PAUL GLAZER, MD, LLC (NPI# 1619399961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619399961 |
Entity Type | Organization |
Organization Name | PAUL GLAZER, MD, LLC |
Other Organization Name | PAUL GLAZER, MD, PCC |
Practice Address |
330 Brookline Ave Boston MA 02215-5400 |
Mailing Address |
545 Hammond St Chestnut Hill MA 02467-1703 |
Practice Telephone | 6176672288 |
Practice Fax Number | 6176672233 |
Mailing Telephone | 6176672288 |
Mailing Fax Number | 6176672233 |
Enumeration Date | 2014-01-06 |
Last Update Date | 2014-06-17 |
Authorized Official Name | DR. PAUL ALLEN GLAZER (PRESIDENT) |
Authorized Official Telephone | 6176672288 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | PAUL GLAZER, MD, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 3157717 | 05 |
Other Name | Type Code |
---|---|
Paul Glazer, MD, PCC | Doing Business As Name - Organization |
Street Address |
330 BROOKLINE AVE |
City | BOSTON |
State | MA |
Zip Code | 02215-5400 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376541458 | Carolyn Zelop | Obstetrics & Gynecology | 330 Brookline Ave, Ks 306, Boston, MA 02215-5400 | 2005-07-12 |
1134735848 | Wassef Chanbour | Ophthalmology | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-09-17 |
1174139976 | Christopher Joseph Allen | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-09-17 |
1982218970 | Carleen E Cox | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-09-07 |
1245842319 | Emily Anne Keegan | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-08-20 |
1043822505 | Ann Korkidakis | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Kirstein 3, Boston, MA 02215-5400 | 2020-08-17 |
1023628468 | Bryar Hasenjaeger | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-31 |
1023627262 | Vikram Karnik | Psychiatry & Neurology | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-23 |
1386252682 | Nancy Littlehale | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-22 |
1356968598 | Jessica Catherine Okrant | Nurse Practitioner | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-07-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
1821695933 | Matthew John Needham | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Yamins 2nd Floor, Department of Anesthesia, Boston, MA 02215 | 2020-10-02 |
1114533866 | Cdg Back Bay LLC | Clinic/Center | 400 Commonwealth Ave 3rd Floor, Boston, MA 02215 | 2020-09-18 |
1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
1538783089 | Yutsz Cherng | Counselor | 870r Commonwealth Avenue, Boston, MA 02215 | 2020-06-01 |
1306495924 | Anthony Rosellini | Psychologist | 900 Commonwealth Avenue (east), 2nd Floor, Boston, MA 02215 | 2019-09-06 |
1427605278 | Liana Zucco | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Centre, Dept Anesthesia, 330 Brookline Ave, Ya-02q02, Boston, MA 02215 | 2019-08-26 |
1831759430 | Brian William Hayes | Radiology | 330 Brookline Avenue, Beth Israel Deaconess Medical Cen, Boston, MA 02215 | 2019-06-17 |
1396304358 | Elizabeth Hai Yen Du | Student in an Organized Health Care Education/Training Program | Beth Israel Deaconess Medical Center, Department of Rad, 330 Brookline Avenue, Boston, MA 02215 | 2019-06-12 |
1922665439 | Corey Shaphard Miller | Student in an Organized Health Care Education/Training Program | 300 Brookline Avenue, Bidmc, Dana 501, Boston, MA 02215 | 2019-05-21 |
Find all providers in zip 02215 |
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 |
---|---|---|---|---|
1225518848 | Leah Witkin | Orthopaedic Surgery | 55 Fruit St Ste 3800, Boston, MA 02114-2621 | 2018-08-14 |
1376657056 | James Cushing Bayley | Orthopaedic Surgery | 736 Cambridge St # Ccp-9, Bone and Joint Center, Boston, MA 02135-2907 | 2006-08-18 |
1841292414 | Frank X Pedlow Jr. | Orthopaedic Surgery | 30 Lancaster St, 2nd Floor, Boston, MA 02114-1704 | 2005-08-12 |
1275978538 | Matthew Joseph Sabatino | Orthopaedic Surgery | 150 S Huntington Ave, Boston, MA 02130-4817 | 2013-05-01 |
1417207762 | Harvey E Smith Md LLC | Orthopaedic Surgery | 125 Parker Hill Ave, Conv 4, Boston, MA 02120-2847 | 2012-09-13 |
1043578990 | Pablo Diaz-collado | Orthopaedic Surgery | 125 Parker Hill Avenue, Converse 4, Suite 1, Boston, MA 02120-2847 | 2012-04-29 |
1477810380 | Melvin Makhni | Orthopaedic Surgery | 75 Francis St, Boston, MA 02115 | 2012-04-16 |
1124348750 | Jason Bessey | Orthopaedic Surgery | 55 Fruit St, Yaw3a, Boston, MA 02114-2621 | 2010-06-05 |
1366641888 | Frederick L. Mansfield, M.d., P.C. | Orthopaedic Surgery | 0 Emerson Pl, Boston, MA 02114-2241 | 2007-07-14 |
1235125469 | Raymond Malcolm Smith | Orthopaedic Surgery | 55 Fruit St, Massachusetts General Hospital, Boston, MA 02114-2621 | 2005-09-22 |
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.