ERIC JASON BURKS (NPI# 1225000623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225000623 |
| Entity Type | Individual |
| Full Name | ERIC JASON BURKS |
| Credential | MD |
| Practice Address |
670 Albany Street Suite 304 Boston MA 02118-2646 |
| Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118 |
| Practice Telephone | 6174145314 |
| Practice Fax Number | 6174145315 |
| Mailing Telephone | 6174145405 |
| Mailing Fax Number | 6174146031 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2018-02-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZH0000X |
Pathology Specialization: Hematology |
223504 | MA | Allopathic & Osteopathic Physicians |
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
223504 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110076181A | 05 |
| Street Address |
670 ALBANY STREET SUITE 304 |
| City | BOSTON |
| State | MA |
| Zip Code | 02118-2646 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134782808 | Sacha Al Hassan | Student in an Organized Health Care Education/Training Program | 670 Albany Street, Room 637, Boston, MA 02118 | 2019-04-18 |
| 1194204776 | Pamela Dianne Bellamy | Social Worker | 670 Albany Street, 6th Fl, Boston, MA 02118 | 2018-08-14 |
| 1639599665 | Julie Y. Li | Pathology | 670 Albany Street, Suite 304, Boston, MA 02118-2646 | 2014-04-17 |
| 1366861064 | Sara Higgins | Pathology | 670 Albany Street, Suite 304, Boston, MA 02118 | 2014-04-09 |
| 1922426428 | Zhichun Lu | Pathology | 670 Albany Street, Suite 304, Boston, MA 02118 | 2014-04-01 |
| 1053744680 | Osman H. Yilmaz | Pathology | 670 Albany Street, Suite 304, Boston, MA 02118 | 2013-08-19 |
| 1215371943 | Reggie Rashad Thomasson | Pathology | 670 Albany Street, Suite 304, Boston, MA 02118 | 2013-04-24 |
| 1982991667 | Mohanad Shaar | Pathology | 670 Albany Street, Suite 307, Boston, MA 02118 | 2011-07-01 |
| 1487736468 | Daniel G Remick | Pathology | 670 Albany Street, Floor 3, Room 310, Boston, MA 02118-2646 | 2006-10-19 |
| 1437165958 | Joel M Henderson | Pathology | 670 Albany Street, Suite 304, Boston, MA 02118-2518 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870023 | Carlos E Salazar | Counselor | Hcrc 23 Bradston St., Boston, MA 02118 | 2020-10-27 |
| 1780292607 | Jinal Gandhi | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 | 2020-07-16 |
| 1669094777 | German Eduardo Velez | Student in an Organized Health Care Education/Training Program | One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 | 2020-05-12 |
| 1255969895 | Isabela Medeiros Heringer Pereira | Student in an Organized Health Care Education/Training Program | 670 Albany Stree, 4th Floor, Boston, MA 02118 | 2020-03-30 |
| 1033746466 | Karan Sunil Hingorani | Student in an Organized Health Care Education/Training Program | Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 | 2020-03-25 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1538707401 | Jane Margolis | Social Worker | 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 | 2019-12-11 |
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1750939583 | Qasim Silman Ajmi | Orthopaedic Surgery | Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 | 2019-08-26 |
| 1922655539 | Jami Ryan Pollard | Physician Assistant | 840 Harrison Avenue, Menino Building, Boston, MA 02118 | 2019-08-20 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194219261 | Alicia Gabrielle Dessain | Pathology | Tufts Medical Center - Pathology Department, 800 Washington St, Boston, MA 02111 | 2018-06-21 |
| 1043748395 | Hanqiao Zheng | Pathology | 670 Albany St Ste 4, Boston, MA 02118 | 2017-05-31 |
| 1245688977 | Seyed Amin Hojat | Pathology | 800 Washington St., Box 115, Boston, MA 02111 | 2016-06-03 |
| 1578976817 | Madhu Ouseph | Pathology | 75 Francis St # 360h, Boston, MA 02115 | 2014-06-04 |
| 1578975124 | Saja Asakrah | Pathology | 330 Brookline Ave Fl 2, Boston, MA 02215-5400 | 2014-05-29 |
| 1598028409 | Austin G Turner | Pathology | 800 Washington St # 836, Boston, MA 02111-1552 | 2012-06-18 |
| 1104115559 | Anita Deshpande | Pathology | 1 Boston Medical Ctr Pl # Place3, Boston, MA 02118-2908 | 2011-04-06 |
| 1801050026 | Earl J Kasdon | Pathology | Office of The Chief Medical Examiner, 720 Albany Street, Boston, MA 02118 | 2008-07-16 |
| 1487839551 | Mariana Alexandra Stoleru | Pathology | 750 Washington St. Nemc#802, Boston, MA 02111-1526 | 2008-01-08 |
| 1558482612 | Thomas H Aretz | Pathology | Mass General Hosp-pathology, 55 Fruit St, Boston, MA 02114 | 2007-04-03 |
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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.