ANDREI KOUZNETSOV (NPI# 1114000585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114000585 |
| Entity Type | Individual |
| Full Name | ANDREI KOUZNETSOV |
| Credential | MD |
| Practice Address |
750 Washington St Nemc Box #836 Boston MA 02111-1526 |
| Practice Telephone | 6176365000 |
| Mailing Telephone | 6176365000 |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
217009 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
750 WASHINGTON ST NEMC BOX #836 |
| City | BOSTON |
| State | MA |
| Zip Code | 02111-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255337044 | Paul N Abourjaily | Pharmacist | 750 Washington St, # 420, Boston, MA 02111-1526 | 2005-06-27 |
| 1780222539 | Kathleen Nora Coughlin | Nurse Practitioner | 750 Washington St, Boston, MA 02111-1526 | 2019-12-11 |
| 1073962122 | John Pinski | Orthopaedic Surgery | 750 Washington St, Boston, MA 02111-1526 | 2016-06-09 |
| 1982901823 | Sara M Mcreynolds | Physician Assistant | 750 Washington St, Tufts Medical Center Emergency Dept, Boston, MA 02111-1526 | 2011-02-11 |
| 1457591638 | Maureen Abbott | Nurse Practitioner | 750 Washington St, Nemc Box 7105, Boston, MA 02111-1526 | 2009-02-27 |
| 1013152438 | Alexis Madej | Dietitian, Registered | 750 Washington St, Frances Stern Nutrition Center, Boston, MA 02111-1552 | 2008-12-15 |
| 1376797860 | Michelle W.s. Ma | Dermatology | 750 Washington St, Tufts Medical Center - Department of Internal Medicine, Boston, MA 02111-1526 | 2008-11-10 |
| 1366690554 | Tony Woo, Dds | Clinic/Center | 750 Washington St, Boston, MA 02111-1526 | 2008-09-03 |
| 1952564437 | Denise F. Arthurs | Dietitian, Registered | 750 Washington St, Boston, MA 02111-1526 | 2008-07-06 |
| 1891958385 | Daria Rachelle Homenko | Internal Medicine | 750 Washington St, Boston, MA 02111-1526 | 2008-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689271397 | Maximilian Richert | Counselor | 25 Kingston St, 4r, Boston, MA 02111 | 2020-10-06 |
| 1558978957 | Tien-hsin Chang | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street (tufts University School of Dental Me, Boston, MA 02111 | 2020-09-29 |
| 1548883465 | Elizabeth Carter Stapleton | Dentist | Tufts School of Dental Medicine: Dept of Orthodontics, 1 Kneeland Street, Boston, MA 02111 | 2020-05-27 |
| 1932729597 | Jacob Joseph Kosarchuk | Neurological Surgery | 800 Washington Street, Proger 7, Boston, MA 02111 | 2020-04-23 |
| 1164051868 | Daniele Abela | Surgery | 860 Washington Street, South Building, 4th Floor, Boston, MA 02111 | 2020-04-04 |
| 1184265258 | Jade Orthodontics | Dentist | 30 Kneeland St, Suite 301, Boston, MA 02111 | 2019-09-30 |
| 1932753639 | Loukia Kamille Danaf | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, Tufts University School of Dental Me, Boston, MA 02111 | 2019-07-31 |
| 1033771944 | Faris Khalifa | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 5th Floor, Boston, MA 02111 | 2019-07-01 |
| 1609437276 | Blair Hanna Ray Farbstein | Student in an Organized Health Care Education/Training Program | 1 Kneeland Street, 3rd Floor, Boston, MA 02111 | 2019-06-25 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| Find all providers in zip 02111 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588154041 | Ralph Nader | Internal Medicine | 72 East Concord St, Collamore Suite 29, Boston, MA 02118 | 2018-05-10 |
| 1184122905 | Claire Avillach | Internal Medicine | 650 Albany St Rm 540, Boston, MA 02118-2518 | 2018-01-26 |
| 1043612823 | New England Nephrology Associates, Pllc | Internal Medicine | 263 Huntington Ave # 232, Boston, MA 02115-4506 | 2014-09-23 |
| 1215345178 | Loulwa Alsharhan | Internal Medicine | 650 Albany St Fl 5, Boston, MA 02118-2518 | 2014-07-23 |
| 1639324791 | Patricia A Suzman | Internal Medicine | 87 Beacon St, Boston, MA 02108-3323 | 2008-11-17 |
| 1629256680 | Tal H Kopel | Internal Medicine | 650 Albany St, Renal Section, Rm 504, Boston, MA 02118-2518 | 2008-02-01 |
| 1437330081 | Kevin E Chan | Internal Medicine | Mgh/renal Associates, 55 Fruit St, Bigelow 10 Ste 1003, Boston, MA 02114 | 2007-11-23 |
| 1023042835 | Robert A Cohen | Internal Medicine | Nephrology Division/bidmc, 330 Brookline Ave./div. 517, Boston, MA 02215 | 2006-07-10 |
| 1225076771 | David Bruce Mount | Internal Medicine | Brigham and Womens Hospital Renal Division, Harvard Institute of Medicine, Boston, MA 02115 | 2006-06-04 |
| 1235177544 | Klemens B Meyer | Internal Medicine | 800 Washington St # 391, Tufts Medical Center, Boston, MA 02111-1552 | 2006-06-02 |
| 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.