CHILDRENS HOSPITAL BOSTON (NPI# 1770741530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770741530 |
| Entity Type | Organization |
| Organization Name | CHILDRENS HOSPITAL BOSTON |
| Other Organization Name | BOSTON MEDICAL CENTER |
| Practice Address |
300 Longwood Avenue Boston MA 02115 |
| Mailing Address |
20 Chapel St B501 Brookline MA 02446-7458 |
| Practice Telephone | 6173556000 |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | JESUS ROGELIO GARCIA JACQUES (RESIDENT) |
| Authorized Official Telephone | 6176407670 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC2000X |
General Acute Care Hospital Specialization: Children |
232667 | MA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MA BOARD OF REGISTRATION IN MEDICINE | 232667 | 01 |
| Other Name | Type Code |
|---|---|
| Boston Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700191814 | Childrens Hospital Boston | General Acute Care Hospital | 300 Longwood Ave, Boston, MA 02115-5724 | 2010-08-12 |
| Street Address |
300 LONGWOOD AVENUE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912905944 | Neil Schechter | Pediatrics | 300 Longwood Avenue, Boston, MA 02115-5784 | 2005-07-13 |
| 1629676960 | Rose Ashraf | Psychologist | 300 Longwood Avenue, Outpatient Psychiatry Fegan 8, Boston, MA 02115 | 2020-10-09 |
| 1295347342 | Thomas Head Raddall Iv | Dentist | 300 Longwood Avenue, Boston Children's Hospital - Department of Dentistry, Boston, MA 02115 | 2020-08-20 |
| 1366050858 | Pui Yin Florence Ip | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Boston Children's Hospital, Boston, MA 02115 | 2020-07-21 |
| 1255992152 | Antonia Schulz | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 300 Longwood Avenue, Cardiac Surgery, Boston, MA 02115 | 2019-06-22 |
| 1144881160 | Pierre-olivier Grenier | Dermatology | 300 Longwood Avenue, Boston, MA 02115 | 2019-06-21 |
| 1275190548 | Osama Samir Badr Aglan | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Boston, MA 02115 | 2019-05-22 |
| 1376108563 | Patrick B Duffy | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Radiology, Boston, MA 02115 | 2019-05-03 |
| 1487113734 | Kathryn Maria Sundheim | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Bch Hunnewell Building, Pavilion 129, Housestaff Lounge, Boston, MA 02115 | 2019-03-17 |
| 1306320890 | Kumar K Shashi | Student in an Organized Health Care Education/Training Program | 300 Longwood Avenue, Radiology, Boston, MA 02115 | 2018-09-20 |
| Find all providers in the same location | ||||
| 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 Code | 282NC2000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Children |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366782518 | Boston Children's Hospital | General Acute Care Hospital | 11 Hereford St, Apt 4r, Boston, MA 02115-1602 | 2013-02-26 |
| 1952506024 | Terence William Prendiville | General Acute Care Hospital | 300 Longwood Avenue, Bader 209, Children's Hospital Boston, Department of Cardiology, Boston, MA 02115-5737 | 2007-06-19 |
| 1902851439 | Tufts-new England Medical Center | General Acute Care Hospital | Tufts-nemc, Box# 790, 750 Washington Street, Department of Social Work Services, Boston, MA 02111 | 2006-05-23 |
| 1477099067 | Boston Childrens Hospital | General Acute Care Hospital | 333 Longwood Ave, Department of Infection Disease, Boston, MA 02115-5711 | 2017-01-06 |
| 1467908707 | Colleen Heffernan | General Acute Care Hospital | 333 Longwood Ave, Boston Children's Hospital, Boston, MA 02115-5711 | 2016-08-28 |
| 1942651674 | Jonanlis Ramirez Alcantara | General Acute Care Hospital | 55 Fruit St, Boston, MA 02114 | 2016-06-23 |
| 1194185173 | Brigham and Womens Hospital | General Acute Care Hospital | 75 Francis St, Boston, MA 02115-6110 | 2016-03-03 |
| 1689042301 | Boston Children's Hospital | General Acute Care Hospital | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-09-11 |
| 1053718189 | David Faraoni | General Acute Care Hospital | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-12-04 |
| 1750783114 | Boston Children's Hospital | General Acute Care Hospital | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-09-17 |
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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.