JOHANN NIKOLAS PATLAK


Address: 330 Brookline Ave, Boston, MA 02215-5400
Phone: 6176673112

JOHANN NIKOLAS PATLAK (NPI# 1871868075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871868075
Entity Type Individual
Full Name JOHANN NIKOLAS PATLAK
Practice Address 330 Brookline Ave
Boston
MA 02215-5400
Practice Telephone 6176673112
Mailing Telephone 6176673364
Enumeration Date 2012-03-20
Last Update Date 2018-11-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207L00000X Anesthesiology MD16257 RI Allopathic & Osteopathic Physicians
Y 207L00000X Anesthesiology 269792 MA Allopathic & Osteopathic Physicians
N 207LC0200X Anesthesiology
Specialization: Critical Care Medicine
MD16257 RI Allopathic & Osteopathic Physicians
N 207LC0200X Anesthesiology
Specialization: Critical Care Medicine
269792 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110121258A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
593 Eddy St, Providence, RI 029034923 4014445172 4014445090

Office Location

Street Address 330 BROOKLINE AVE
City BOSTON
State MA
Zip Code 02215-5400

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053803478 Allen Wang Anesthesiology 25 Jan Karski Way Apt D510, Boston, MA 02125-2776 2018-06-01
1295223683 Jonathan Erdman Anesthesiology 55 Fruit Street Grb444, Boston, MA 02114-5502 2018-05-01
1427578038 Claudia Santamaria Anesthesiology 330 Brookline Ave # Es217, Boston, MA 02215-5400 2017-06-23
1689106700 Michelle Dyrholm Anesthesiology Massachusetts General Hospital, Dept of Anesthesia, 55 Fruit Street, Gray-bigelow 444, Boston, MA 02144 2017-03-29
1639610843 Nicholas Flores-conner Anesthesiology 750 Albany St # 2r, Boston, MA 02118-2520 2017-03-20
1609225127 Janna Taylor Anesthesiology 330 Brookline Ave # Rabb239, Beth Israel Deaconess Medical Center, Boston, MA 02215-5400 2016-06-06
1366898801 Yun-yun Chen Anesthesiology 75 Francis St # Streetl1, Boston, MA 02115-6110 2016-05-13
1609221209 David Christopher Moore Anesthesiology 75 Francis St # Cw-l1, Boston, MA 02115-6110 2016-05-02
1619322336 Matthew James Mccormick Anesthesiology 75 Francis Street, Cwn L1, Bwh, Department of Anesthesiology, Boston, MA 02115 2016-05-01
1952765323 Warren Mackie-jenkins Anesthesiology Bwh, 75 Francis Street, Boston, MA 02115 2016-04-11
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Competitor

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City BOSTON
Zip Code 02215

Improve Information

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Dataset Information

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.

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