JOAN R. GOLUB MD (NPI# 1811102288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811102288 |
Entity Type | Organization |
Organization Name | JOAN R. GOLUB MD |
Practice Address |
319 Longwood Ave Boston MA 02115-5728 |
Practice Telephone | 6172771400 |
Practice Fax Number | 6172770249 |
Mailing Telephone | 6172771400 |
Mailing Fax Number | 6172770249 |
Enumeration Date | 2007-05-11 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JOAN R GOLUB (PHYSICIAN) |
Authorized Official Telephone | 6172771400 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
37403 | MA | Allopathic & Osteopathic Physicians |
Street Address |
319 LONGWOOD AVE |
City | BOSTON |
State | MA |
Zip Code | 02115-5728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326040080 | Gary P Kearney | Urology | 319 Longwood Ave, Boston, MA 02115-5728 | 2005-08-12 |
1124518329 | Brianna Quintiliani | Physician Assistant | 319 Longwood Ave, Boston, MA 02115 | 2018-05-14 |
1831687300 | Kevin Walter Wenner | Physician Assistant | 319 Longwood Ave, Boston, MA 02115-5728 | 2018-04-30 |
1740723139 | Shannon Savage | Physician Assistant | 319 Longwood Ave, Boston, MA 02115-5728 | 2016-12-02 |
1336591023 | Meghan Leigh Keating | Physician Assistant | 319 Longwood Ave, Floor Six, Boston, MA 02115-5728 | 2016-07-06 |
1528418001 | Mary Mihovan | Nurse Practitioner | 319 Longwood Ave, Boston, MA 02115-5728 | 2016-06-15 |
1386014173 | Jacqueline Hastings | Nurse Practitioner | 319 Longwood Ave, 6th Floor Sports Medicine, Boston, MA 02115-5728 | 2015-10-06 |
1205243078 | Agnieszka Kowalczyk | Pediatrics | 319 Longwood Ave, Boston, MA 02115-5728 | 2014-07-14 |
1093121055 | Emily Hanson | Specialist/Technologist | 319 Longwood Ave, Boston, MA 02115-5728 | 2014-07-10 |
1053743245 | Rachel Stephanie Shade | Psychologist | 319 Longwood Ave, Boston, MA 02115-5728 | 2013-07-30 |
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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 |
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Taxonomy Code | 207VG0400X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Gynecology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013925015 | Toni Beth Walzer | Obstetrics & Gynecology | 333 Longwood Avenue, Adolescent Gynecology, Boston, MA 02115 | 2006-08-04 |
1508824400 | Kenneth L Noller | Obstetrics & Gynecology | Box 324, Washington St., New England Medical Center, Boston, MA 02111 | 2006-05-02 |
1861955114 | Lise Ann Caldara | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115-6110 | 2019-04-12 |
1851687446 | Amy J Bregar | Obstetrics & Gynecology | 55 Fruit St, Boston, MA 02114 | 2011-06-22 |
1316246549 | Michelle Ruth Davis | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115-6110 | 2011-03-28 |
1073824835 | Lily Huiling Wu | Obstetrics & Gynecology | 330 Brookline Ave, Boston, MA 02215-5400 | 2010-06-27 |
1760623300 | Olav Istre | Obstetrics & Gynecology | 75 Francis St, Brigham & Women's Hospital Obgyn, Boston, MA 02115-6110 | 2009-03-11 |
1013157734 | Michael Joe Worley Jr. | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115-6110 | 2009-02-21 |
1790988798 | Louise P. King | Obstetrics & Gynecology | 75 Francis St, Boston, MA 02115-6110 | 2007-06-07 |
1760690358 | Roger Lefevre | Obstetrics & Gynecology | 330 Brookline Ave, Boston, MA 02215-5400 | 2007-05-18 |
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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.