DR. STUART ROBERT POMERANTZ (NPI# 1629000401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629000401 |
Entity Type | Individual |
Full Name | DR. STUART ROBERT POMERANTZ |
Credential | MD |
Practice Address |
55 Fruit Street Fnd 2 Boston MA 02114-2696 |
Mailing Address |
Po Box 9142 Charlestown MA 02129-9142 |
Practice Telephone | 6177268320 |
Mailing Telephone | 6177268556 |
Enumeration Date | 2006-07-06 |
Last Update Date | 2012-12-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085N0700X |
Radiology Specialization: Neuroradiology |
213856 | MA | Allopathic & Osteopathic Physicians |
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
213856 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0173410 | 05 | |
MA | BCBS MA | J24687 | 01 |
MA | TUFTS HEALTH PLAN | 213856 | 01 |
Street Address |
55 FRUIT STREET FND 2 |
City | BOSTON |
State | MA |
Zip Code | 02114-2696 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407854094 | Adam Scott Landsman | Podiatrist | 55 Fruit Street, Dept. of Orthopaedics/podiatry Service, Boston, MA 02114-2696 | 2005-07-08 |
1013532373 | Fei Wu | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb444, Boston, MA 02114-2696 | 2020-06-12 |
1376163816 | Amine Mohamed Marc Awad | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Internal Medicine Residency Program Manager, Gary Bigel, Boston, MA 02114 | 2020-04-24 |
1760011167 | Ellen Clare Mail | Social Worker | 55 Fruit Street, Wacc 023, Boston, MA 02114 | 2020-04-07 |
1831726199 | Bennet S Cho | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb-425, Boston, MA 02114 | 2020-03-26 |
1841827276 | Brian Jacob Kinsman | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb444, Boston, MA 02114 | 2020-03-25 |
1700413408 | Madhur Nayan | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Boston, MA 02114 | 2020-03-24 |
1629605233 | Jimmitti Teysir | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Grb-7-730, Boston, MA 02114 | 2020-03-24 |
1841823010 | Mark Wu | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Department of Radiology, Boston, MA 02114-2698 | 2020-02-17 |
1831721430 | William Yuanchen Shi | Student in an Organized Health Care Education/Training Program | 55 Fruit Street, Division of Cardiac Surgery, Cox 630, Massachusetts Gen, Boston, MA 02114 | 2020-02-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
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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 |
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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.