DR. COREY N SIDES (NPI# 1528072519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528072519 |
| Entity Type | Individual |
| Full Name | DR. COREY N SIDES |
| Credential | MD |
| Practice Address |
125 Parker Hill Ave Boston MA 02120-2847 |
| Practice Telephone | 6177546687 |
| Practice Fax Number | 6177546092 |
| Mailing Telephone | 6177546687 |
| Mailing Fax Number | 6177546092 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0700X |
Radiology Specialization: Neuroradiology |
14902 | NH | Allopathic & Osteopathic Physicians |
| Street Address |
125 PARKER HILL AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02120-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649896382 | Stephan C Bruni | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2020-06-18 |
| 1326675315 | Pdc Spine PC | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2020-03-27 |
| 1558911248 | Sara Flynn Gosselin | Pharmacist | 125 Parker Hill Ave, Boston, MA 02120 | 2019-09-16 |
| 1104486133 | Amanda Thomas | Pharmacist | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2019-06-20 |
| 1376021758 | Dawn Kalloch Murphy | Social Worker | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-30 |
| 1962980342 | Carla Susan Hill | Social Worker | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-30 |
| 1629555784 | Katherine Rose Bellanti | Registered Nurse | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-23 |
| 1184100802 | Ajb Orthopedics, Pllc | Orthopaedic Surgery | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-07-16 |
| 1346758380 | Michelle Anne Doherty | Nurse Practitioner | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2018-01-11 |
| 1508370974 | Ashley Margaret Wolusky | Nurse Practitioner | 125 Parker Hill Ave, Boston, MA 02120-2847 | 2017-11-21 |
| 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 | 2085N0700X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Neuroradiology |
| A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children. |
| 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 Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
| 1417475708 | Mohamad Faisal Assayuri | Radiology | 820 Harrison Ave, Fgh Building, Boston, MA 02118 | 2017-09-06 |
| 1518245117 | Reema Chaudhary | Radiology | 330 Brookline Ave # Wccb90, Boston, MA 02215-5400 | 2011-07-30 |
| 1932330305 | Susmitha Marri Reddy | Radiology | Bmc, One Boston Medical Center Place, Boston, MA 02218 | 2009-08-04 |
| 1194835264 | Alma Gregory Sorensen | Radiology | Neuroradiology, 55 Fruit Street Grb 2, Boston, MA 02114-2696 | 2006-08-30 |
| 1720047491 | Joshua Adam Hirsch | Radiology | 50 Fruit St, Gray 241, Boston, MA 02114-2620 | 2006-03-21 |
| 1215927447 | Sandra P Rincon | Radiology | 55 Fruit Street Grj 2, Neuroradiology, Boston, MA 02114-2696 | 2005-10-27 |
| 1326049727 | Daniel D. Do-dai | Radiology | 800 Washington St # 299, Tufts Medical Center - Department of Radiology, Boston, MA 02111-1552 | 2005-08-09 |
| 1164038212 | Joya Kamel Hadchiti | Radiology | One Boston Medical Center Pl, Boston, MA 02118 | 2020-09-23 |
| 1023636149 | Yasuaki Inoue | Radiology | 75 Francis St, Boston, MA 02115-6110 | 2020-07-07 |
| 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.