DR. TAHIR TELLIOGLU (NPI# 1871535534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871535534 |
Entity Type | Individual |
Full Name | DR. TAHIR TELLIOGLU |
Credential | M.D. |
Practice Address |
100 Blossom St Mgh Cox Clinic Boston MA 02114-0211 |
Mailing Address |
175 Joseph Ct Warwick RI 02886-9545 |
Practice Telephone | 6176435457 |
Practice Fax Number | 6177268950 |
Mailing Telephone | 2038432928 |
Mailing Fax Number | 2702166261 |
Enumeration Date | 2006-06-10 |
Last Update Date | 2020-06-04 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
043151 | CT | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD12140 | RI | Allopathic & Osteopathic Physicians |
Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
277173 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
RI | CAQH PROVIDER ID | 11583072 | 01 |
Street Address |
100 BLOSSOM ST MGH COX CLINIC |
City | BOSTON |
State | MA |
Zip Code | 02114-0211 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619967270 | Robin Schoenthaler | Radiology | 100 Blossom St, Cox 3, Boston, MA 02114-2606 | 2005-10-25 |
1831467885 | Neelam Ameya Phadke | Internal Medicine | 100 Blossom St, Cox 201, Boston, MA 02114 | 2011-12-06 |
1710208731 | Joanna Y Tansky | Radiology | 100 Blossom St, Cox Level 3, Boston, MA 02114-2606 | 2010-06-14 |
1073718672 | Roby P Bhattacharyya | Internal Medicine | 100 Blossom St, Massachusetts General Hospital, Cox-5, Boston, MA 02114-2606 | 2007-06-15 |
1154539583 | Maureen Teresa Doran | Registered Nurse | 100 Blossom St, Cox 5-506c, Boston, MA 02114-2606 | 2007-05-18 |
1174669980 | Melin Janardan Khandekar | Radiology | 100 Blossom St, Cox 3, Boston, MA 02114-2606 | 2007-01-29 |
1073663324 | Leanne Nassar Wines | Physician Assistant | 100 Blossom St, Cox 630, Boston, MA 02114-2606 | 2007-01-11 |
1689724171 | David T. Miyamoto | Radiology | 100 Blossom St, Cox 3, Boston, MA 02114-2606 | 2007-01-10 |
1295884674 | Karen Marie Gacicia | Registered Nurse | 100 Blossom St, Boston, MA 02114-2606 | 2007-01-09 |
1790883106 | Peggy A. Leland | Nurse Practitioner | 100 Blossom St, Boston, MA 02114-2606 | 2006-09-20 |
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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 | 2084P0802X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Psychiatry |
Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932574274 | Carlos Suarez, Md, Pllc | Psychiatry & Neurology | 29 Commonwealth Ave, Suite 906, Boston, MA 02116-2349 | 2015-12-12 |
1497804702 | Nancy Carol Nitenson | Psychiatry & Neurology | Ten Post Office Square, 8th Floor, Boston, MA 02109 | 2007-01-09 |
1508939844 | Suzanne Bird | Psychiatry & Neurology | 55 Fruit St, Boston, MA 02114-2621 | 2006-11-16 |
1205937026 | John Arthur Renner Jr. | Psychiatry & Neurology | 251 Causeway St, Va Outpatient Clinic, Boston, MA 02114-2148 | 2006-09-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245856335 | Mcat LLC | Psychiatry & Neurology | 3 Brighton St, Belmont, MA 02478-4007 | 2020-06-24 |
1427673136 | Ronald Bugaoan Md LLC | Psychiatry & Neurology | 225 Water St Ste A140, Plymouth, MA 02360-6248 | 2020-06-09 |
1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
1083894059 | Juan R Condemarin | Psychiatry & Neurology | 129 Bigelow St, Brighton, MA 02135-1639 | 2007-11-07 |
1548454671 | Alfredo R Chan Md PC | Psychiatry & Neurology | 105 Webster St Ste 6, Hanover, MA 02339-1227 | 2007-08-31 |
1669666947 | John Dmochowski, Md PC | Psychiatry & Neurology | 31 Meltiah Rd, Falmouth, MA 02540-1843 | 2007-08-30 |
1093876609 | Robert Long Kelley | Psychiatry & Neurology | 20 Hope Ave Suite 201, Waltham, MA 20453 | 2006-12-13 |
1306896527 | Ethan Samuel Rofman | Psychiatry & Neurology | 123 Grant Ave, Newton Centre, MA 02459-1350 | 2006-05-10 |
1497734768 | Laurence Evans Ducomb | Psychiatry & Neurology | 49 Robinwood Ave, The Arbour Hospital, Jamaica Plain, MA 02130 | 2006-01-13 |
1033103247 | Kenneth Minkoff | Psychiatry & Neurology | 100 Powdermill Rd # 319, Acton, MA 01720-5932 | 2005-09-02 |
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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.