HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC


Address: 330 Brookline Ave, Masco 3, Boston, MA 02215
Phone: 6177540355

HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC (NPI# 1043250616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043250616
Entity Type Organization
Organization Name HARVARD MEDICAL FACULTY PHYS AT BETH ISRAEL DEACONESS MED CTR INC
Other Organization Name DERMATOLOGY - HMFP AT BIDMC
Practice Address 330 Brookline Ave
Masco 3
Boston
MA 02215
Mailing Address 375 Longwood Ave Ste 3
Boston
MA 02215-5395
Practice Telephone 6177540355
Practice Fax Number 6177540375
Mailing Telephone 6176327441
Mailing Fax Number 6176327570
Enumeration Date 2006-06-08
Last Update Date 2018-06-15
Authorized Official Name DR. ALEXANDRA BOER KIMBALL (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 6176327441
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 9782907 05

Other Provider/Organization Names

Other Name Type Code
Dermatology - HMFP at BIDMC Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790113389 Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc Durable Medical Equipment & Medical Supplies 40 Allied Dr Ste 104, Dedham, MA 02026-6146 2013-10-17
1154435915 Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc Nurse Practitioner 330 Brookline Ave # E/tcc-2, Boston, MA 02215 2006-08-18
1538774443 Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc Clinic/Center 910 Washington St, Dedham, MA 02026-6022 2020-09-09
1972116754 Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc Clinic/Center 910 Washington St, Dedham, MA 02026-6022 2020-08-31
1942334933 Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc General Acute Care Hospital 330 Brookline Ave, Boston, MA 02215 2007-03-14
1235218843 Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc Pediatrics 330 Brookline Ave, Boston, MA 02215 2006-11-03
1508963901 Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc General Acute Care Hospital 330 Brookline Ave, Boston, MA 02215 2006-09-20
1316987993 Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc Emergency Medicine 330 Brookline Ave, Boston, MA 02215 2006-06-08
1346281938 Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc Pathology 330 Brookline Ave, Boston, MA 02215 2006-06-08
1770524373 Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc Psychiatry & Neurology 330 Brookline Ave, Boston, MA 02215 2006-06-08

Office Location

Street Address 330 BROOKLINE AVE
MASCO 3
City BOSTON
State MA
Zip Code 02215

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376541458 Carolyn Zelop Obstetrics & Gynecology 330 Brookline Ave, Ks 306, Boston, MA 02215-5400 2005-07-12
1134735848 Wassef Chanbour Ophthalmology 330 Brookline Ave, Boston, MA 02215-5400 2020-09-17
1174139976 Christopher Joseph Allen Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-09-17
1982218970 Carleen E Cox Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-09-07
1245842319 Emily Anne Keegan Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-08-20
1043822505 Ann Korkidakis Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Kirstein 3, Boston, MA 02215-5400 2020-08-17
1023628468 Bryar Hasenjaeger Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-07-31
1023627262 Vikram Karnik Psychiatry & Neurology 330 Brookline Ave, Boston, MA 02215-5400 2020-07-23
1386252682 Nancy Littlehale Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-07-22
1356968598 Jessica Catherine Okrant Nurse Practitioner 330 Brookline Ave, Boston, MA 02215-5400 2020-07-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336746775 Lee T Gernon-lakin Physician Assistant 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 2020-10-08
1821695933 Matthew John Needham Student in an Organized Health Care Education/Training Program 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 2020-10-02
1114533866 Cdg Back Bay LLC Clinic/Center 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 2020-09-18
1619595105 Natasha Larocque Radiology 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 2020-07-10
1538783089 Yutsz Cherng Counselor 870r Commonwealth Avenue, Boston, MA 02215 2020-06-01
1306495924 Anthony Rosellini Psychologist 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 2019-09-06
1427605278 Liana Zucco Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 2019-08-26
1831759430 Brian William Hayes Radiology 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 2019-06-17
1396304358 Elizabeth Hai Yen Du Student in an Organized Health Care Education/Training Program Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 2019-06-12
1922665439 Corey Shaphard Miller Student in an Organized Health Care Education/Training Program 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 2019-05-21
Find all providers in zip 02215

Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902329832 Abeer Alsarheed Dermatology 30 Dalton St Apt 1510, Boston, MA 02115-3178 2017-07-23
1811343361 Neera Nathan Dermatology 50 Staniford St Fl 2, Boston, MA 02114-2517 2016-05-13
1619359320 Freya Meyer Dermatology 441 Stuart St Fl 4, Boston, MA 02116-5027 2015-06-18
1952716177 Anna Kurayev Dermatology 260 Tremont Street, Biewend Bld., 14th Floor, Dermatology Department, Boston, MA 02116 2014-06-26
1245640705 Chao Hui Yang Dermatology 221 Longwood Ave Dept Of, Boston, MA 02115-5817 2014-05-05
1508208505 Yevgeniy Romanovich Semenov Dermatology Massachusetts General Hospital - Dept of Dermatology, 55 Fruit Street, Boston, MA 02114 2013-07-19
1821354648 Tarannum Jaleel Dermatology 72 East Concord Street, Evans Suite 124, Boston, MA 02118-2307 2012-04-05
1881915148 Lisa Yao Shen Dermatology 725 Albany St # 8b, Boston, MA 02118-2526 2010-06-21
1356662373 David Michael Miller Dermatology 50 Staniford St Ste 200, Boston, MA 02114-2543 2010-06-14
1376779819 Yakir Levin Dermatology 50 Staniford St Ste 250, Boston, MA 02114-2517 2009-06-10
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City BOSTON
Zip Code 02215

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Dataset Information

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.

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