| Fenway Health | |
|
1340 Boylston St Boston MA 02215-4302 | |
| (617) 927-4880 | |
| Not Available |
| Full Name | Fenway Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1340 Boylston St, Boston, Massachusetts |
| Authorized Official Name and Position | Jeff Lieberman (VP FINANCE & ADMINISTRATION) |
| Authorized Official Contact | 6179276173 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fenway Health 1340 Boylston St Boston MA 02215-4302 Ph: (617) 927-4880 | Fenway Health 1340 Boylston St Boston MA 02215-4302 Ph: (617) 927-4880 |
| NPI Number | 1003804725 |
|---|---|
| Provider Enumeration Date | 10/06/2005 |
| Last Update Date | 07/07/2011 |
| Medicare PECOS PAC ID | 0941299655 |
|---|---|
| Medicare Enrollment ID | O20040508000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003804725 | NPI | - | NPPES |
| 1303546 | Medicaid | MA |
| Provider Name | Kimberly T Thurmond |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1376557942 PECOS PAC ID: 2961463583 Enrollment ID: I20041026000651 |
| Provider Name | Anne Davenas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306817044 PECOS PAC ID: 3577519917 Enrollment ID: I20050329000445 |
| Provider Name | Amy Goorin Fogelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215909882 PECOS PAC ID: 6507875150 Enrollment ID: I20060411000177 |
| Provider Name | Rebekah P Viloria |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285618173 PECOS PAC ID: 1254415557 Enrollment ID: I20080226000257 |
| Provider Name | Brian Bakofen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801011465 PECOS PAC ID: 7113093832 Enrollment ID: I20080904000046 |
| Provider Name | Juan Jaime De Zengotita |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851357750 PECOS PAC ID: 0648328666 Enrollment ID: I20090501000120 |
| Provider Name | Kevin D Kapila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346224334 PECOS PAC ID: 7012106990 Enrollment ID: I20110107000188 |
| Provider Name | Payal P Srinivasa |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417122854 PECOS PAC ID: 3274722186 Enrollment ID: I20110107000504 |
| Provider Name | Joseph Baker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144338138 PECOS PAC ID: 5698875862 Enrollment ID: I20110120000833 |
| Provider Name | Ethan Brackett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912970633 PECOS PAC ID: 5193986685 Enrollment ID: I20120410000260 |
| Provider Name | Richard H Gumpert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154616514 PECOS PAC ID: 3072741917 Enrollment ID: I20141029000873 |
| Provider Name | Monica D Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134475502 PECOS PAC ID: 9436308475 Enrollment ID: I20141222000890 |
| Provider Name | Debi Sarma |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164825063 PECOS PAC ID: 4183947294 Enrollment ID: I20141222001510 |
| Provider Name | Gabriel C Belosevic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972861607 PECOS PAC ID: 9436479045 Enrollment ID: I20150522000065 |
| Provider Name | Jeffrey K Ho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124480520 PECOS PAC ID: 2860771516 Enrollment ID: I20161121000637 |
| Provider Name | Supraja Janaki Rajagopalan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770960726 PECOS PAC ID: 7911296652 Enrollment ID: I20191016000880 |
| Provider Name | April Lewis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851605877 PECOS PAC ID: 7113042201 Enrollment ID: I20200325000984 |
| Provider Name | Mary Elizabeth Dy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336708734 PECOS PAC ID: 4981032927 Enrollment ID: I20200325001377 |
| Provider Name | Tyler Zachary Gillingham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952936353 PECOS PAC ID: 1759791882 Enrollment ID: I20201102000062 |
| Provider Name | Bradley Milam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942706668 PECOS PAC ID: 0244577716 Enrollment ID: I20231220001733 |
| Provider Name | Adam Albano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558689828 PECOS PAC ID: 8527296540 Enrollment ID: I20240208002252 |
| Provider Name | Steven Elsesser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104386861 PECOS PAC ID: 6103250444 Enrollment ID: I20240209002652 |
| Provider Name | Taimur Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205178449 PECOS PAC ID: 2264660554 Enrollment ID: I20240216000797 |
| Provider Name | Jimmy Kamel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770007858 PECOS PAC ID: 2365703618 Enrollment ID: I20240223002269 |
| Provider Name | Samantha Hodgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972982577 PECOS PAC ID: 8325309008 Enrollment ID: I20240223002886 |
| Provider Name | Daniel Kahn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972957637 PECOS PAC ID: 1759666308 Enrollment ID: I20240226003214 |
| Provider Name | Adam D Laird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619540614 PECOS PAC ID: 6901204031 Enrollment ID: I20240229000094 |
| Provider Name | Alix Vandeventer Quinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063943249 PECOS PAC ID: 3577959428 Enrollment ID: I20240318002004 |
| Provider Name | Jason Latsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568087542 PECOS PAC ID: 8022467679 Enrollment ID: I20240403002009 |
| Provider Name | Ami G Multani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376751412 PECOS PAC ID: 7911171988 Enrollment ID: I20240424000816 |
| Provider Name | Ralph G Vetters |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427068873 PECOS PAC ID: 6103065818 Enrollment ID: I20240506003252 |
| Provider Name | Yale Pearlson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962553149 PECOS PAC ID: 8729226204 Enrollment ID: I20240511000014 |
| Provider Name | Myles Spar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013028307 PECOS PAC ID: 3072597327 Enrollment ID: I20240511000048 |
| Provider Name | Aditya Chandrasekhar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235425760 PECOS PAC ID: 2466770417 Enrollment ID: I20240515003746 |
Rong J Guan, Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Kneeland St Fl 5, Boston, MA 02111 Phone: 617-290-9881 Fax: 617-350-6555 | |
Robert H. Wu. Md, Pc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 65 Harrison Ave Ste 308, Boston, MA 02111 Phone: 617-338-9889 | |
Barbara Mcinnis House Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 780 Albany St, Boston, MA 02118 Phone: 857-654-1000 Fax: 857-654-1100 | |
Pratt Medical Group, Inc - Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Box 1013, Boston, MA 02111 Phone: 617-636-5000 | |
Pjtrains Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14 Newbury St Ste 4, Boston, MA 02116 Phone: 857-205-2759 | |
Mhg Physician Services - Michigan Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Harrison Ave, Boston, MA 02118 Phone: 855-340-4663 |