BETH ISRAEL DEACONESS MEDICAL CENTER (NPI# 1710125117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710125117 |
| Entity Type | Organization |
| Organization Name | BETH ISRAEL DEACONESS MEDICAL CENTER |
| Practice Address |
330 Brookline Ave Boston MA 02215-5400 |
| Mailing Address |
1368 Commonwealth Ave Apt 24 Allston MA 02134-3610 |
| Practice Telephone | 6176679600 |
| Enumeration Date | 2009-01-23 |
| Last Update Date | 2009-01-23 |
| Authorized Official Name | DR. EILEEN REYNOLDS (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 6176679600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 228158 | MA | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558726356 | Beth Israel Deaconess Medical Center | General Acute Care Hospital | 330 Brookline Ave Shapiro 9, Beth Israel Deaconess Medical Center, Boston, MA 02215 | 2015-12-21 |
| 1225496094 | Beth Israel Deaconess Medical Center | General Acute Care Hospital | 185 Pilgrim Rd, Boston, MA 02215-5324 | 2016-02-08 |
| 1003060955 | Beth Israel Deaconess Medical Center | Chronic Disease Hospital | 330 Brookline Ave, Boston, MA 02215-5400 | 2008-11-05 |
| 1902063563 | Beth Israel Deaconess Medical Center | General Acute Care Hospital | 400 Brookline Ave, Apartment 12d, Boston, MA 02215-5408 | 2008-05-21 |
| 1598922205 | Beth Israel Deaconess Medical Center | General Acute Care Hospital | 1 Deaconess Rd, Dea 307d, Boston, MA 02215-5321 | 2008-05-20 |
| 1205900354 | Beth Israel Deaconess Medical Center | Clinic/Center | 330 Brookline Ave, Healthcare Associates, Shapiro 6th Floor, Boston, MA 02215-5400 | 2006-11-20 |
| 1386739043 | Beth Israel Deaconess Medical Center | General Acute Care Hospital | 110 Francis St, Suite 2g, Boston, MA 02215-5501 | 2006-10-04 |
| 1447344437 | Beth Israel Deaconess Medical Center | Psychiatric Unit | 330 Brookline Ave, St-207, Boston, MA 02215-5400 | 2006-10-03 |
| 1689607707 | Beth Israel Deaconess Medical Center | General Acute Care Hospital | 110 Francis St, Suite 2g, Boston, MA 02215-5501 | 2006-07-09 |
| 1568493971 | Beth Israel Deaconess Medical Center | General Acute Care Hospital | 330 Brookline Ave, Ren 8, Boston, MA 02215-5400 | 2006-07-05 |
| 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 | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740721935 | Doris Kemp | General Acute Care Hospital | 47 Austin St, Boston, MA 02136-1532 | 2017-03-20 |
| 1922551969 | Tufts Medical Center | General Acute Care Hospital | 800 Washington Street, Box 836, Boston, MA 02111 | 2016-07-26 |
| 1558737460 | David John Murphy | General Acute Care Hospital | Brigham and Women's Hospital, 75 Francis St, Dept Cardiovascular Imaging, Boston, MA 02115 | 2015-08-14 |
| 1881078640 | Christina Marie Chingkoe | General Acute Care Hospital | 330 Brookline Ave # 408, Boston, MA 02215-5400 | 2015-07-11 |
| 1952734964 | Zeljko Duric | General Acute Care Hospital | 75 Francis Street Ca 219, Brigham and Women S Hospital, Division of Cardiac Surg, Boston, MA 02115 | 2013-08-13 |
| 1972881472 | Luciana Catanese | General Acute Care Hospital | 1 Boston Medical Ctr Pl # 124, Boston, MA 02118-2908 | 2011-08-01 |
| 1437485331 | Bijal Patel | General Acute Care Hospital | 1330 Boylston St, 502, Boston, MA 02215-4229 | 2009-10-27 |
| 1033342738 | Partners Healthcare | General Acute Care Hospital | 131 Dartmouth St, Partners Harvard Medical International 5th Floor, Boston, MA 02116-5134 | 2009-08-27 |
| 1871738385 | Ana Carolina Garza Avila | General Acute Care Hospital | 800 Washington St # 369, Boston, MA 02111-1552 | 2008-12-11 |
| 1588829444 | Boston Medical Center, Boston | General Acute Care Hospital | 820 Harrison Avenue, Fgh Building, Department of Radiology, Boston, MA 02118 | 2008-07-21 |
| 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.