Harrison Avenue, Moakley, 2nd Floor, Boston, MA 02118-2905
Phone: 6176386525

DR. ANSU MAMMEN NORONHA (NPI# 1568557775) 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) 1568557775
Entity Type Individual
Full Name DR. ANSU MAMMEN NORONHA
Other Name ANSU A MAMMEN
Credential M.D.
Practice Address 830 Harrison Avenue
Moakley, 2nd Floor
Boston
MA 02118-2905
Mailing Address 720 Harrison Ave # Dob503
Boston
MA 02118-2371
Practice Telephone 6176386525
Practice Fax Number 6176387448
Enumeration Date 2006-10-04
Last Update Date 2019-07-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 226565 MA Allopathic & Osteopathic Physicians
Y 207RG0100X Internal Medicine
Specialization: Gastroenterology
226565 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110083854A 05

Office Location

Street Address 830 HARRISON AVENUE
MOAKLEY, 2ND FLOOR
City BOSTON
State MA
Zip Code 02118-2905

Providers in the same location

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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Providers in the same zip code

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
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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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City BOSTON
Zip Code 02118

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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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