| Joslin Clinic Inc | |
|
1 Joslin Pl Boston MA 02215-5306 | |
| (617) 732-2501 | |
| Not Available |
| Full Name | Joslin Clinic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1 Joslin Pl, Boston, Massachusetts |
| Authorized Official Name and Position | Sanjeev N Mehta (SVP, CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6173092470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joslin Clinic Inc 1 Joslin Place Boston MA 02215 Ph: (617) 309-2400 | Joslin Clinic Inc 1 Joslin Pl Boston MA 02215-5306 Ph: (617) 732-2501 |
| NPI Number | 1528003621 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 04/15/2021 |
| Medicare PECOS PAC ID | 5092794883 |
|---|---|
| Medicare Enrollment ID | O20040715000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528003621 | NPI | - | NPPES |
| 9784373 | Medicaid | MA | |
| CH7221 | Other | MA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 4S33 (Massachusetts) | Primary |
| Provider Name | Christopher Gibbons |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093762601 PECOS PAC ID: 9537139068 Enrollment ID: I20040730000356 |
| Provider Name | Shanti S Serdy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1932131448 PECOS PAC ID: 4981675220 Enrollment ID: I20040802001138 |
| Provider Name | Greeshma Shetty |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1598967093 PECOS PAC ID: 8527030121 Enrollment ID: I20040812000458 |
| Provider Name | Melanie P Hoenig |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1831123694 PECOS PAC ID: 2365416468 Enrollment ID: I20040824000985 |
| Provider Name | Kavita Seetharaman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1588608533 PECOS PAC ID: 6002875093 Enrollment ID: I20041006000129 |
| Provider Name | Adelaide-heidi M Puelzl-quinn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245203157 PECOS PAC ID: 7911968342 Enrollment ID: I20041020000179 |
| Provider Name | Lyle D Mitzner |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1619924941 PECOS PAC ID: 7911959440 Enrollment ID: I20050214000187 |
| Provider Name | Paul G Arrigg |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1740268127 PECOS PAC ID: 0941271308 Enrollment ID: I20050331000192 |
| Provider Name | William M Sullivan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922107234 PECOS PAC ID: 4981651569 Enrollment ID: I20050406000035 |
| Provider Name | Robert C Stanton |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1073550851 PECOS PAC ID: 3870530140 Enrollment ID: I20050408000733 |
| Provider Name | Deborah K Schlossman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1730116856 PECOS PAC ID: 8325086622 Enrollment ID: I20050418001194 |
| Provider Name | Martin J Abrahamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336254226 PECOS PAC ID: 4688612674 Enrollment ID: I20050420000799 |
| Provider Name | Lori M Laffel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275570228 PECOS PAC ID: 4880632371 Enrollment ID: I20050425000807 |
| Provider Name | Elizabeth C Bashoff |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851441612 PECOS PAC ID: 2264471614 Enrollment ID: I20050426000956 |
| Provider Name | M. Donna Younger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821037813 PECOS PAC ID: 2567401656 Enrollment ID: I20050428000099 |
| Provider Name | Allison B Goldfine |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1952470387 PECOS PAC ID: 2668413089 Enrollment ID: I20050517000034 |
| Provider Name | Joanne M Rizzotto |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891028577 PECOS PAC ID: 6901841725 Enrollment ID: I20050622001023 |
| Provider Name | Ann P Feldman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457324386 PECOS PAC ID: 2567407877 Enrollment ID: I20050627000669 |
| Provider Name | Richard S Beaser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447204540 PECOS PAC ID: 1456388131 Enrollment ID: I20050725000697 |
| Provider Name | George L King |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669458816 PECOS PAC ID: 5294763579 Enrollment ID: I20050728000385 |
| Provider Name | Deborah A Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457382632 PECOS PAC ID: 3476583261 Enrollment ID: I20050822000633 |
| Provider Name | Sabera T Shah |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1225188022 PECOS PAC ID: 5193756971 Enrollment ID: I20050823000083 |
| Provider Name | Mark Williams |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184653891 PECOS PAC ID: 2062443070 Enrollment ID: I20050829000815 |
| Provider Name | Jennifer K Sun |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1619083482 PECOS PAC ID: 5395770564 Enrollment ID: I20050927001279 |
| Provider Name | Om P Ganda |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134298938 PECOS PAC ID: 9931126869 Enrollment ID: I20051029000008 |
| Provider Name | Ann R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659479905 PECOS PAC ID: 0648291807 Enrollment ID: I20051215000199 |
| Provider Name | Elizabeth M Blair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356432827 PECOS PAC ID: 9133143290 Enrollment ID: I20060117000681 |
| Provider Name | Florence M Brown |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578597316 PECOS PAC ID: 9234143801 Enrollment ID: I20060202000803 |
| Provider Name | Joyce Keady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043234727 PECOS PAC ID: 7416962634 Enrollment ID: I20060209000273 |
| Provider Name | Timothy J Murtha |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1891753760 PECOS PAC ID: 7214945120 Enrollment ID: I20060403000692 |
| Provider Name | Marilyn D Ritholz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295789642 PECOS PAC ID: 6709896673 Enrollment ID: I20060424000211 |
| Provider Name | Jason L Gaglia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1023098605 PECOS PAC ID: 7618970013 Enrollment ID: I20060823000607 |
| Provider Name | Olga Ceron |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639137532 PECOS PAC ID: 4688641640 Enrollment ID: I20060912000175 |
| Provider Name | Aaron M Price |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578661625 PECOS PAC ID: 9234135245 Enrollment ID: I20061016000227 |
| Provider Name | Jerry D Cavallerano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821020728 PECOS PAC ID: 7113927021 Enrollment ID: I20061227000269 |
| Provider Name | Lloyd P Aiello |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588622104 PECOS PAC ID: 4385644202 Enrollment ID: I20061227000283 |
| Provider Name | Maria S Koen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891833935 PECOS PAC ID: 5991808420 Enrollment ID: I20070321000216 |
| Provider Name | John A Delia |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1639278237 PECOS PAC ID: 9830295021 Enrollment ID: I20070504000132 |
| Provider Name | Christina Moreau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124017660 PECOS PAC ID: 2466549043 Enrollment ID: I20071029000565 |
| Provider Name | Philip M Silver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962518365 PECOS PAC ID: 7214017201 Enrollment ID: I20080103000239 |
| Provider Name | George S Sharuk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073662862 PECOS PAC ID: 4082660030 Enrollment ID: I20080103000279 |
| Provider Name | Richard Calderon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962435826 PECOS PAC ID: 3971683970 Enrollment ID: I20080103000302 |
| Provider Name | Joanne R Dushay |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841409141 PECOS PAC ID: 2567531817 Enrollment ID: I20080513000523 |
| Provider Name | Medha N Munshi |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699733659 PECOS PAC ID: 3476624578 Enrollment ID: I20080617000663 |
| Provider Name | William C Hsu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679687560 PECOS PAC ID: 5193891091 Enrollment ID: I20080828000485 |
| Provider Name | Osama Hamdy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902841596 PECOS PAC ID: 8921174228 Enrollment ID: I20080911000091 |
| Provider Name | Laura H Zemany |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174788038 PECOS PAC ID: 6103992367 Enrollment ID: I20080911000685 |
| Provider Name | Jorge G Arroyo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942248257 PECOS PAC ID: 1658448204 Enrollment ID: I20080923000603 |
| Provider Name | Nuha A El Sayed |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508056607 PECOS PAC ID: 0941355549 Enrollment ID: I20090903000324 |
| Provider Name | Dorothy J Tolls |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982847299 PECOS PAC ID: 4284780743 Enrollment ID: I20090924000358 |
| Provider Name | Ashley E Keating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073762993 PECOS PAC ID: 9234275595 Enrollment ID: I20090930000414 |
| Provider Name | Paolo Antonio S Silva |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548427685 PECOS PAC ID: 1254470420 Enrollment ID: I20091201000224 |
| Provider Name | Susan F Herzlinger Botein |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1871691451 PECOS PAC ID: 6800936618 Enrollment ID: I20091229000251 |
| Provider Name | Elena Toschi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861651002 PECOS PAC ID: 2668660986 Enrollment ID: I20101230000247 |
| Provider Name | Joan E Larrabee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1679620538 PECOS PAC ID: 3072792688 Enrollment ID: I20110128000438 |
| Provider Name | Elizabeth S Halprin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275565798 PECOS PAC ID: 4486833092 Enrollment ID: I20110128000492 |
| Provider Name | Augusto Enrique Caballero-robles |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1144336918 PECOS PAC ID: 9931389285 Enrollment ID: I20110203000999 |
| Provider Name | Mary Elizabeth Patti |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1386681070 PECOS PAC ID: 9638359839 Enrollment ID: I20110204000541 |
| Provider Name | Ka Hei Karen Lau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1477856169 PECOS PAC ID: 5799963880 Enrollment ID: I20110620000235 |
| Provider Name | Michelle L Katz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1255514113 PECOS PAC ID: 3870771157 Enrollment ID: I20110711000462 |
| Provider Name | Angela Kaptsan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528231461 PECOS PAC ID: 8820163835 Enrollment ID: I20120203000312 |
| Provider Name | Kristen M Hock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871860049 PECOS PAC ID: 4082873914 Enrollment ID: I20120312000615 |
| Provider Name | Laurie A Higgins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922022706 PECOS PAC ID: 2264696962 Enrollment ID: I20120608000363 |
| Provider Name | Katherine J Wentzell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831320092 PECOS PAC ID: 5193849966 Enrollment ID: I20120711000341 |
| Provider Name | Julie W Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194031708 PECOS PAC ID: 3072798321 Enrollment ID: I20120823000670 |
| Provider Name | Joanna Mitri |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356582845 PECOS PAC ID: 2365691920 Enrollment ID: I20120926000226 |
| Provider Name | Raul J Guzman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1083713416 PECOS PAC ID: 8527116805 Enrollment ID: I20130403000201 |
| Provider Name | Robert A Gabbay |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720036627 PECOS PAC ID: 8022203280 Enrollment ID: I20130823000267 |
| Provider Name | Ann Desloges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497705586 PECOS PAC ID: 5991939902 Enrollment ID: I20131007000689 |
| Provider Name | Runhua Hou |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1811077654 PECOS PAC ID: 0042371593 Enrollment ID: I20131121001865 |
| Provider Name | Sylvia E Rosas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568497600 PECOS PAC ID: 9830382340 Enrollment ID: I20131205000785 |
| Provider Name | Elvira Marie Isganaitis |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1831385285 PECOS PAC ID: 9638394810 Enrollment ID: I20140701001785 |
| Provider Name | Melissa D Rubinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821340951 PECOS PAC ID: 4587886916 Enrollment ID: I20141119000859 |
| Provider Name | Natasha B Khazai |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1114927670 PECOS PAC ID: 6608807714 Enrollment ID: I20150203001914 |
| Provider Name | Giulio R Romeo |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1245541275 PECOS PAC ID: 0749594364 Enrollment ID: I20150727001839 |
| Provider Name | Cara L Kilroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659611713 PECOS PAC ID: 9335389543 Enrollment ID: I20150831000085 |
| Provider Name | Anna Z. Feldman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1407052590 PECOS PAC ID: 2365624939 Enrollment ID: I20151130000441 |
| Provider Name | Merredith Roxanne Moreau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255715207 PECOS PAC ID: 3678874518 Enrollment ID: I20151217001033 |
| Provider Name | Emily Flint Freiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619351418 PECOS PAC ID: 4688978414 Enrollment ID: I20160215001698 |
| Provider Name | Yasmin Khan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922149921 PECOS PAC ID: 0345331385 Enrollment ID: I20160418001614 |
| Provider Name | Roeland Middelbeek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508187261 PECOS PAC ID: 0042535114 Enrollment ID: I20160701000918 |
| Provider Name | Miin Roh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629333166 PECOS PAC ID: 0749419158 Enrollment ID: I20160707001249 |
| Provider Name | Samar Hafida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952509192 PECOS PAC ID: 1456476001 Enrollment ID: I20160708001907 |
| Provider Name | Louise Ambler Osborn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013389386 PECOS PAC ID: 9234425638 Enrollment ID: I20160912001110 |
| Provider Name | Anat Hanono |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1821233594 PECOS PAC ID: 0042368433 Enrollment ID: I20160914001676 |
| Provider Name | Elizabeth Mary Tinios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952855835 PECOS PAC ID: 7214217330 Enrollment ID: I20161207001638 |
| Provider Name | Brittany Resnick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598117798 PECOS PAC ID: 3678853330 Enrollment ID: I20161215000462 |
| Provider Name | Maria Vamvini |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346689312 PECOS PAC ID: 0941581136 Enrollment ID: I20161230000711 |
| Provider Name | Alan T Schultz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356794127 PECOS PAC ID: 1951688464 Enrollment ID: I20170511000622 |
| Provider Name | Christopher Mulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457675050 PECOS PAC ID: 1254574205 Enrollment ID: I20170628001335 |
| Provider Name | Persis Commissariat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437673548 PECOS PAC ID: 4789957416 Enrollment ID: I20170831002209 |
| Provider Name | Dayna Mcgill |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609188978 PECOS PAC ID: 4284875386 Enrollment ID: I20170908000050 |
| Provider Name | Mohammad-hossein Mohammad-shahi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1114436151 PECOS PAC ID: 4587920293 Enrollment ID: I20171114001102 |
| Provider Name | Katherine Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881140242 PECOS PAC ID: 7012296049 Enrollment ID: I20171228002356 |
| Provider Name | Amanda Lyn Sheehan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407375280 PECOS PAC ID: 4486915006 Enrollment ID: I20180222001747 |
| Provider Name | Nicole Patience |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801843651 PECOS PAC ID: 0345259032 Enrollment ID: I20180330000216 |
| Provider Name | Ashley Pickering Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700394590 PECOS PAC ID: 7416211248 Enrollment ID: I20180503000279 |
| Provider Name | Fioralda Kico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497263974 PECOS PAC ID: 7517212806 Enrollment ID: I20180608000561 |
| Provider Name | Yu Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689162885 PECOS PAC ID: 5890040687 Enrollment ID: I20180619002826 |
| Provider Name | Catherine Jin Tang |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972869477 PECOS PAC ID: 8820216104 Enrollment ID: I20180627002319 |
| Provider Name | Christine M Turcotte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679908925 PECOS PAC ID: 7214274885 Enrollment ID: I20190122000864 |
| Provider Name | Jade C Doolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659890820 PECOS PAC ID: 1658611421 Enrollment ID: I20190314002195 |
| Provider Name | Jennie L Votta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154892040 PECOS PAC ID: 6608117007 Enrollment ID: I20190412000693 |
| Provider Name | Mallory Sin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1821426826 PECOS PAC ID: 2769724871 Enrollment ID: I20190419000524 |
| Provider Name | Tara K Maxwell |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1467795450 PECOS PAC ID: 1759618317 Enrollment ID: I20190806001794 |
| Provider Name | Jeremy J Beaulieu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427496868 PECOS PAC ID: 1052552288 Enrollment ID: I20190920001719 |
| Provider Name | Zsu-zsu Chen |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1336589142 PECOS PAC ID: 1153610258 Enrollment ID: I20190930001050 |
| Provider Name | Gregory Westcott |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548672116 PECOS PAC ID: 2668771163 Enrollment ID: I20200608002829 |
| Provider Name | Colleen Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194376186 PECOS PAC ID: 5698187193 Enrollment ID: I20201207001168 |
| Provider Name | Christine M Mitchell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912119983 PECOS PAC ID: 0244646529 Enrollment ID: I20210311000701 |
| Provider Name | Mohamed Ashraf Ahmed Elmasry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982126769 PECOS PAC ID: 9032526645 Enrollment ID: I20210326001904 |
| Provider Name | Sarah E Knapp |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902253586 PECOS PAC ID: 3476849951 Enrollment ID: I20210615000540 |
| Provider Name | Alisa Prager |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174986665 PECOS PAC ID: 7517203805 Enrollment ID: I20210824002819 |
| Provider Name | Amit Shapira |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972186682 PECOS PAC ID: 6608272778 Enrollment ID: I20210915002063 |
| Provider Name | Sando Ojukwu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1518370881 PECOS PAC ID: 0648685750 Enrollment ID: I20210916003334 |
| Provider Name | Sarah Gatti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407203516 PECOS PAC ID: 5698165579 Enrollment ID: I20211208002075 |
| Provider Name | Lauren Duffey |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1003421371 PECOS PAC ID: 7214325323 Enrollment ID: I20211215001964 |
| Provider Name | Alison May |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578236121 PECOS PAC ID: 1456745157 Enrollment ID: I20220223000359 |
| Provider Name | Christine Cibotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063023216 PECOS PAC ID: 6002200045 Enrollment ID: I20220308001534 |
| Provider Name | Anna Bondy |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1841660529 PECOS PAC ID: 3779978978 Enrollment ID: I20220325001490 |
| Provider Name | Bryan Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821740192 PECOS PAC ID: 8224416177 Enrollment ID: I20220604000200 |
| Provider Name | Bharti Deswal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104080423 PECOS PAC ID: 0143488528 Enrollment ID: I20220728003265 |
| Provider Name | Heidi Elise Karner |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801439013 PECOS PAC ID: 0244613438 Enrollment ID: I20220822001338 |
| Provider Name | John Ruck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336688456 PECOS PAC ID: 8527335694 Enrollment ID: I20220912000084 |
| Provider Name | Caterina Morgera |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023693322 PECOS PAC ID: 2264835909 Enrollment ID: I20221103002898 |
| Provider Name | Sarah Kathryn Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376277145 PECOS PAC ID: 0749658193 Enrollment ID: I20221116002004 |
| Provider Name | Julia Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447974241 PECOS PAC ID: 9133593015 Enrollment ID: I20230315002161 |
| Provider Name | Adham Abdel Mottalib |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740774892 PECOS PAC ID: 0648645176 Enrollment ID: I20230413002759 |
| Provider Name | Kevin Crawley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1083245963 PECOS PAC ID: 8628406469 Enrollment ID: I20230928004090 |
| Provider Name | Nicole Devaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750164505 PECOS PAC ID: 4981051778 Enrollment ID: I20231116001242 |
| Provider Name | Anna Kate Stawicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134832843 PECOS PAC ID: 2163874306 Enrollment ID: I20240123003966 |
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 | |
Fenway Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1340 Boylston St, Boston, MA 02215 Phone: 617-927-4880 | |
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 |