PAIN MANAGEMENT CENTER OF GREATER BOSTON PC (NPI# 1578980223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578980223 |
| Entity Type | Organization |
| Organization Name | PAIN MANAGEMENT CENTER OF GREATER BOSTON PC |
| Practice Address |
125 Parker Hill Ave Boston MA 02120-2847 |
| Mailing Address |
Po Box 86 Hingham MA 02043-0086 |
| Practice Telephone | 6177545287 |
| Mailing Telephone | 7817499071 |
| Mailing Fax Number | 7817492133 |
| Enumeration Date | 2014-03-19 |
| Last Update Date | 2014-03-19 |
| Authorized Official Name | JAMES R HILL (OWNER) |
| Authorized Official Telephone | 6177545287 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
79201 | MA | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
79201 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
125 PARKER HILL AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02120-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649896382 | Stephan C Bruni | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2020-06-18 |
| 1326675315 | Pdc Spine PC | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2020-03-27 |
| 1558911248 | Sara Flynn Gosselin | Pharmacist | 125 Parker Hill Ave, Boston, MA 02120 | 2019-09-16 |
| 1104486133 | Amanda Thomas | Pharmacist | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2019-06-20 |
| 1376021758 | Dawn Kalloch Murphy | Social Worker | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-30 |
| 1962980342 | Carla Susan Hill | Social Worker | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-30 |
| 1629555784 | Katherine Rose Bellanti | Registered Nurse | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-23 |
| 1184100802 | Ajb Orthopedics, Pllc | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-16 |
| 1346758380 | Michelle Anne Doherty | Nurse Practitioner | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-01-11 |
| 1508370974 | Ashley Margaret Wolusky | Nurse Practitioner | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2017-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
| 1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
| 1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
| 1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
| 1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
| 1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
| 1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
| 1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
| Find all providers in zip 02120 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604570 | Yarab Mubarak Habib Al Bulushi | Radiology | 330 Brookline Ave Dept of Radiology, Boston, MA 02215-5400 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1417507740 | Daniel Andres Vargas Zapata | Radiology | 330 Brookline Ave # Es-215, Boston, MA 02215-5491 | 2019-09-18 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1790270239 | Rahul Gujrathi | Radiology | 450 Brookline Ave Dana-farber Cancer Institute, Department of Imaging Dl-198, Boston, MA 02215 | 2018-06-27 |
| 1700381282 | Casey Keith Bishop | Radiology | 820 Harrison Ave Dept Of, Boston, MA 02118-2905 | 2018-03-27 |
| 1922517713 | Arwa Alzaghal | Radiology | Department of Radiology, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115 | 2017-09-25 |
| 1053838623 | Tyler Michael Coupal | Radiology | 55 Fruit Street, Yawkey 6e, Musculoskeletal Imaging, Massachusetts General Hospital, Boston, MA 02114 | 2017-08-24 |
| 1912439068 | Hamza Rahimi | Radiology | 820 Harrison Ave Fgh Building 3rd Floor, Boston, MA 02118 | 2017-03-29 |
| 1467983106 | Donghoon Derek Shin | Radiology | 820 Harrison Ave # Fgh3022, Boston, MA 02118 | 2017-03-24 |
| 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.