MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION (NPI# 1073979423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073979423 |
| Entity Type | Organization |
| Organization Name | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION |
| Other Organization Name | BRIDGE CLINIC |
| Practice Address |
55 Fruit St Founders 880 Boston MA 02114-2621 |
| Practice Telephone | 6176438281 |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |
| Authorized Official Name | MS. JOY ROSEN (VICE PRESIDENT, BEHAVIORAL HEALTH) |
| Authorized Official Telephone | 6177269570 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| Other Name | Type Code |
|---|---|
| Bridge Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396062246 | Massachusetts General Physicians Organization | Dentist | 104 Endicott St, Suite 101, Danvers, MA 01923-3623 | 2010-04-30 |
| 1982848222 | Massachusetts General Physicians Organization | Clinic/Center | 151 Merrimac St, 5th Floor, Boston, MA 02114-4714 | 2009-04-30 |
| 1265583199 | Massachusetts General Physicians Organization | Dentist | 165 Cambridge St, Suite 401, Boston, MA 02114-2783 | 2007-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC | 55 Fruit St Bulfinch 208, Boston, MA 02114-2621 |
| Oregon Corporations, Companies and Business Names | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC. | 55 Fruit Street, Boston, MA 2114 |
| Street Address |
55 FRUIT ST FOUNDERS 880 |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465888 | Michael A Nichols | Nurse Anesthetist, Certified Registered | 55 Fruit St, Boston, MA 02114-2696 | 2005-05-31 |
| 1740881374 | Katelyn Mary Bushey | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-11-02 |
| 1316546849 | Amy Lauren Greenblatt | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-26 |
| 1134728116 | Stephanie Qualls | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-21 |
| 1811596190 | Andrea S Hansen | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1649879974 | Barbara Healy | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
| 1770181117 | Molly Cristina Reynolds | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-16 |
| 1245838325 | Katerina Eleni Kafkas | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-12 |
| 1578179040 | Vivian Ellen Donahue | Registered Nurse | 55 Fruit St, Boston, MA 02114-2696 | 2020-09-21 |
| 1699380956 | Joanne Gover | Registered Nurse | 55 Fruit St, Boston, MA 02114-2621 | 2020-09-14 |
| Find all providers in the same location | ||||
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740721935 | Doris Kemp | General Acute Care Hospital | 47 Austin St, Boston, MA 02136-1532 | 2017-03-20 |
| 1922551969 | Tufts Medical Center | General Acute Care Hospital | 800 Washington Street, Box 836, Boston, MA 02111 | 2016-07-26 |
| 1558737460 | David John Murphy | General Acute Care Hospital | Brigham and Women's Hospital, 75 Francis St, Dept Cardiovascular Imaging, Boston, MA 02115 | 2015-08-14 |
| 1881078640 | Christina Marie Chingkoe | General Acute Care Hospital | 330 Brookline Ave # 408, Boston, MA 02215-5400 | 2015-07-11 |
| 1952734964 | Zeljko Duric | General Acute Care Hospital | 75 Francis Street Ca 219, Brigham and Women S Hospital, Division of Cardiac Surg, Boston, MA 02115 | 2013-08-13 |
| 1972881472 | Luciana Catanese | General Acute Care Hospital | 1 Boston Medical Ctr Pl # 124, Boston, MA 02118-2908 | 2011-08-01 |
| 1437485331 | Bijal Patel | General Acute Care Hospital | 1330 Boylston St, 502, Boston, MA 02215-4229 | 2009-10-27 |
| 1033342738 | Partners Healthcare | General Acute Care Hospital | 131 Dartmouth St, Partners Harvard Medical International 5th Floor, Boston, MA 02116-5134 | 2009-08-27 |
| 1871738385 | Ana Carolina Garza Avila | General Acute Care Hospital | 800 Washington St # 369, Boston, MA 02111-1552 | 2008-12-11 |
| 1588829444 | Boston Medical Center, Boston | General Acute Care Hospital | 820 Harrison Avenue, Fgh Building, Department of Radiology, Boston, MA 02118 | 2008-07-21 |
| 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.