CHARISSA JOY PETTYJOHN (NPI# 1861614711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861614711 |
| Entity Type | Individual |
| Full Name | CHARISSA JOY PETTYJOHN |
| Credential | M.D. |
| Practice Address |
750 Washington St. Boston MA 02111 |
| Mailing Address |
19 Peverell St Apt 3 Dorchester MA 02125 |
| Practice Telephone | 6176360265 |
| Mailing Telephone | 8572123169 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VH0002X |
Obstetrics & Gynecology Specialization: Hospice and Palliative Medicine |
225481 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
750 WASHINGTON ST. |
| City | BOSTON |
| State | MA |
| Zip Code | 02111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225177736 | H Cody Meissner | Specialist | 750 Washington St., Tufts-new England Medical Center Box 321, Boston, MA 02111 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 207VH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Hospice and Palliative Medicine |
| An obstetrician/gynecologist with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134334634 | Jacqueline Baez | Obstetrics & Gynecology | 63 Exeter Ave, Longmeadow, MA 01106-2139 | 2007-05-10 |
| 1124238852 | M & W Partners Inc. | Obstetrics & Gynecology | 2007 Bay St, Suite 104, Taunton, MA 02780-1086 | 2007-05-23 |
| 1013126432 | Germaine Earle-cruickshanks | Obstetrics & Gynecology | 60 Hospital Rd, Health Alliance Hospital, Leominster, MA 01453-2205 | 2007-05-22 |
| 1356554992 | Brookline Village Obgyn LLC | Obstetrics & Gynecology | 1 Brookline Pl, Suite 521, Brookline, MA 02445-7224 | 2007-05-08 |
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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.