BRIAN KWON (NPI# 1306848890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306848890 |
| Entity Type | Individual |
| Full Name | BRIAN KWON |
| Credential | M.D. |
| Practice Address |
125 Parker Hill Ave Converse 4 Roxbury Crossing MA 02120-2847 |
| Mailing Address |
Po Box 86 Hingham MA 02043-0086 |
| Practice Telephone | 6177546586 |
| Practice Fax Number | 6177546482 |
| Mailing Telephone | 7817499071 |
| Mailing Fax Number | 7817492133 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2009-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
216761 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2075733 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114495363 | Brian Kwon | Acupuncturist | 1531 121st Ave Se, Bellevue, WA 98005-3841 | 2018-11-06 |
| 1518069335 | Brian O Kwon | Chiropractor | 520 S La Fayette Park Pl Ste 106, Los Angeles, CA 90057-5402 | 2006-09-02 |
| 1699384909 | Brian C Kwon | Dentist | 2014 Sandy Dr, State College, PA 16803-2515 | 2020-07-23 |
| Street Address |
125 PARKER HILL AVE CONVERSE 4 |
| City | ROXBURY CROSSING |
| State | MA |
| Zip Code | 02120-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579205 | Lisa A Ferzoco | Family Medicine | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2005-06-28 |
| 1679941314 | Valerie L Robertson | Nurse Practitioner | 125 Parker Hill Ave, Suite 404, Roxbury Crossing, MA 02120-2847 | 2015-09-11 |
| 1023416781 | Codey Gillum | Physician Assistant | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2014-12-11 |
| 1356621379 | Heather Lynn Montalto | Nurse Practitioner | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2011-08-22 |
| 1083914980 | Frank F Rand Md | Orthopaedic Surgery | 125 Parker Hill Ave, Converse 4, Roxbury Crossing, MA 02120-2847 | 2010-10-25 |
| 1639409477 | Haki Laho | Hospitalist | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2009-12-29 |
| 1720218951 | Kathryn Blum | Nurse Practitioner | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2009-07-22 |
| 1730349135 | Barbara Alma Klemm | Nurse Practitioner | 125 Parker Hill Ave, Suite 502 Fogg, Roxbury Crossing, MA 02120-2847 | 2008-06-10 |
| 1902070568 | Douglas Patch Md PC | Orthopaedic Surgery | 125 Parker Hill Ave, Suite 580, Roxbury Crossing, MA 02120-2847 | 2008-04-15 |
| 1770752487 | Marilyn Maguire | Nurse Practitioner | 125 Parker Hill Ave, Roxbury Crossing, MA 02120-2847 | 2008-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244735 | Alicia Hoffman | Occupational Therapist | 71 Alleghany Street, Boston, MA 02120 | 2020-01-22 |
| 1376193110 | Katherine Wiley | Student in an Organized Health Care Education/Training Program | 71 Allegheny Street, Boston, MA 02120 | 2019-09-13 |
| 1073171971 | Kyana Figueroa | Community/Behavioral Health | 4 Sussex St, Roxbury, MA 02120 | 2019-06-05 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1811424005 | Christopher Lim | Student in an Organized Health Care Education/Training Program | 1620 Tremont St, One Brigham Circle, Radiology Administration, Boston, MA 02120 | 2017-05-18 |
| 1609328178 | Nikhil A Sangave | Pharmacist | 1290 Tremont St Fl 3, Boston, MA 02120 | 2016-10-31 |
| 1417232968 | Hrc Corp Inc | Pharmacy | 201 Humboldt Avenue, Dorchester, MA 02120 | 2011-10-17 |
| 1689957722 | Hrd Corp, Inc | Pharmacy | 201 Humboldt Ave, Dorchester, MA 02120 | 2011-09-26 |
| 1841580453 | Alessandro Villa | Dentist | 1620 Tremont Street, Suite Bc-3-028, Division of Oral Medicine & Dentistry Bwh, Boston, MA 02120 | 2011-04-15 |
| 1043446859 | Sara King | Internal Medicine | 1290 Tremont Street, Boston, MA 02120 | 2009-06-08 |
| Find all providers in zip 02120 | ||||
| Taxonomy Code | 207XS0117X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Surgery of the Spine |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619936341 | Frank F Rand | Orthopaedic Surgery | 125 Parker Hill Ave, Converse 5, Roxbury Crossing, MA 02120-2847 | 2006-03-21 |
| 1932197571 | David H Kim, Md PC | Orthopaedic Surgery | 125 Parker Hill Ave, Converse 4, Roxbury Crossing, MA 02120-2847 | 2005-10-07 |
| 1679561245 | Scott G. Tromanhauser, Md PC | Orthopaedic Surgery | 125 Parker Hill Ave, Converse 4, Roxbury Crossing, MA 02120-2847 | 2005-10-07 |
| 1558359190 | Brian Kwon, Md PC | Orthopaedic Surgery | 125 Parker Hill Ave, Converse 4, Roxbury Crossing, MA 02120-2847 | 2005-10-07 |
| 1902893431 | Louis G. Jenis, Md PC | Orthopaedic Surgery | 125 Parker Hill Ave, Converse 4, Roxbury Crossing, MA 02120-2847 | 2005-09-30 |
| 1700872413 | Robert Banco, Md PC | Orthopaedic Surgery | 125 Parker Hill Ave, Converse 4, Roxbury Crossing, MA 02120-2847 | 2005-09-27 |
| 1356343032 | David H Kim | Orthopaedic Surgery | 125 Parker Hill Ave, Converse 4, Roxbury Crossing, MA 02120-2847 | 2005-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225518848 | Leah Witkin | Orthopaedic Surgery | 55 Fruit St Ste 3800, Boston, MA 02114-2621 | 2018-08-14 |
| 1104195981 | Kshitij Chaudhary | Orthopaedic Surgery | 44 Washigton Street #217, Brookline, MA 02445 | 2011-12-22 |
| 1376657056 | James Cushing Bayley | Orthopaedic Surgery | 736 Cambridge St # Ccp-9, Bone and Joint Center, Boston, MA 02135-2907 | 2006-08-18 |
| 1558316166 | Boston Spine Group, LLC. | Orthopaedic Surgery | 299 Washington Street, Newton, MA 02458-1612 | 2006-05-23 |
| 1841292414 | Frank X Pedlow Jr. | Orthopaedic Surgery | 30 Lancaster St, 2nd Floor, Boston, MA 02114-1704 | 2005-08-12 |
| 1285636993 | Louis G Jenis | Orthopaedic Surgery | 299 Washington St, Newton, MA 02458-1612 | 2005-08-12 |
| 1619507043 | Boston Orthopaedic & Spine LLC | Orthopaedic Surgery | 20 Guest St Ste 225, Brighton, MA 02135-2065 | 2020-01-24 |
| 1679132070 | Boston Orthopedic Spine Care Inc | Orthopaedic Surgery | 822 Boylston St, Chestnut Hill, MA 02467-2595 | 2019-06-10 |
| 1962889295 | Robert J. Banco, Md, PC | Orthopaedic Surgery | 25 Washington St, Unit # 1-b, Wellesley, MA 02481-1752 | 2015-05-06 |
| 1619399961 | Paul Glazer, Md, LLC | Orthopaedic Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2014-01-06 |
| Find all providers with the same taxonomy | ||||
| City | ROXBURY CROSSING |
| Zip Code | 02120 |
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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.