EUGENE ADIVOSO BACORRO (NPI# 1659530137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659530137 |
| Entity Type | Individual |
| Full Name | EUGENE ADIVOSO BACORRO |
| Credential | M.D. |
| Practice Address |
2100 Dorchester Ave Dorchester MA 02124-5615 |
| Practice Telephone | 6172964000 |
| Mailing Telephone | 6172964000 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2011-06-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
245971 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
2100 DORCHESTER AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02124-5615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965998 | Linda Aguiar | Nurse Practitioner | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 2020-09-02 |
| 1306459128 | Ahmed Elsabbagh | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-08-31 |
| 1184233777 | Joseph Sarhan | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-07-29 |
| 1972121879 | Ashley Alexander | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-07-08 |
| 1699393785 | Fnu Sameeullah | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-07-06 |
| 1508483033 | Chinonso Nduaguba | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 2020-06-30 |
| 1760009583 | Harumi Esther Tokashiki Molina | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-06-26 |
| 1174140172 | Dennis Dwan | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-06-25 |
| 1073139176 | Emeka Agudile | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-06-24 |
| 1801412077 | Zachary James Carroll | Physical Therapist | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1164041349 | American Arthritis & Rheumatology Associates Ma PC | Internal Medicine | 1351 Main St Ste 5, Brockton, MA 02301-7153 | 2020-04-08 |
| 1144757337 | Gertrud M. Rastalsky Md LLC | Internal Medicine | 822 Boylston St Ste 100, Chestnut Hill, MA 02467-2504 | 2017-05-18 |
| 1124405105 | Elizabeth T Curtis, Md | Internal Medicine | 867 Turnpike St, North Andover, MA 01845-6142 | 2015-04-29 |
| 1093109142 | Benjamin Patrick Persons | Internal Medicine | 725 Albany St Ste 7b, Boston, MA 02118 | 2015-03-26 |
| 1295145811 | Chio Yokose | Internal Medicine | 55 Fruit Street Bulfinch 165, Boston, MA 02114 | 2014-05-05 |
| 1487096996 | Dilpreet Kaur Singh | Internal Medicine | 3377 Main Street, Springfield, MA 01107-1111 | 2013-07-25 |
| 1346681038 | Linet Martirossian | Internal Medicine | 72 E Concord St Fl 5, Boston, MA 02118-2307 | 2013-07-10 |
| 1710112685 | Robert S Pinals | Internal Medicine | 18 Pickman Dr, Bedford, MA 01730-1005 | 2009-05-21 |
| 1982854154 | Noreen F. Bedini Ferrante | Internal Medicine | 1 Lyons St., Dedham Medical Associates, Inc., Dedham, MA 02026 | 2008-09-24 |
| 1518132059 | Barton L Wise | Internal Medicine | 720 Harrison Ave Ste 401, Boston, MA 02118-2371 | 2008-04-25 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02124 |
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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.