MURRAY WATNICK (NPI# 1134133135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134133135 |
| Entity Type | Individual |
| Full Name | MURRAY WATNICK |
| Credential | MD |
| Practice Address |
133 Brookline Ave Boston MA 02215-3904 |
| Mailing Address |
147 Milk St Provider Enrollment Department - 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 6174211000 |
| Practice Fax Number | 6174216084 |
| Mailing Telephone | 6174212508 |
| Mailing Fax Number | 6174213487 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
29482 | MA | Allopathic & Osteopathic Physicians |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
29482 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | NEIGHBORHOOD HEALTH PLAN | 0022310 | 01 |
| MA | 2026147 | 05 | |
| MA | HARVARD PILGRIM | R230 | 01 |
| MA | TUFTS HEALTH PLAN | 029482 | 01 |
| MA | CIGNA | 1555154-003 | 01 |
| MA | BLUE CROSS | F19010 | 01 |
| MD | HEALTHSOURCE | 1555154-003 | 01 |
| Street Address |
133 BROOKLINE AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02215-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720084833 | Claire Tine Cronin | Surgery | 133 Brookline Ave, Boston, MA 02215-3904 | 2005-06-23 |
| 1750992921 | Jessica Yang | Clinical Nurse Specialist | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-08-12 |
| 1386266104 | Mhg Physician Services - California | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-05-14 |
| 1164051520 | Mhg Physician Services - Oregon LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-04-07 |
| 1629604889 | Jessica Lareau | Counselor | 133 Brookline Ave, Boston, MA 02215-3904 | 2020-03-19 |
| 1922651199 | Rachel Lang Caso | Social Worker | 133 Brookline Ave, Boston, MA 02215-3904 | 2019-07-17 |
| 1134698244 | Ewan D Mcnicol | Pharmacist | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-11-19 |
| 1518433531 | Mhg Physician Services - Massachusetts Pllc | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-10-17 |
| 1477038867 | Chantal C. Coughlin | Nurse Practitioner | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-10-01 |
| 1376027227 | Mhg Clinical Services LLC | General Practice | 133 Brookline Ave, Boston, MA 02215-3904 | 2018-09-17 |
| Find all providers in the same location | ||||
| 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 Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316351323 | Shahein Holmes Tajmir | Radiology | 55 Fruit St, Fnd 201, Boston, MA 02114-2621 | 2014-06-17 |
| 1508059296 | Katherine Anne Zukotynski | Radiology | 75 Francis St, Department of Radiology, Boston, MA 02115-6110 | 2007-08-25 |
| 1093805368 | Harriet J Paltiel | Radiology | 300 Longwood Ave, Boston, MA 02115-5724 | 2006-10-14 |
| 1700983467 | Samson Munn | Radiology | 800 Washington Street, Tufts Medical Center, Box 299, Boston, MA 02111-1552 | 2006-09-17 |
| 1063529089 | Judith F Katz | Radiology | 800 Washington St, Box 7105, Boston, MA 02111-1526 | 2006-08-24 |
| 1588690960 | Gul Moonis | Radiology | 330 Brookline Ave, Dept of Radiology, Neuroradiology, Wccb-90, Boston, MA 02215-5400 | 2006-06-25 |
| 1689651150 | S. Ted Treves | Radiology | 75 Francis St, Radiology, Brigham & Womens Hospital, Boston, MA 02115-6110 | 2005-12-27 |
| 1013907294 | Susan V Kattapuram | Radiology | 55 Fruit St, Radiological Associates Yaw 6, Boston, MA 02114-2696 | 2005-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114010196 | James Stevan Nagel | Radiology | Va Boston, 1400 Vfw Pkwy, 2c-126, West Roxbury, MA 06032-4927 | 2006-10-02 |
| 1952324006 | Imaging Associates, Inc. | Radiology | 270 Centre St, Unit B, Holbrook, MA 02343-1073 | 2006-07-26 |
| 1487909412 | Liran Domachevsky | Radiology | 375 Boylston St, Brookline, MA 02445-6007 | 2012-07-16 |
| 1417157595 | Sturdy Radiology Associates, LLC | Radiology | 211 Park Street, Attleboro, MA 02703-3143 | 2007-07-18 |
| 1609991439 | Atrius Health, Inc. | Radiology | 51 Performance Drive, Weymouth, MA 02189 | 2007-03-20 |
| 1518979913 | Edward Pinkus | Radiology | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2006-08-13 |
| 1144288515 | Lucia F Palmer | Radiology | 135 Gold Star Blvd, Worcester, MA 01606 | 2006-05-03 |
| 1538123971 | Kenneth B Miller | Radiology | 135 Gold Star Blvd, Worcester, MA 01606 | 2006-04-13 |
| 1972572329 | Abhijit Roychowdhury | Radiology | 100 South St, Southbridge, MA 01550-4051 | 2006-03-17 |
| 1578532917 | Mazzini Bueno | Radiology | 100 South St, Southbridge, MA 01550-4051 | 2006-03-17 |
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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.