HYMAN GLICK (NPI# 1699830075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699830075 |
| Entity Type | Individual |
| Full Name | HYMAN GLICK |
| Practice Address |
133 Brookline Ave Boston MA 02215-3904 |
| Mailing Address |
147 Milk St Boston MA 02109-4806 |
| Practice Telephone | 6174218812 |
| Practice Fax Number | 6174211065 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2011-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 35054 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 705098 | 01 |
| MA | CIGNA | 4414144-001 | 01 |
| MA | HPHC | B206 | 01 |
| MA | NHP | 0014435 | 01 |
| MA | BCBS | M08320 | 01 |
| MA | 2002078 | 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 | 204C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neuromusculoskeletal Medicine, Sports Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144385543 | John Davies | Neuromusculoskeletal Medicine, Sports Medicine | 133 Brookline Ave, Boston, MA 02215-3904 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720544364 | Bridget Looney | Neuromusculoskeletal Medicine, Sports Medicine | 6204 Inwood Dr, Woburn, MA 01801-5152 | 2019-02-19 |
| 1891945366 | Chiawen Liang | Neuromusculoskeletal Medicine, Sports Medicine | 332 Washington St Ste 260, Wellesley, MA 02481-6204 | 2008-09-22 |
| 1487738084 | Eng Hwi Kwa | Neuromusculoskeletal Medicine, Sports Medicine | 126 Commonwealth Ave, Dedham, MA 02026 | 2006-10-24 |
| 1780786087 | Demosthenes D Dasco | Neuromusculoskeletal Medicine, Sports Medicine | 160 Englewood Rd, Longmeadow, MA 01106-1335 | 2006-09-05 |
| 1669588372 | Medigroup PC | Neuromusculoskeletal Medicine, Sports Medicine | 4 Frank Leary Way, Randolph, MA 02368-4512 | 2006-08-23 |
| 1659349462 | Excel Orthopedic Specialists Inc | Neuromusculoskeletal Medicine, Sports Medicine | 200 Unicorn Park Dr, Suite 201, Woburn, MA 01801 | 2006-03-08 |
| 1669445243 | Walter G Stanwood | Neuromusculoskeletal Medicine, Sports Medicine | 41 Resnik Rd, Plymouth, MA 02360-4842 | 2006-02-13 |
| 1750361150 | Debra A Twehous | Neuromusculoskeletal Medicine, Sports Medicine | 189 May Street, Worcester, MA 01602-4339 | 2006-01-20 |
| 1629050547 | Julie Curtis | Neuromusculoskeletal Medicine, Sports Medicine | 54 Black Burnian Rd, Weston, MA 02493-1321 | 2005-11-16 |
| 1184614414 | Agnes Virga | Neuromusculoskeletal Medicine, Sports Medicine | 411 Mass Ave, Acton, MA 01720-3739 | 2005-10-27 |
| Find all providers with the same taxonomy | ||||
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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.