DR. ITAI MAX PASHTAN (NPI# 1346402682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346402682 |
| Entity Type | Individual |
| Full Name | DR. ITAI MAX PASHTAN |
| Credential | M.D. |
| Practice Address |
75 Francis St L2 Boston MA 02115-6110 |
| Practice Telephone | 6177326230 |
| Practice Fax Number | 6175826037 |
| Mailing Telephone | 6177326230 |
| Mailing Fax Number | 6175826037 |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2012-05-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
246073 | MA | Allopathic & Osteopathic Physicians |
| N | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION | 125054409 | 01 |
| Street Address |
75 FRANCIS ST L2 |
| City | BOSTON |
| State | MA |
| Zip Code | 02115-6110 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710980370 | Michael W Groff | Specialist | 75 Francis St, Neurosurgery, Boston, MA 02115-6110 | 2005-05-27 |
| 1841891405 | Judith Jordan Lauerman | Registered Nurse | 75 Francis St, Boston, MA 02115-6106 | 2020-11-02 |
| 1215535158 | Katherine Elizabeth Dubois | Social Worker | 75 Francis St, Boston, MA 02115-6106 | 2020-10-13 |
| 1720695935 | Kelly Casey | Nurse Practitioner | 75 Francis St, Boston, MA 02115-6110 | 2020-09-30 |
| 1104433556 | Laura Anne Murphy | Nuclear Medicine | 75 Francis St, Boston, MA 02115-6106 | 2020-09-29 |
| 1801402300 | Xiao Ou He | Radiology | 75 Francis St, Boston, MA 02115-6110 | 2020-09-20 |
| 1811503469 | Kelsey Killeen | Social Worker | 75 Francis St, Boston, MA 02115-6106 | 2020-09-18 |
| 1346855384 | Kendall Lenore Mehinagic | Physician Assistant | 75 Francis St, Boston, MA 02115-6110 | 2020-09-15 |
| 1689289027 | Rania El Fekih | Internal Medicine | 75 Francis St, Boston, MA 02115-6106 | 2020-09-12 |
| 1881206340 | Jean-francois Toupin | Radiology | 75 Francis St, Boston, MA 02115-6110 | 2020-08-17 |
| 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 | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528488269 | Erik Steven Anderson | Radiology | 330 Brookline Ave # Fnb-25, Boston, MA 02215-5491 | 2014-04-21 |
| 1295994978 | Jonathan Daniel Schoenfeld | Radiology | 450 Brookline Ave # Dal2-57, Department of Radiation Oncology, Boston, MA 02215-5418 | 2008-06-06 |
| 1922211655 | Kathryn E. Huber | Radiology | 800 Washington St # 359, Tufts Medical Center, Department of Radiation Oncology, Boston, MA 02111-1552 | 2007-05-08 |
| 1972674588 | Rinaa S Punglia | Radiology | 44 Binney St Dana Farber Cancer Institute, Ctr for Outcomes and Polic Research, Boston, MA 02115 | 2006-11-13 |
| 1467487900 | Elizabeth H Baldini | Radiology | 75 Francis Street Asb1l2, Brigham and Women's Hospital Radiation Oncology, Boston, MA 02115 | 2006-07-12 |
| 1790719458 | Irving David Kaplan | Radiology | Bidmc-radiation Therapy, 330 Brookline Avenue, Boston, MA 02215 | 2006-07-10 |
| 1306874169 | Annie Waifong Chan | Radiology | 100 Blossoms Street, Cox Ll Massachusetts General Hospital, Boston, MA 02114 | 2006-06-29 |
| 1902842966 | Yen-lin E Chen | Radiology | 100 Blossom Street Cox Ll, Boston, MA 02114 | 2006-06-20 |
| 1245277441 | Seth A Kaufman | Radiology | 750 Washington Street, Box 359, New England Medical Center, Boston, MA 02111 | 2006-05-31 |
| 1104877646 | Jay Harris | Radiology | 44 Binney Street Dana 1622, Dana Farber Cancer Institute Department of Radiation On, Boston, MA 02115 | 2006-05-12 |
| Find all providers in BOSTON | ||||
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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.