SIDNEY BORUM JR. HEALTH CENTER (NPI# 1306991088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306991088 |
| Entity Type | Organization |
| Organization Name | SIDNEY BORUM JR. HEALTH CENTER |
| Practice Address |
130 Boylston St Boston MA 02116-4608 |
| Practice Telephone | 6174578140 |
| Practice Fax Number | 6174578141 |
| Mailing Telephone | 6174578140 |
| Mailing Fax Number | 6174578141 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KARLA HOXHA BROWN (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 6174578140 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
250429 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | STATE LICENSE | 250429 | 01 |
| Street Address |
130 BOYLSTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-4608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447485107 | Holly Burris Fontenot | Nurse Practitioner | 130 Boylston St, Sidney Borum Health Center, Boston, MA 02116-4608 | 2009-05-26 |
| 1639328719 | John Matthew Bresnihan | Social Worker | 130 Boylston St, Boston, MA 02216-0001 | 2008-09-15 |
| 1316195985 | Rebecca Henderson | Social Worker | 130 Boylston St, Boston, MA 02116-4608 | 2008-09-08 |
| 1720250194 | Kristy Ann Hardy | Counselor | 130 Boylston St, Boston, MA 02116-4608 | 2008-03-26 |
| 1376713446 | Rachel Allyn Oppenheimer | Counselor | 130 Boylston St, Boston, MA 02116-4608 | 2008-03-05 |
| 1124202106 | Elizabeth-ann Michelle Witkowski | Registered Nurse | 130 Boylston St, Boston, MA 02116-4608 | 2007-12-26 |
| 1891833364 | Elizabeth K Geisel | Social Worker | 130 Boylston St, Boston, MA 02116-4608 | 2007-02-04 |
| 1447306279 | Karin M Burke-lewis | Social Worker | 130 Boylston St, Boston, MA 02116-4608 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
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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.