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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110095100A | 05 | |
MO | 207231408 | 05 |
Street Address |
133 BROOKLINE AVE |
City | BOSTON |
State | MA |
Zip Code | 02215-3904 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 02215 |
Taxonomy Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
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. |
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 |
Find all providers in BOSTON |
Please comment or provide details below to improve the information on DR. SUSAN M DUSENBERY.
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.