DR. AGNIESZKA KOWALCZYK (NPI# 1205243078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205243078 |
| Entity Type | Individual |
| Full Name | DR. AGNIESZKA KOWALCZYK |
| Practice Address |
319 Longwood Ave Boston MA 02115-5728 |
| Practice Telephone | 6173553501 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2017-08-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 125065742 | IL | Allopathic & Osteopathic Physicians |
| Y | 2080S0010X |
Pediatrics Specialization: Sports Medicine |
270843 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
319 LONGWOOD AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-5728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040080 | Gary P Kearney | Urology | 319 Longwood Ave, Boston, MA 02115-5728 | 2005-08-12 |
| 1124518329 | Brianna Quintiliani | Physician Assistant | 319 Longwood Ave, Boston, MA 02115 | 2018-05-14 |
| 1831687300 | Kevin Walter Wenner | Physician Assistant | 319 Longwood Ave, Boston, MA 02115-5728 | 2018-04-30 |
| 1740723139 | Shannon Savage | Physician Assistant | 319 Longwood Ave, Boston, MA 02115-5728 | 2016-12-02 |
| 1336591023 | Meghan Leigh Keating | Physician Assistant | 319 Longwood Ave, Floor Six, Boston, MA 02115-5728 | 2016-07-06 |
| 1528418001 | Mary Mihovan | Nurse Practitioner | 319 Longwood Ave, Boston, MA 02115-5728 | 2016-06-15 |
| 1386014173 | Jacqueline Hastings | Nurse Practitioner | 319 Longwood Ave, 6th Floor Sports Medicine, Boston, MA 02115-5728 | 2015-10-06 |
| 1093121055 | Emily Hanson | Specialist/Technologist | 319 Longwood Ave, Boston, MA 02115-5728 | 2014-07-10 |
| 1053743245 | Rachel Stephanie Shade | Psychologist | 319 Longwood Ave, Boston, MA 02115-5728 | 2013-07-30 |
| 1013261775 | Lua Associates PC | Urology | 319 Longwood Ave, Boston, MA 02115-5728 | 2012-11-02 |
| Find all providers in the same location | ||||
| 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 | 2080S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Sports Medicine |
| A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063998896 | Kristen Maria Lambrinakos-raymond | Pediatrics | 300 Longwood Ave, Division of Sports Medicine, Boston, MA 02115-5724 | 2018-07-15 |
| 1881047983 | Hugo Paquin | Pediatrics | 300 Longwood Ave, Division of Sports Medicine, Boston, MA 02115-5724 | 2016-07-13 |
| 1912391152 | Jacob Jones | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2015-03-25 |
| 1467870097 | Kristin Whitney | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-04-01 |
Please comment or provide details below to improve the information on DR. AGNIESZKA KOWALCZYK.
| 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.