LAURA MARIE BEVILACQUA


Address: 300 Longwood Ave, Boston, MA 02115-5724
Phone: 6173556793

LAURA MARIE BEVILACQUA (NPI# 1700875507) 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) 1700875507
Entity Type Individual
Full Name LAURA MARIE BEVILACQUA
Credential MD
Practice Address 300 Longwood Ave
Boston
MA 02115-5724
Mailing Address Po Box 9135
Att:sharon Silva
Brookline
MA 02446-9135
Practice Telephone 6173556793
Mailing Telephone 6038904404
Enumeration Date 2005-10-14
Last Update Date 2020-09-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0001X Internal Medicine
Specialization: Clinical Cardiac Electrophysiology
155889 MA Allopathic & Osteopathic Physicians
N 208000000X Pediatrics 155889 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA NETWORK HEALTH 99487301 01
MA 3198235 05
MA UNITED HEALTHCARE MA 75-00451 01
NJ 8753709 05
NH 30201468 05
MA HMO BLUE J21189 01
CT 003136000 05
NY 2357326 05
RI LB45398 05
MA BCBS MA J21189 01
MA HARVARD PILGRIM AA9205 01

Other Providers LAURA BEVILACQUA

NPI Name Taxonomy Address Enumeration
1295273019 Laura Bevilacqua Marriage & Family Therapist 160 Guthrie Ln # B, Suite 1, Brentwood, CA 94513-4059 2017-02-01
1780945808 Laura Bevilacqua Psychiatry & Neurology 1 Gustave L Levy Pl, Box 1230, New York, NY 10029-6504 2012-06-05

Office Location

Street Address 300 LONGWOOD AVE
City BOSTON
State MA
Zip Code 02115-5724

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588667539 Barry Grant Zallen Pediatrics 300 Longwood Ave, Children's Hospital, Au 105, Boston, MA 02115-5724 2005-05-23
1730780669 Hannah Fraser Registered Nurse 300 Longwood Ave, Boston, MA 02115-5724 2020-11-06
1164023776 Hannah Brewer Social Worker 300 Longwood Ave, Boston, MA 02115-5724 2020-11-02
1104423680 Justin Matthias Hintze Otolaryngology 300 Longwood Ave, Boston, MA 02115-5724 2020-10-07
1295340388 Kathryn Theresa Moffa Psychologist 300 Longwood Ave, Boston, MA 02115-5724 2020-09-15
1144835224 Abby Elizabeth Bandi Social Worker 300 Longwood Ave, Boston, MA 02115-5724 2020-09-15
1558976845 Hilary Segar Garber Nurse Practitioner 300 Longwood Ave, Boston, MA 02115-5724 2020-09-13
1063026003 Lauren M Dilullo Psychologist 300 Longwood Ave, Boston, MA 02115-5724 2020-09-08
1013521004 Carl Britto Student in an Organized Health Care Education/Training Program 300 Longwood Ave, Boston, MA 02115-5737 2020-09-07
1760096887 Rebecca Marie Leslie Nurse Practitioner 300 Longwood Ave, Boston, MA 02115-5724 2020-09-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013524339 Jacqueline Busa Student in an Organized Health Care Education/Training Program Northeastern University 336 Huntington Ave, Boston, MA 02115 2020-09-30
1417564279 Katherine Rose Brainard Student in an Organized Health Care Education/Training Program 336 Huntington Avenue, Boston, MA 02115 2020-09-25
1679189112 Tara Baxter Orthopaedic Surgery Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 2020-09-21
1053923110 Wendy Tu Student in an Organized Health Care Education/Training Program 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 2020-08-20
1477177335 Nicolas Wyvekens Student in an Organized Health Care Education/Training Program 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 2020-06-05
1669095923 Erin Crocker Student in an Organized Health Care Education/Training Program Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 2020-05-21
1033732417 Tyler Francis Hayes Student in an Organized Health Care Education/Training Program Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 2020-05-20
1982225090 Emily Blake Student in an Organized Health Care Education/Training Program 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 2020-04-29
1891315495 Stephanie Schoch Student in an Organized Health Care Education/Training Program 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 2020-04-23
1427678093 Meghan Miles Student in an Organized Health Care Education/Training Program 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 2020-04-23
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194992834 Vassilios James Bezzerides Internal Medicine 300 Longwood Ave # Enders12, Boston, MA 02115-5724 2008-05-12
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
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
1285059170 Mina Ghobrial Internal Medicine 72 E Concord St, Boston, MA 02118-2642 2014-02-28
1285977082 Edward T O'leary Internal Medicine 300 Longwood Ave, Boston, MA 02115-5724 2013-03-29
Find all providers in BOSTON

Competitor

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City BOSTON
Zip Code 02115

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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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