DR. ALIA YOUSIF ANTOON (NPI# 1881684314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881684314 |
| Entity Type | Individual |
| Full Name | DR. ALIA YOUSIF ANTOON |
| Credential | MD |
| Practice Address |
51 Blossom St Boston MA 02114-2601 |
| Mailing Address |
Po Box 9142 Charlestown MA 02129-9142 |
| Practice Telephone | 6173714720 |
| Practice Fax Number | 6173714825 |
| Mailing Telephone | 6177240287 |
| Mailing Fax Number | 6177262894 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
34512 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2002213 | 05 | |
| MA | TUFTS HEALTH PLAN | 724777 | 01 |
| MA | BCBS MA | M08305 | 01 |
| Street Address |
51 BLOSSOM ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050355 | Alyssa Roberts | Nurse Practitioner | 51 Blossom St, Boston, MA 02114-2601 | 2020-07-06 |
| 1699324285 | Kathrina Prelack | Dietitian, Registered | 51 Blossom St, Boston, MA 02114-2601 | 2019-09-06 |
| 1659939569 | Jennifer Hall | Dietitian, Registered | 51 Blossom St, Boston, MA 02114-2601 | 2019-06-05 |
| 1659853323 | Liza Gamelli | Social Worker | 51 Blossom St, Boston, MA 02114-2601 | 2018-08-30 |
| 1932680758 | Taya Zbell Cloonan | Social Worker | 51 Blossom St, Boston, MA 02114-2601 | 2018-08-29 |
| 1831688555 | The Shriners' Hospital for Children | Anesthesiology | 51 Blossom St, Boston, MA 02114-2601 | 2018-05-08 |
| 1538676929 | Carly Jean Francois | Nurse Practitioner | 51 Blossom St, Boston, MA 02114-2601 | 2018-01-07 |
| 1871040584 | Courtney Halloran | Nurse Practitioner | 51 Blossom St, Boston, MA 02114-2601 | 2016-09-10 |
| 1306213772 | Melissa Dipiro | Nurse Practitioner | 51 Blossom St, Boston, MA 02114 | 2015-09-01 |
| 1275930513 | Jillian Jewett Pasciucco | Nurse Practitioner | 51 Blossom St, Boston, MA 02114-2601 | 2014-12-02 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326057464 | Rose Marino | Pediatrics | Massachuesetts General Hospital, 55 Fruit Street, Boston, MA 02114 | 2006-08-07 |
| 1528568730 | Charlotte Chen | Pediatrics | 333 Longwood Ave, Boston, MA 02115-5711 | 2018-02-14 |
| 1659893048 | Liya Kerem | Pediatrics | 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 | 2017-07-07 |
| 1124466776 | Jordan S Sherwood | Pediatrics | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2013-06-05 |
| 1467795450 | Tara Kaushal | Pediatrics | 1 Joslin Pl, Boston, MA 02215 | 2013-03-28 |
| 1912249673 | Rebecca Harris | Pediatrics | 333 Longwood Ave Fl 6, Boston, MA 02115 | 2013-03-20 |
| 1104168848 | Daniel Richard Zeve | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-03-20 |
| 1417295866 | Sonali Malhotra | Pediatrics | 50 Staniford St Fl 4, Boston, MA 02114-2517 | 2013-01-18 |
| 1497015440 | Jessica Kremen | Pediatrics | 333 Longwood Ave, Second Floor, Boston, MA 02115-5711 | 2012-05-24 |
| 1558621722 | Rachel C Whooten | Pediatrics | 55 Fruit Street, Yawkey 6c, Boston, MA 02114-0110 | 2012-05-22 |
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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.