DR. MICHAEL BLAIR TANTILLO (NPI# 1841281227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841281227 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BLAIR TANTILLO |
| Credential | MD |
| Practice Address |
25 Boylston Street Suite 304 Chestnut Hill MA 02467 |
| Practice Telephone | 6175056818 |
| Practice Fax Number | 6175056813 |
| Mailing Telephone | 6175056818 |
| Mailing Fax Number | 6175056813 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2018-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | 19264 | NH | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 74194 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3192873 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Hitchcock Way, Manchester, NH 03104 | 6036952500 | |
| 25 Boylston Street, Suite 304, Chestnut Hill, MA 02467 | 6175056818 | 6175056813 |
| Street Address |
25 BOYLSTON STREET SUITE 304 |
| City | CHESTNUT HILL |
| State | MA |
| Zip Code | 02467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952375941 | Maurice Edward Keenan | Pediatrics | 25 Boylston Street, Chestnut Hill, MA 02467 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013542810 | Joanne L. Faber | Nurse Practitioner | 136 Beverly Road, Chestnut Hill, MA 02467 | 2020-03-12 |
| 1992338859 | Kim Elizabeth Chaplain | Physical Therapy Assistant | 615 Heath Street, Chestnut Hill, Ma. 02467, Chestnut Hill, MA 02467 | 2020-02-19 |
| 1407325251 | Tara Paulauskas | Social Worker | 791 Hammond St, Chestnut Hill, MA 02467 | 2018-11-21 |
| 1932684776 | Jeannine Kremer | Social Worker | 140 Commonweakth Ave, Chestnut Hill, MA 02467 | 2018-09-27 |
| 1639671563 | Kathleen Houlihan | Social Worker | Boston College Campus School - Campion 197, 140 Commonwealth Ave, Chestnut Hill, MA 02467 | 2018-03-07 |
| 1609374891 | The Counseling Center At Cela | Counselor | 675 Vfw Parkway #271, Chestnut Hill, MA 02467 | 2018-01-23 |
| 1033566328 | Boston Body Evolution LLC | Specialist | 1290 Boylston Street, Chestnut Hill, MA 02467 | 2016-05-17 |
| 1669827630 | Mikayla Wynter | Counselor | 393 Hammond St, Chestnut Hill, MA 02467 | 2016-04-27 |
| 1043697675 | Accurate Care Afc, Inc. | Home Health | 50/56 Broadlawn Park, Apt 506, Chestnut Hill, MA 02467 | 2015-05-04 |
| 1609285360 | Oba LLC | Anesthesiology | 6 Eliot Crescent, Brookline, MA 02467 | 2014-08-07 |
| Find all providers in zip 02467 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134762693 | Clareo Aesthetics | Plastic Surgery | 25 Boylston St Ste 304, Chestnut Hill, MA 02467-1710 | 2019-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568083285 | Hpss-wpho, Inc | Plastic Surgery | 92 Montvale Ave Ste 3300, Stoneham, MA 02180-3652 | 2020-05-05 |
| 1407375454 | Michael Kutka Md Inc | Plastic Surgery | 62 Brown St Ste 206, Haverhill, MA 01830-6790 | 2017-09-11 |
| 1881119378 | Taylor Jan Berube | Plastic Surgery | 300 Stafford St Ste 256, Springfield, MA 01104-3513 | 2017-08-07 |
| 1700299245 | Greater Boston Plastic Surgery & Luxe Aesthetics | Plastic Surgery | 10 Roseberry Dr, Boylston, MA 01505-2024 | 2014-06-03 |
| 1831510528 | Aesthetic Plastic Surgery of North Shore PC | Plastic Surgery | 29 Hickory Hill Rd, Manchester, MA 01944-1575 | 2013-12-23 |
| 1881036903 | Richard V. Montilla M.d, P.C. | Plastic Surgery | 123 Summer St Ste 675, Worcester, MA 01608-1216 | 2013-07-18 |
| 1346551199 | Aparajit Naram | Plastic Surgery | 2 Medical Center Dr Ste 206, Springfield, MA 01107-1272 | 2010-06-27 |
| 1508182296 | Jonathan Y Lee | Plastic Surgery | 2 Medical Center Dr Ste 309, Springfield, MA 01107-1271 | 2010-04-20 |
| 1598907420 | Ryan Patrick Cauley | Plastic Surgery | 110 Francis St Ste 5a, Boston, MA 02215 | 2009-03-24 |
| 1578728853 | Christian N. Ford | Plastic Surgery | 80 Washington Street, Building D, Suite 21, Norwell, MA 02061 | 2008-07-25 |
| Find all providers with the same taxonomy | ||||
| City | CHESTNUT HILL |
| Zip Code | 02467 |
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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.