MICHAEL ANDRE HARRELL JR.


Address: 85 E Concord St Fl 8, Boston, MA 02118-2335
Phone: 6178173279

MICHAEL ANDRE HARRELL JR. (NPI# 1689092660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689092660
Entity Type Individual
Full Name MICHAEL ANDRE HARRELL JR.
Credential MD
Practice Address 85 E Concord St Fl 8
Boston
MA 02118-2335
Mailing Address 237 Dudley St Apt 2
Roxbury
MA 02119-2555
Practice Telephone 6178173279
Mailing Telephone 6178173279
Enumeration Date 2014-04-07
Last Update Date 2019-12-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 260239 MA Allopathic & Osteopathic Physicians
N 171000000X Military Health Care Provider 0101259144 VA Other Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3475 Senn Rd Rm 181, San Diego, CA 921360002 6195565191
55 Lake Ave N, Worcester, MA 016550002 5083341000

Other Providers MICHAEL HARRELL

NPI Name Taxonomy Address Enumeration
1093884892 Michael A. Harrell Psychologist 336 Grove Ave, Suite B, Winter Park, FL 32789-3602 2006-11-07
1528531878 Michael William Harrell Physical Therapy Assistant 1901 W Screven St, Quitman, GA 31643-3913 2019-01-09
1326467267 Michael Harrell Pathology Msc 07 4040, 1 University of New Mexico, Albuquerque, NM 87131-0001 2014-04-08

Office Location

Street Address 85 E CONCORD ST FL 8
City BOSTON
State MA
Zip Code 02118-2335

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902302581 Nina Sheppard Boal Student in an Organized Health Care Education/Training Program 85 E Concord St Fl 8, Boston, MA 02118 2018-04-03
1710481080 Nedda Sanayei Internal Medicine 85 E Concord St Fl 8, Boston, MA 02118 2018-03-21
1639533888 Joshua Agranat Student in an Organized Health Care Education/Training Program 85 E Concord St Fl 8, Boston, MA 02118-2335 2016-04-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649870023 Carlos E Salazar Counselor Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1780292607 Jinal Gandhi Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 2020-07-16
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1255969895 Isabela Medeiros Heringer Pereira Student in an Organized Health Care Education/Training Program 670 Albany Stree, 4th Floor, Boston, MA 02118 2020-03-30
1033746466 Karan Sunil Hingorani Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 2020-03-25
1326672791 Azza Ahmed Dentist 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1538707401 Jane Margolis Social Worker 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
1871134833 Supontep Teerakanok Dentist Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 2019-10-01
1750939583 Qasim Silman Ajmi Orthopaedic Surgery Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 2019-08-26
1922655539 Jami Ryan Pollard Physician Assistant 840 Harrison Avenue, Menino Building, Boston, MA 02118 2019-08-20
Find all providers in zip 02118

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114436151 Mohammad-hossein Mohammad-shahi Ophthalmology 330 Brookline Ave # Cc522, Boston, MA 02215-5400 2017-09-21
1306360912 Mary-magdalene Dodd Ophthalmology 300 Longwood Ave # 4, Boston, MA 02115-5724 2017-07-26
1518346014 Dean Loporchio Ophthalmology 850 Harrison Ave Fl 3, Boston, MA 02118 2015-05-29
1861888539 Lauren W Bierman Ophthalmology 800 Washington St Ste 450, Boston, MA 02111-1552 2015-04-09
1275953275 Jay Sheth Ophthalmology 1 Joslin Pl, Joslin Diabetes Center, Beetham Eye Institute, Boston, MA 02215 2014-04-17
1457581894 Tarek A Shazly Ophthalmology Massachusetts Eye & Ear Infirmary, 243 Charles Street, Boston, MA 02114 2009-07-20
1194952648 Helen H Yeung Ophthalmology 2 Longfellow Pl Ste 201, Boston, MA 02114-2437 2009-06-11
1467632315 Clement L Trempe Md PC Ophthalmology 930 Commonwealth Ave New England Eye Institute, Suite 2, Boston, MA 02215 2007-11-08
1447451745 Theodoros Filippopoulos Ophthalmology Meei, 243 Charles Street, Ophthal, Boston, MA 02114 2007-05-31
1164549796 Catharina Latz Ophthalmology 132 W Concord St # 1, Boston, MA 02118-1508 2007-03-26
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02118

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Dataset Information

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.

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