MARK COMSTOCK (NPI# 1700486693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700486693 |
| Entity Type | Individual |
| Full Name | MARK COMSTOCK |
| Practice Address |
74 Union Park St Boston MA 02118-2142 |
| Mailing Address |
146 W Concord St Apt 2 Boston MA 02118-1577 |
| Practice Telephone | 6175422325 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
2710 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
74 UNION PARK ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194289892 | Jacob White | Specialist/Technologist | 580 Commonwealth Ave Unit 501, Boston, MA 02215-2509 | 2019-01-27 |
| 1508333642 | Varshini Balasubramanian | Specialist/Technologist | 580 Commonwealth Ave Unit 307, Boston, MA 02215-2511 | 2018-10-26 |
| 1770081143 | Brittney Ann Harkey | Specialist/Technologist | 60 Fenwood Rd Ste 5016, Boston, MA 02115-6128 | 2018-01-31 |
| 1942708169 | Matthew Stephen Harkey | Specialist/Technologist | 35 Kneeland Street, 4th Floor, Boston, MA 02115-0211 | 2018-01-23 |
| 1740798065 | Hannah Oyedeji | Specialist/Technologist | 627 Commonwealth Ave, Boston, MA 02215-1606 | 2018-01-22 |
| 1205364247 | Emma Marie Gay | Specialist/Technologist | 285 Babcock Street, Case Center Athletic Training Clinic, Boston, MA 02215-1003 | 2017-06-02 |
| 1962959825 | Anna Jeanne Applegate | Specialist/Technologist | 140 Bay State Rd, Box 5361, Boston, MA 02215-1701 | 2016-09-07 |
| 1023475076 | Calleigh Fangmeyer | Specialist/Technologist | 65 North Harvard Street, Boston, MA 02163 | 2016-01-21 |
| 1053700955 | Cynthia Lopez | Specialist/Technologist | 254 Allston St # B, Boston, MA 02135-7660 | 2015-01-15 |
| 1336552629 | Jacqueline Clark | Specialist/Technologist | 550 Huntington Ave, Boston, MA 02115-5901 | 2014-06-04 |
| 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.