DR. EUGENE JEROME MARK (NPI# 1790776227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790776227 |
| Entity Type | Individual |
| Full Name | DR. EUGENE JEROME MARK |
| Credential | MD |
| Practice Address |
55 Fruit Street Wrn 2 Pathology Associates Boston MA 02114-2696 |
| Mailing Address |
Po Box 9142 Mass General Physician Organization Charlestown MA 02129-9142 |
| Practice Telephone | 6177268891 |
| Practice Fax Number | 6177267474 |
| Mailing Telephone | 6177240287 |
| Mailing Fax Number | 6177262894 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207ZD0900X |
Pathology Specialization: Dermatopathology |
32178 | MA | Allopathic & Osteopathic Physicians |
| X | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
32178 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2091984 | 05 | |
| MA | BCBS MA | M08757 | 01 |
| MA | TUFTS HEALTH PLAN | 032178 | 01 |
| Street Address |
55 FRUIT STREET WRN 2 PATHOLOGY ASSOCIATES |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-2696 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083605513 | Vikram Deshpande | Pathology | 55 Fruit Street Wrn 2, Pathology Associates, Boston, MA 02114-2696 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588276281 | Guoliang Qiao | Student in an Organized Health Care Education/Training Program | Massachusetts General Hospital, 55 Fruit Street., Boston, MA 02114 | 2020-08-24 |
| 1881223741 | Alexander Wesley Zirulnik | Student in an Organized Health Care Education/Training Program | 55 Fruit St. Boston, Boston, MA 02114 | 2020-04-03 |
| 1376170548 | Mia Yu Bothwell | Student in an Organized Health Care Education/Training Program | Gray Bigelow 730, 55 Fruit Street, Boston, MA 02114 | 2020-03-26 |
| 1225661036 | David Dongkyung Kim | Student in an Organized Health Care Education/Training Program | 6 Whittier Place, Apartment 15b, Boston, MA 02114 | 2020-02-20 |
| 1124651658 | Madeleine Sertic | Student in an Organized Health Care Education/Training Program | Division of Abdominal Imaging, Department of Radiology, 55 Fruit Street, White 270, Boston, MA 02114 | 2020-02-12 |
| 1285274498 | Jiuk James Jung | Student in an Organized Health Care Education/Training Program | 15 Parkman Ave, Wang 4-460, Boston, MA 02114 | 2020-01-15 |
| 1831740448 | Jennifer Hughes | Physician Assistant | 55 Fruit Street, Founders 110, Boston, MA 02114 | 2019-09-25 |
| 1558827220 | Aluma Chovel Sella | Student in an Organized Health Care Education/Training Program | Massgeneral Hospital for Children Main Campus, 55 Fruit Street, Boston, MA 02114 | 2019-02-18 |
| 1083187140 | Henry Oliveras | Massage Therapist | 102 Charles Street, Boston, MA 02114 | 2019-01-10 |
| 1720550031 | Nicole M Price | Social Worker | 29 Staniford St, Boston, MA 02114 | 2018-12-27 |
| Find all providers in zip 02114 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144631367 | Candice Elizabeth Brem | Pathology | 609 Albany St # J-300, Boston, MA 02118-2515 | 2014-05-09 |
| 1649500737 | Aurora Massachusetts, LLC | Pathology | 1 Center Plz, Suite 270, Boston, MA 02108-1887 | 2010-01-12 |
| 1851720262 | Scott H Bradshaw | Pathology | 55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 | 2013-11-06 |
| 1225353618 | Margaret Choy Merola | Pathology | 75 Francis Street, Boston, MA 02115-6110 | 2010-03-29 |
| 1174761878 | Scott F Wenson | Pathology | 330 Brookline Ave, Boston, MA 02215-5400 | 2009-02-03 |
| 1447477369 | Alvaro Christian Laga Canales | Pathology | 75 Francis St, Department of Pathology, Amory-3, Boston, MA 02115-6110 | 2007-04-20 |
| 1609881168 | Beverly Elizabeth Faulkner-jones | Pathology | 330 Brookline Ave, Boston, Boston, MA 02215-5400 | 2006-07-30 |
| 1619914223 | Birgitta A Schmidt | Pathology | 300 Longwood Ave, Children's Hospital, Boston, MA 02115-5724 | 2006-06-01 |
| 1053380386 | Karen M. Huhn | Pathology | 133 Brookline Ave, Boston, MA 02215-3904 | 2006-03-17 |
| 1689662827 | Hong Wu | Pathology | 330 Brookline Ave, Sh155, Boston, MA 02215-5400 | 2005-10-12 |
| 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.