DR. WALLA AL-HERTANI (NPI# 1104395656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104395656 |
| Entity Type | Individual |
| Full Name | DR. WALLA AL-HERTANI |
| Credential | M.D. |
| Practice Address |
300 Longwood Ave, Boston Children's Hospital. 5th Floor, Hunnewell Building Boston MA 02115 |
| Practice Telephone | 6173559572 |
| Practice Fax Number | 6177300211 |
| Mailing Telephone | 6173559572 |
| Mailing Fax Number | 6177300211 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2019-04-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207SG0201X |
Medical Genetics Specialization: Clinical Genetics (M.D.) |
277572 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
300 LONGWOOD AVE, BOSTON CHILDREN'S HOSPITAL. 5TH FLOOR, HUNNEWELL BUILDING |
| City | BOSTON |
| State | MA |
| Zip Code | 02115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1013182500 | Brian Gary Skotko | Medical Genetics | 185 Cambridge St Rm 2222, Boston, MA 02114-2790 | 2008-04-25 |
| 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.