KELAN TANTISIRA


Address: 181 Longwood Ave, Brigham and Womens Hospital Channing Laboratory, Boston, MA 02115-5804
Phone: 6175252242

KELAN TANTISIRA (NPI# 1760420434) 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) 1760420434
Entity Type Individual
Full Name KELAN TANTISIRA
Credential MD MPH
Practice Address 181 Longwood Ave
Brigham and Womens Hospital Channing Laboratory
Boston
MA 02115-5804
Practice Telephone 6175252242
Mailing Telephone 6175252242
Enumeration Date 2006-06-03
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RP1001X Internal Medicine
Specialization: Pulmonary Disease
155411 MA Allopathic & Osteopathic Physicians

Office Location

Street Address 181 LONGWOOD AVE
BRIGHAM AND WOMENS HOSPITAL CHANNING LABORATORY
City BOSTON
State MA
Zip Code 02115-5804

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457341679 Gary C Curhan Internal Medicine 181 Longwood Ave, Channing Laboratory, Boston, MA 02115-5804 2005-10-27
1891906632 Micheline Mary Mathews-roth Specialist 181 Longwood Ave, Channing Laboratory, Brigham & Women's Hospital, Boston, MA 02115-5804 2007-05-24
1972654606 Dennis L. Kasper Specialist 181 Longwood Ave, Boston, MA 02115-5804 2007-01-16
1346207651 Susan Shih Huang Internal Medicine 181 Longwood Ave, Brigham and Womens Hospital Channing Laboratory, Boston, MA 02115 2006-04-28
1245299544 Benjamin A Raby Internal Medicine 181 Longwood Ave, Boston, MA 02115-5804 2006-03-23
1760461461 Peter V Tishler Pediatrics 181 Longwood Ave, Channing Laboratory, Boston, MA 02115-5804 2006-01-11
1902889918 Richard Platt Internal Medicine 181 Longwood Ave, Boston, MA 02115-5804 2005-11-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
Find all providers in zip 02115

Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528488459 Kate Steinberg Internal Medicine 72 E Concord St # R304, Boston, MA 02118 2014-04-18
1619210846 Wei He Internal Medicine 725 Albany St Fl 9, Boston, MA 02118-2526 2013-04-06
1669779211 Eos Health LLC Internal Medicine Ten Post Office Square, 8th Floor, Boston, MA 02109-4629 2011-02-17
1124150081 Stephen H Loring Internal Medicine 330 Brookline Ave Anesth, Beth Israel Hospital, Boston, MA 02215 2007-03-09
1144329327 Laura Kane Rock Internal Medicine Bidmc Pulmonary Ksb 23, 330 Brookline Avenue, Boston, MA 02215 2006-09-22
1336167857 David L Miller Internal Medicine Mass General Hospital, 55 Fruit St, Bulf 148, Boston, MA 02114 2006-07-17
1215953146 Lynda Marie Cristiano Internal Medicine 75 Francis St Pbb Clinic 3, Boston, MA 02115 2006-07-14
1427096726 Kari E Roberts Internal Medicine 800 Washington St # 257, Boston, MA 02111-1552 2006-06-02
1144267733 Christopher Hardy Fanta Internal Medicine 15 Francis St., Boston, MA 02115 2006-06-01
1114964392 Barrett Tyler Kitch Internal Medicine 15 Francis St Pbb Lobby, Brigham and Womens Hospital Center for Chest Diseases, Boston, MA 02115 2006-05-31
Find all providers in BOSTON

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City BOSTON
Zip Code 02115

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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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