DR. SUSAN M DUSENBERY


Address: 133 Brookline Ave, Boston, MA 02215-3904
Phone: 6175136711

DR. SUSAN M DUSENBERY (NPI# 1598987471) 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) 1598987471
Entity Type Individual
Full Name DR. SUSAN M DUSENBERY
Credential MD
Practice Address 133 Brookline Ave
Boston
MA 02215-3904
Practice Telephone 6175136711
Mailing Telephone 6175136711
Enumeration Date 2007-05-02
Last Update Date 2013-10-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 20070111894 MO Allopathic & Osteopathic Physicians
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
253317 MA Allopathic & Osteopathic Physicians
N 2080P0204X Pediatrics
Specialization: Pediatric Emergency Medicine
20070111894 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110095100A 05
MO 207231408 05

Office Location

Street Address 133 BROOKLINE AVE
City BOSTON
State MA
Zip Code 02215-3904

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467933309 Chavisa Rassameehirun Pediatrics 300 Longwood Ave Unit, Boston, MA 02115-5724 2018-08-28
1407300858 Carolina Escudero Pediatrics 240 Heath St, Ph 16, Boston, MA 02130-1149 2016-08-14
1396368460 Lauren Sell Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2020-05-25
1356998645 Ciara Mcmanus Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2019-08-21
1699297374 Katie Maree Moynihan Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2017-07-13
1609328988 Luciana De Franco Marcondes Gomes Pediatrics 300 Longwood Ave, Boston Children's Hospital Cardiology Department, Boston, MA 02115-5724 2016-11-02
1598211203 Hanita Shai Pediatrics 300 Longwood Avenue, Boston, MA 02115 2016-09-01
1003298126 Daniel Alexander Castellanos Pediatrics 300 Longwood Ave, Boston, MA 02115-5724 2015-06-25
1871989236 Amara Majeed Pediatrics 300 Longwood Ave, Boston, MA 02115 2015-04-13
1912314519 Max Godfrey Pediatrics 300 Longwood Ave, Boston Children's Hospital - Cardiology Dept, Boston, MA 02115-5724 2014-07-15
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Competitor

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City BOSTON
Zip Code 02215

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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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