DR. BRIAN GARY SKOTKO (NPI# 1013182500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013182500 |
| Entity Type | Individual |
| Full Name | DR. BRIAN GARY SKOTKO |
| Credential | M.D., M.P.P. |
| Practice Address |
185 Cambridge St Rm 2222 Boston MA 02114-2790 |
| Practice Telephone | 6176433196 |
| Mailing Telephone | 6176433196 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2012-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
235304 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
185 CAMBRIDGE ST RM 2222 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2790 |
| 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 | 207SG0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Medical Genetics |
| Specialization | Clinical Genetics (M.D.) |
| A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Medical Genetics, 2007. http://www.abmg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Medical Genetics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104395656 | Walla Al-hertani | Medical Genetics | 300 Longwood Ave, Boston Children's Hospital., 5th Floor, Hunnewell Building, Boston, MA 02115 | 2018-11-14 |
| 1962819516 | Almundher Al Maawali | Medical Genetics | 300 Longwood Ave # Cls15064, Boston, MA 02115-5724 | 2014-07-15 |
| 1912162835 | Ashadeep Chandrareddy | Medical Genetics | 800 Washington St # 340, Division of Clinical Genetics, Tufts Nemc, Boston, MA 02111 | 2008-07-21 |
| 1558456392 | Aubrey Milunsky | Medical Genetics | 700 Albany Street, 4th Floor Suite 408 Center for Human Genetics, Boston, MA 02118-2526 | 2006-10-04 |
| 1558320762 | David Alan Sweetser | Medical Genetics | 55 Fruit St Yaw 8b, Pediatric Hematology Oncology, Boston, MA 02114-2696 | 2006-03-17 |
| 1831169721 | Dwight Cordero | Medical Genetics | 77 Francis St, Boston, MA 02115-6110 | 2006-01-24 |
| 1457868382 | Hila Romi | Medical Genetics | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-12-31 |
| 1730574997 | Philip Michael Boone | Medical Genetics | 300 Longwood Ave., Boston Children's Hospital, Housestaff Lounge, Pav. 129, Boston, MA 02115 | 2015-04-03 |
| 1457745341 | Jasmine L Knoll | Medical Genetics | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-03-27 |
| 1992122212 | Nina Beth Gold | Medical Genetics | 55 Fruit St, Boston, MA 02114-2696 | 2014-03-25 |
| 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.