BROOKLINE EAR NOSE & THROAT, P.C. (NPI# 1730134982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730134982 |
Entity Type | Organization |
Organization Name | BROOKLINE EAR NOSE & THROAT, P.C. |
Practice Address |
1 Brookline Pl Suite 401 Brookline MA 02445-7224 |
Practice Telephone | 6177358855 |
Practice Fax Number | 6177358864 |
Mailing Telephone | 6177358855 |
Mailing Fax Number | 6177358864 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. BRUCE H SUZUKI (SECRETARY) |
Authorized Official Telephone | 6177358855 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BLUE SHIELD | M14551 | 01 |
MA | TUFTS | 706243 | 01 |
Street Address |
1 BROOKLINE PL SUITE 401 |
City | BROOKLINE |
State | MA |
Zip Code | 02445-7224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114925211 | Thomas D Shipp | Obstetrics & Gynecology | 1 Brookline Pl, Suite 506, Brookline, MA 02445-7224 | 2005-07-12 |
1477928125 | Bmfm LLC | Obstetrics & Gynecology | 1 Brookline Pl, Suite 301, Brookline, MA 02445-7224 | 2015-12-07 |
1912396870 | Leonard B Miller Md PC | Specialist | 1 Brookline Pl, Suite 427, Brookline, MA 02445-7224 | 2015-01-15 |
1346641503 | Frank Twarog Md Phd and Curtis Moody Md LLP | Allergy & Immunology | 1 Brookline Pl, Ste 424, Brookline, MA 02445-7224 | 2014-09-08 |
1700213253 | Lauren M Boccuzzi | Nurse Practitioner | 1 Brookline Pl, Suite 327, Brookline, MA 02445-7224 | 2013-09-30 |
1891034492 | Boston Maternal-fetal Medicine, LLC | Clinic/Center | 1 Brookline Pl, Suite 301, Brookline, MA 02445-7224 | 2013-02-04 |
1346588456 | Jacqueline Faye Croopnick, LLC | Obstetrics & Gynecology | 1 Brookline Pl, Suite 423, Brookline, MA 02445-7224 | 2013-01-24 |
1518205632 | Lafornara Inc | Obstetrics & Gynecology | 1 Brookline Pl, Suite 423, Brookline, MA 02445-7224 | 2013-01-24 |
1225383755 | Margaret Mirch Dyer | Nurse Practitioner | 1 Brookline Pl, Suite 327, Brookline, MA 02445 | 2012-07-20 |
1730455494 | Renee Rotman | Nurse Practitioner | 1 Brookline Pl, Suite 305, Brookline, MA 02445-7224 | 2012-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
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Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427157296 | Longwood Otolaryngology | Otolaryngology | 1223 Beacon St, Brookline, MA 02446-5302 | 2006-09-21 |
1760497226 | Edwin Ishoo | Otolaryngology | One Brookline Place, Suite 321, Brookline, MA 02445 | 2006-07-30 |
1730128729 | Douglas W Bell | Otolaryngology | 1 Brookline Pl, # S-401, Brookline, MA 02445-7224 | 2006-06-05 |
1518913151 | Bruce H Suzuki | Otolaryngology | 1 Brookline Pl, Suite 401, Brookline, MA 02445-7224 | 2006-05-25 |
1427036854 | Laura Ann Goguen | Otolaryngology | 111 Cypress St, Brookline, MA 02445-6002 | 2006-01-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215497938 | Emily Gall | Otolaryngology | 860 Washington St Fl 1, Boston, MA 02111-1521 | 2019-03-20 |
1538628789 | Pratima Agarwal | Otolaryngology | 800 Harrison Avenue, Bcd 5th Floor, Boston, MA 02118 | 2019-03-18 |
1669945887 | Meea-cape Cod Pho LLC | Otolaryngology | 5 Industrial Dr Ste 201, Mashpee, MA 02649-3465 | 2019-01-10 |
1184118564 | Massachusetts Ent Consultants LLC | Otolaryngology | 100 Sylvan Rd Ste 750, Woburn, MA 01801-1852 | 2018-06-19 |
1497259212 | Michal Plocienniczak | Otolaryngology | 830 Harrison Ave Fl 1, Boston, MA 02118-2905 | 2018-03-19 |
1124479282 | Jordan Glicksman | Otolaryngology | 104 Endicott St Ste 100, Danvers, MA 01923-3623 | 2016-06-29 |
1396158507 | Erin Haser | Otolaryngology | 800 Washington St # 850, Department of Otolaryngology, Boston, MA 02111-1552 | 2014-06-05 |
1447675152 | Taleb Barghouthi | Otolaryngology | 300 Longwood Venue, Boston Children's Hospital, Boston, MA 02115 | 2014-03-04 |
1538507512 | Ameer Trilok Shah | Otolaryngology | 35 Pearl St Ste 200, Brockton, MA 02301 | 2013-06-12 |
1932442662 | Scott Finlay | Otolaryngology | 3 Meeting House Rd Ste 23and24, Chelmsford, MA 01824 | 2013-04-01 |
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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.