DR. STEPHEN C. BOOS (NPI# 1952344384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952344384 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN C. BOOS |
| Credential | M.D. |
| Practice Address |
300 Carew Street Ste 2 Springfield MA 01104-2146 |
| Mailing Address |
280 Chestnut St Fl 2 Springfield MA 01199-1001 |
| Practice Telephone | 4137949816 |
| Practice Fax Number | 4137944945 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-04-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 238099 | MA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 0101241902 | VA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 169534-1 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | D0059645 | MD | Allopathic & Osteopathic Physicians |
| Y | 2080C0008X |
Pediatrics Specialization: Child Abuse Pediatrics |
238099 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 1952344384 | 05 | |
| MA | 1952344384 | 05 | |
| MD | 4052994 00 | 05 |
| Street Address |
300 CAREW STREET STE 2 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215329701 | Quinn Makia Gathercole | Counselor | 300 Carew Street, Springfield, MA 01104-4945 | 2015-02-20 |
| 1467709774 | Elizabeth R Pinard | Social Worker | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2012-08-07 |
| 1104110600 | Kerri A Bergendahl | Social Worker | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2011-06-02 |
| 1356644223 | Yashira Oropeza-diaz | Counselor | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2010-12-14 |
| 1770891954 | Jennifer Carolina Macgregor | Psychologist | 300 Carew Street, Ste 2, Springfield, MA 01104 | 2010-09-21 |
| 1821324302 | Deidre B Hussey | Psychologist | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2009-10-19 |
| 1164664157 | Autumn Lynn Porubsky | Psychologist | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2009-04-06 |
| 1245484062 | Jennifer Castonguay | Counselor | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2008-11-06 |
| 1972757821 | Jessica A Wozniak | Psychologist | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2008-11-05 |
| 1104971910 | Noreen Mcgirr | Social Worker | 300 Carew Street, Ste 2, Springfield, MA 01104-2146 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 2080C0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Child Abuse Pediatrics |
| A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases. |
| Notes: Source: American Board of Medical Specialties, 2009 [7/1/2009: definition added] |
| City | SPRINGFIELD |
| Zip Code | 01104 |
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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.