DR. JAMES MICHAEL BONANNO (NPI# 1760461115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760461115 |
| Entity Type | Individual |
| Full Name | DR. JAMES MICHAEL BONANNO |
| Credential | MD |
| Practice Address |
142 Berkeley St Boston MA 02116-5100 |
| Practice Telephone | 6172670900 |
| Practice Fax Number | 6172473460 |
| Mailing Telephone | 6172670900 |
| Mailing Fax Number | 6172473460 |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2012-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 74689 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | OJ 11647 | 05 |
| Street Address |
142 BERKELEY ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-5100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581694 | Scott David Harris | Internal Medicine | 142 Berkeley St, Boston, MA 02116-5100 | 2005-10-06 |
| 1689226664 | Sarah Elizabeth Maurer | Dietitian, Registered | 142 Berkeley St, Boston, MA 02116-5100 | 2019-07-10 |
| 1699201335 | Lakesha Nicole Williams | Family Medicine | 142 Berkeley St, Boston, MA 02116-5100 | 2017-05-01 |
| 1730621434 | Maria Licher | Dietitian, Registered | 142 Berkeley St, Boston, MA 02116-5100 | 2016-11-11 |
| 1144775792 | Elizabeth Lehmann | Counselor | 142 Berkeley St, Boston, MA 02116-5100 | 2016-08-23 |
| 1659744985 | Jason Edward Tuite | Social Worker | 142 Berkeley St, 4th Floor, Boston, MA 02116-5100 | 2015-11-09 |
| 1609200187 | Sarah M Elgart | Nurse Practitioner | 142 Berkeley St, Boston, MA 02116-5100 | 2013-09-03 |
| 1346501905 | Danielle O'banion | Family Medicine | 142 Berkeley St, Boston, MA 02116-5100 | 2012-05-30 |
| 1326322108 | Kimberly A Lawrence | Social Worker | 142 Berkeley St, Fenway Health South End, Boston, MA 02116-5100 | 2011-09-28 |
| 1780972612 | Quincy Alexandra Luther Lashley | Marriage & Family Therapist | 142 Berkeley St, 4th Floor, Boston, MA 02116-5100 | 2011-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1265042832 | Rinat Nuriev | Internal Medicine | 530 Western Ave Apt 404, Boston, MA 02135-1036 | 2020-08-07 |
| 1831726595 | James Dotimas | Internal Medicine | 801 Massachusetts Ave Ste 6c, Boston, MA 02118-2605 | 2020-03-24 |
| 1487291100 | Evolvd Health | Internal Medicine | 85 Brainerd Rd Apt 108, Boston, MA 02134-4529 | 2019-12-01 |
| 1821658709 | Jennifer Drummond | Internal Medicine | 800 Washington St. Gme Office, Boston, MA 02111 | 2019-06-13 |
| 1699237081 | Steven Lynn St Peter | Internal Medicine | 43 Union Park Apt 2, Boston, MA 02118-3702 | 2019-04-03 |
| 1083174478 | Kevin Stirling | Internal Medicine | Shapiro Primary Care 725 Albany Street, 5b/c Precepting Room, Boston, MA 02118 | 2019-03-21 |
| 1477042737 | Theofanis Kalathas | Internal Medicine | 725 Albany Street, Shapiro 5d6, Boston, MA 02118 | 2018-05-02 |
| 1801309521 | Firefly Health | Internal Medicine | 361 Newbury St Fl 5, Boston, MA 02115-2738 | 2017-11-16 |
| 1104346527 | Jodian Amor Pinkney | Internal Medicine | 55 Fruit St # 130, Boston, MA 02114-2621 | 2017-06-27 |
| 1568982502 | Priyanka Ballal | Internal Medicine | 725 Albany Street, Shapiro 586, Boston, MA 02118-2526 | 2017-06-21 |
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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.