PETER ANDREW BOURELL (NPI# 1487975124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1487975124 |
Entity Type | Individual |
Full Name | PETER ANDREW BOURELL |
Credential | M.D. |
Practice Address |
27 Park St Hyannis MA 02601-5203 |
Mailing Address |
Cape Cod Hospital 27 Park Street Hyannis MA 02601 |
Practice Telephone | 5088625050 |
Practice Fax Number | 5088627993 |
Mailing Telephone | 5088625050 |
Mailing Fax Number | 5088627993 |
Enumeration Date | 2010-06-17 |
Last Update Date | 2018-12-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 233978 | MA | Allopathic & Osteopathic Physicians |
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
233978 | MA | Allopathic & Osteopathic Physicians |
Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
233978 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | 1487975124 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
25 Main St, Hyannis, MA 026013129 | 5087781829 | 5087780113 |
Street Address |
27 PARK ST |
City | HYANNIS |
State | MA |
Zip Code | 02601-5203 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265430912 | Shannon J Scarry | Psychiatry & Neurology | 27 Park St, Hyannis, MA 02601-5230 | 2005-07-07 |
1659989374 | Joseph Medeiros | Pharmacist | 27 Park St, Hyannis, MA 02601-5230 | 2020-07-20 |
1962023093 | Al Fantasia | Respiratory Therapist, Registered | 27 Park St, Hyannis, MA 02601-5230 | 2020-04-29 |
1134753668 | Melanie Reynolds | Speech-Language Pathologist | 27 Park St, Hyannis, MA 02601-5230 | 2020-02-24 |
1245870815 | Jason T Wilhelm | Nurse Practitioner | 27 Park St, Hyannis, MA 02601-5203 | 2020-01-13 |
1306486089 | Brittany Chambers | Physician Assistant | 27 Park St, Hyannis, MA 02601-5203 | 2020-01-10 |
1871132779 | Kimberly Fussell | Radiology | 27 Park St, Hyannis, MA 02601-5230 | 2019-12-26 |
1104487719 | Alyssa Horvath | Student in an Organized Health Care Education/Training Program | 27 Park St, Hyannis, MA 02601-5203 | 2019-06-25 |
1881251601 | Sarah Barr Kuhn | Speech-Language Pathologist | 27 Park St, Hyannis, MA 02601-5203 | 2019-05-28 |
1225694615 | Leah Pacheco | Physician Assistant | 27 Park St, Hyannis, MA 02601-5230 | 2019-05-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356987606 | Teodora Veleva | Developmental Therapist | Kennedy Donovan Cape & Islands Early Intervention, 80 Pearl Street, Hyannis, MA 02601 | 2019-11-21 |
1184108912 | Erin Lee Rindfuss | Social Worker | 10 Independence Drive, Hyannis, MA 02601 | 2018-09-18 |
1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
1528597804 | Kaydian Karyl Roberts | Behavioral Analyst | 767 Independence Dr, Apt D101, Hyannis, MA 02601 | 2017-06-08 |
1801338801 | Catherine Ode | Counselor | 29 Bassett Lane, Family Continuity, Hyannis, MA 02601 | 2016-11-08 |
1558721191 | Harbor Health Services Inc | Clinic/Center | 735 Attucks Lane, Hyannis, MA 02601 | 2016-02-24 |
1285014928 | Genesis Rehab Services | Skilled Nursing Facility | 118 Wayland Road, Hyannis, MA 02601 | 2015-06-08 |
1164858742 | Ann Alexander Ms Rdn Lrd LLC | Dietitian, Registered | 500 Ocean St. #39, Hyannis, MA 02601 | 2013-09-16 |
1295089803 | Janis Sommers | Mechanotherapist | 677 West Main Street, Harwich, MA 02601 | 2012-11-05 |
1962797167 | Douglas Mason | Counselor | 889 West Main St., Hyannis, MA 02601 | 2011-06-15 |
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Taxonomy Code | 207RC0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Clinical Cardiac Electrophysiology |
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841398252 | Peter Laurence Friedman | Internal Medicine | 25 Main St, Hyannis, MA 02601-3129 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194992834 | Vassilios James Bezzerides | Internal Medicine | 300 Longwood Ave # Enders12, Boston, MA 02115-5724 | 2008-05-12 |
1306857081 | Christopher A Clyne | Internal Medicine | 365 Highland Avenue, Fall River, MA 02720-3703 | 2006-08-10 |
1417949041 | Kimberly Anise Powers | Internal Medicine | 8 Hawthorne Pl, Suite 110, Boston, MA 02114-2335 | 2005-08-19 |
1669097275 | Zain Sharif | Internal Medicine | 55 Fruit St, Boston, MA 02114 | 2020-06-09 |
1285110908 | Pierre Qian | Internal Medicine | 75 Francis St, Boston, MA 02115-6106 | 2018-07-16 |
1447764253 | Cardiovascular Center At Tufts Medical Center, Inc. | Internal Medicine | 800 Washington St, Boston, MA 02111-1552 | 2017-12-01 |
1659894012 | Aharon Erez | Internal Medicine | 736 Cambridge St, Brighton, MA 02135-2907 | 2017-07-18 |
1568983179 | Allon Eyal | Internal Medicine | 185 Pilgrim Rd # Baker4, Boston, MA 02215-5324 | 2017-07-05 |
1811349673 | Audrey Dionne | Internal Medicine | 300 Longwood Ave, Cardiology Departement, Boston, MA 02115-5724 | 2016-07-05 |
1083000616 | Saagar Mahida | Internal Medicine | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02446 | 2015-04-10 |
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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.