DR. REID THOMAS BOSWELL (NPI# 1265417646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265417646 |
Entity Type | Individual |
Full Name | DR. REID THOMAS BOSWELL |
Credential | M.D., M.P.H. |
Practice Address |
777 Concord Ave Suite 301 Cambridge MA 02138-1056 |
Practice Telephone | 6173540546 |
Practice Fax Number | 6178684497 |
Mailing Telephone | 6173540546 |
Mailing Fax Number | 6178684497 |
Enumeration Date | 2005-12-08 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
56077 | MA | Allopathic & Osteopathic Physicians |
Street Address |
777 CONCORD AVE SUITE 301 |
City | CAMBRIDGE |
State | MA |
Zip Code | 02138-1056 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942294855 | Joan Helene Mathews | Pediatrics | 777 Concord Ave, Ste 105, Cambridge, MA 02138-1056 | 2005-09-07 |
1487033288 | Herbert & Kong LLC | General Practice | 777 Concord Ave, Suite 104, Cambridge, MA 02138-1056 | 2015-05-26 |
1467891762 | Lydian Chiropractic LLC | Chiropractor | 777 Concord Ave, Suite 301, Cambridge, MA 02138-1056 | 2013-06-19 |
1679893697 | Susan Grace | Chiropractor | 777 Concord Ave, Ste 301, Cambridge, MA 02138-1053 | 2010-06-02 |
1487970059 | Veronika M Stock | Psychiatry & Neurology | 777 Concord Ave, Ste 106, Cambridge, MA 02138-1053 | 2010-04-08 |
1245560911 | Lisa A Santoro | Mechanotherapist | 777 Concord Ave, Cambridge, MA 02138-1056 | 2010-01-01 |
1134396344 | Lydia Heather Knutson | Chiropractor | 777 Concord Ave, Ste 301, Cambridge, MA 02138-1056 | 2008-05-15 |
1568640704 | M. Cristina Sorrentino Schmalisch | Social Worker | 777 Concord Ave, Suite 301, Cambridge, MA 02138-1056 | 2008-02-08 |
1801080551 | Kellianna Maya | Chiropractor | 777 Concord Ave, Ste 301, Cambridge, MA 02138-1053 | 2007-09-05 |
1275662207 | Vartan Ghugasian | Dentist | 777 Concord Ave, Suite 303, Cambridge, MA 02188 | 2007-03-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922618610 | Khushboo Vijay Bhatia | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Mount Auburn Hospi, 330 Mt. Auburn Street, Cambridge, MA 02138 | 2020-08-06 |
1780204156 | Ashna Grover | Student in an Organized Health Care Education/Training Program | 330 Mt Auburn Street Mount Auburn Hospital, Internal Medicine Residency Program, Cambridge, MA 02138 | 2020-04-25 |
1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
1295389765 | Yulia Levit | Technician/Technologist | 1208 Massachussets Av, Cambridge, MA 02138 | 2019-08-01 |
1720645393 | Chinmay Tusharkumar Jani | Student in an Organized Health Care Education/Training Program | Mount Auburn Hospital, 330 Mt Auburn Street, Cambridge, MA 02138 | 2019-05-20 |
1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
1659844868 | Aimee Hsieh | Social Worker | 525 Mount Auburn Street, Cambridge, MA 02138 | 2019-01-10 |
1043733389 | Armida Fruzzetti | Psychologist | 900 Concord Avenue, Cambridge, MA 02138 | 2017-07-19 |
1174984827 | Jenna Mezin Schmid | Psychologist | 75 Mt Auburn St 4 East, Harvard University Health Services, Cambridge, MA 02138 | 2016-03-09 |
1316313208 | Kelly Abbott | Optometrist | 12 Eliot St., Cambridge, MA 02138 | 2015-08-14 |
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Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437494473 | Healthstat On-site Clinic/varian- Newburyport | Preventive Medicine | 4 Stanley Tucker Dr, Newburyport, MA 01950-4039 | 2012-12-03 |
1780934349 | Healthstat Arkansas/pace Ind.- Cambridge | Preventive Medicine | 67 Faulkner St., North Billerica, MA 01862 | 2012-09-11 |
1033315114 | Manijeh Berenji | Preventive Medicine | 725 Albany St Ste 4b, Boston, MA 02118-3549 | 2007-06-25 |
1164630471 | James Robert Garb | Preventive Medicine | 11 Kingsbury Way, Yarmouth Port, MA 02675-1227 | 2007-05-18 |
1326162447 | Paul Anthony Keefe | Preventive Medicine | 29 Eaton Rd, Needham, MA 02492-3303 | 2007-03-16 |
1194894154 | Michael Erdil | Preventive Medicine | 5 Mount Royal Ave Ste 50, Marlborough, MA 01752-1921 | 2006-11-06 |
1497749618 | Sven Knudsen Ljaamo | Preventive Medicine | 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 | 2005-09-02 |
1073090692 | Greater Boston Wellness Primary Care PC | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2018-07-26 |
1942756192 | Patthrarawalai Phichalai | Preventive Medicine | 5 Middlesex Ave., Cambridge Health Alliance, Occupational Medicine Clinic, Somerville, MA 02145-1677 | 2016-08-28 |
1235514795 | Greater Boston Wellness Physicians | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2015-07-27 |
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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.