DR. GANESHWARAN H MOCHIDA


Address: 55 Fruit St, Yaw 6 Pediatric Neurology, Boston, MA 02114-2621
Phone: 6177263402

DR. GANESHWARAN H MOCHIDA (NPI# 1760466718) 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) 1760466718
Entity Type Individual
Full Name DR. GANESHWARAN H MOCHIDA
Credential MD
Practice Address 55 Fruit St
Yaw 6 Pediatric Neurology
Boston
MA 02114-2621
Mailing Address Po Box 9142
Mass General Physician Organization
Charlestown
MA 02129-9142
Practice Telephone 6177263402
Practice Fax Number 6177247866
Mailing Telephone 6177240287
Mailing Fax Number 6177262894
Enumeration Date 2005-12-02
Last Update Date 2011-01-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
159455 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA TUFTS HEALTH PLAN 159455 01
MA BCBS MA J24907 01

Office Location

Street Address 55 FRUIT ST
YAW 6 PEDIATRIC NEUROLOGY
City BOSTON
State MA
Zip Code 02114-2621

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568465888 Michael A Nichols Nurse Anesthetist, Certified Registered 55 Fruit St, Boston, MA 02114-2696 2005-05-31
1740881374 Katelyn Mary Bushey Clinical Nurse Specialist 55 Fruit St, Boston, MA 02114-2696 2020-11-02
1316546849 Amy Lauren Greenblatt Student in an Organized Health Care Education/Training Program 55 Fruit St, Boston, MA 02114-2696 2020-10-26
1134728116 Stephanie Qualls Student in an Organized Health Care Education/Training Program 55 Fruit St, Boston, MA 02114-2621 2020-10-21
1811596190 Andrea S Hansen Clinical Nurse Specialist 55 Fruit St, Boston, MA 02114-2696 2020-10-19
1649879974 Barbara Healy Nurse Practitioner 55 Fruit St, Boston, MA 02114-2696 2020-10-19
1770181117 Molly Cristina Reynolds Nurse Practitioner 55 Fruit St, Boston, MA 02114-2621 2020-10-16
1245838325 Katerina Eleni Kafkas Nurse Practitioner 55 Fruit St, Boston, MA 02114-2621 2020-10-12
1578179040 Vivian Ellen Donahue Registered Nurse 55 Fruit St, Boston, MA 02114-2696 2020-09-21
1699380956 Joanne Gover Registered Nurse 55 Fruit St, Boston, MA 02114-2621 2020-09-14
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548508252 Adriana Mendez Sanchez Psychiatry & Neurology 771 Albany Street Boston Medical Center Child Neurology, Dowling 3 South Rm 3314, Boston, MA 02118 2013-01-30
1124082714 Rebeca N Alvareza-altalef Psychiatry & Neurology 750 Washington St # 330, Boston, MA 02111-1526 2006-04-12
1982670535 Elizabeth Anne Thiele Psychiatry & Neurology 55 Fruit St Yaw 6b, Pediatric Neurology, Boston, MA 02114 2006-02-24
1205480043 Lauren Sham Psychiatry & Neurology 300 Longwood Ave, Boston, MA 02115-5724 2019-07-30
1386164101 Ashley Weng Psychiatry & Neurology 800 Washington St, Boston, MA 02111 2017-06-22
1891148854 Jose Ildefonso Rodriguez Moreno Psychiatry & Neurology 800 Washington St, Boston, MA 02111-1552 2016-07-14
1245680123 Sonali Sharma Psychiatry & Neurology 800 Washington St, Boston, MA 02111-1552 2016-06-21
1619361672 Agnieszka Kielian Psychiatry & Neurology 300 Longwood Ave, Boston, MA 02115-5724 2015-03-26
1821406232 Ivan Sanchez Fernandez Psychiatry & Neurology 300 Longwood Ave, Boston, MA 02115-5724 2014-07-29
1366860173 Joshua Tyler August Psychiatry & Neurology 1 Boston Medical Ctr Pl, Department of Pediatrics, Dowling 3 South, Boston, MA 02118-2908 2014-03-31
Find all providers in BOSTON

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City BOSTON
Zip Code 02114

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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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