HORMUZDIYAR HENRY DASENBROCK (NPI# 1013155688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013155688 |
| Entity Type | Individual |
| Full Name | HORMUZDIYAR HENRY DASENBROCK |
| Credential | MD |
| Practice Address |
725 Albany Street Shapiro 7, Suite C Boston MA 02118 |
| Mailing Address |
720 Harrison Ave # Dob503 Boston MA 02118-2371 |
| Practice Telephone | 6176388992 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2019-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 266595 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
725 ALBANY STREET SHAPIRO 7, SUITE C |
| City | BOSTON |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699772715 | Theresa Clare Weir | Nurse Practitioner | 725 Albany Street, Shapiro 5 and 6, Boston, MA 02118-2526 | 2005-07-05 |
| 1588292114 | Alexander Lee Yeo | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Precepting Room, Boston, MA 02128 | 2020-03-30 |
| 1851928840 | Juan Vicente Rodriguez | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-27 |
| 1518594928 | Tyler Newshaw Lescure | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Precepting Room, Boston, MA 02128 | 2020-03-25 |
| 1548897929 | Luke Chmielecki | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Shapiro Primary Care, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1982231379 | Tina Zhang | Student in an Organized Health Care Education/Training Program | 725 Albany Street, Precepting Room, Boston, MA 02128 | 2020-03-25 |
| 1619511482 | Amelia Hansen | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 | 2019-11-04 |
| 1821649153 | Mariah Barrows | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite C, Boston, MA 02118 | 2019-09-27 |
| 1750939112 | Arielle Davidson | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 | 2019-08-29 |
| 1619532272 | Opal Mahalia Mitchell | Nurse Practitioner | 725 Albany Street, Shapiro 7, Suite B, Boston, MA 02118 | 2019-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1376021279 | Felix Nwajei | Neurological Surgery | 725 Albany St # 7c, Boston, MA 02118-2526 | 2018-08-02 |
| 1740627579 | Christian Strong | Neurological Surgery | 75 Francis St # Ab-136, Boston, MA 02115-6110 | 2013-06-03 |
| 1518251834 | Zachary Luke Tataryn | Neurological Surgery | 197 Beacon St, Apartment 3r, Boston, MA 02116-1461 | 2011-06-03 |
| 1598932154 | Yi Lu | Neurological Surgery | 75 Francis St, Ca455, Department of Neurosurgery, Brigham & Women's Hospital, Boston, MA 02115-6110 | 2008-05-13 |
| 1770775256 | Ron I Riesenburger | Neurological Surgery | 800 Washington Street Box 178, Tufts Medical Center, Boston, MA 02111 | 2007-08-17 |
| 1033234562 | Justin M Brown | Neurological Surgery | 55 Fruit St # 745, Boston, MA 02114-2621 | 2007-03-21 |
| 1154498152 | Raymond Kevin Ryan | Neurological Surgery | 1 Adirondack Pl, Boston, MA 02124-5603 | 2006-11-29 |
| 1083626907 | Ann-christine Duhaime | Neurological Surgery | 55 Fruit St # 331, Boston, MA 02114-2621 | 2006-08-12 |
| 1972525541 | Ajith J Thomas | Neurological Surgery | 110 Francis Street, Suite 3b, Boston, MA 02215 | 2006-07-24 |
| Find all providers in BOSTON | ||||
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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.