MARY KENDALL TANG (NPI# 1902336696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902336696 |
| Entity Type | Individual |
| Full Name | MARY KENDALL TANG |
| Other Name | MARY KENDALL PETROFF |
| Credential | MSN, RN, CPNP-PC |
| Practice Address |
Boston Children's Hospital Department of Anesthesia - Pain Management Farley 304 Boston MA 02115 |
| Mailing Address |
300 Longwood Ave Boston MA 02115-5724 |
| Practice Telephone | 6173557040 |
| Mailing Telephone | 6173556000 |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2018-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
RN2261185 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770532061 | Mary Yuh Tang | Internal Medicine | 2549 Springhill Dr, Grapevine, TX 76051-7157 | 2006-05-06 |
| 1891136032 | Mary Tang | Social Worker | 94-408 Akoki St, Suite 202, Waipahu, HI 96797-2733 | 2013-07-16 |
| 1629129531 | Mary Tang | Emergency Medicine | 200 Avenue F Ne, Ufjp Emergency Department, Winter Haven, FL 33881-4131 | 2007-01-16 |
| 1235158536 | Mary E Tang | Medical Genetics | 111 Colchester Ave, Fletcher Allen Health Care, Pathology, Burlington, VT 05401-1473 | 2006-07-18 |
| Street Address |
BOSTON CHILDREN'S HOSPITAL DEPARTMENT OF ANESTHESIA - PAIN MANAGEMENT FARLEY 304 |
| City | BOSTON |
| State | MA |
| Zip Code | 02115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396776159 | David A Kane | Pediatrics | Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115-5724 | 2006-07-06 |
| 1700404753 | Jack O'keeffe Donohue | Student in an Organized Health Care Education/Training Program | Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115 | 2020-07-07 |
| 1306473731 | Janine Amirault | Student in an Organized Health Care Education/Training Program | Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115 | 2020-03-25 |
| 1538713730 | David Alcoloumbre | Orthopaedic Surgery | Boston Children's Hospital, Dept of Orthopedic Surgery and Sports Medicine, Boston, MA 02115 | 2019-07-26 |
| 1659930378 | Jessica G Mooney | Nurse Practitioner | Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115 | 2019-06-06 |
| 1871052076 | Holly Michelle Wobma | Student in an Organized Health Care Education/Training Program | Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115 | 2019-03-18 |
| 1134623150 | David Pieter Hoytema Van Konijnenburg | Student in an Organized Health Care Education/Training Program | Boston Children's Hospital, 300 Longwood Av, Boston, MA 02115 | 2018-03-23 |
| 1962906131 | Lauren Sheidler Crafts | Student in an Organized Health Care Education/Training Program | Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115 | 2018-03-21 |
| 1073021846 | Kimberly Shannon Hayes | Nurse Practitioner | Boston Children's Hospital, 300 Longwood Avenue, Boston, MA 02115 | 2018-01-16 |
| 1689188039 | Elicia Ann Estrella | Genetic Counselor, MS | Boston Children's Hospital, 3 Blackfan Circle, Cls 15, Boston, MA 02115 | 2017-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524339 | Jacqueline Busa | Student in an Organized Health Care Education/Training Program | Northeastern University 336 Huntington Ave, Boston, MA 02115 | 2020-09-30 |
| 1417564279 | Katherine Rose Brainard | Student in an Organized Health Care Education/Training Program | 336 Huntington Avenue, Boston, MA 02115 | 2020-09-25 |
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1053923110 | Wendy Tu | Student in an Organized Health Care Education/Training Program | 75 Francis Street Abdominal Imaging and Intervention, Department of Radiology, Brigham and Women's Hospital, Boston, MA 02115 | 2020-08-20 |
| 1477177335 | Nicolas Wyvekens | Student in an Organized Health Care Education/Training Program | 75 Francis Street Department of Pathology, Brigham And, Boston, MA 02115 | 2020-06-05 |
| 1669095923 | Erin Crocker | Student in an Organized Health Care Education/Training Program | Northeastern University Physician Assistant Program, 360 Huntington Avenue, Boston, MA 02115 | 2020-05-21 |
| 1033732417 | Tyler Francis Hayes | Student in an Organized Health Care Education/Training Program | Gordon Hall, Suite 213, 25 Shattuck Street, Boston, MA 02115 | 2020-05-20 |
| 1982225090 | Emily Blake | Student in an Organized Health Care Education/Training Program | 202 Robinson Hall, 360 Huntington Avenue, Boston, MA 02115 | 2020-04-29 |
| 1891315495 | Stephanie Schoch | Student in an Organized Health Care Education/Training Program | 360 Huntington Ave., 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| 1427678093 | Meghan Miles | Student in an Organized Health Care Education/Training Program | 360 Huntington Avenue 202 Robinson Hall, Boston, MA 02115 | 2020-04-23 |
| Find all providers in zip 02115 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356948525 | Kaylee Woods | Nurse Practitioner | 85 Seaport Blvd Unit 714, Boston, MA 02210-2157 | 2020-10-01 |
| 1144838384 | Amanda Rose Bakos | Nurse Practitioner | 218 Marion St, Boston, MA 02128-1758 | 2020-07-14 |
| 1083236749 | Mubina M Rhee | Nurse Practitioner | 170 Brookline Ave Unit 215, Boston, MA 02215-3921 | 2020-05-15 |
| 1629549977 | Michelle Nicole Deonarine | Nurse Practitioner | Center for Spina Bifida and Spinal Cord Conditions, Boston Childrens Hospital Hu 390. 300 Longwood Ave, Boston, MA 02115-0211 | 2018-12-16 |
| 1871060905 | Chloe Faye Banks | Nurse Practitioner | 300 Longwood Ave Dept Farley2, Boston, MA 02115-5724 | 2018-10-26 |
| 1801262050 | Kate Mysak | Nurse Practitioner | 300 Longwood Ave # Fegan9, Boston, MA 02115-5724 | 2015-08-11 |
| 1639501331 | Rebecca Marie Stevens | Nurse Practitioner | 300 First Ave, Boston, MA 02129 | 2013-08-05 |
| 1811290380 | Tracy Mahoney | Nurse Practitioner | 300 Longwood Ave Unit 9nw, Boston, MA 02115 | 2010-12-06 |
| 1639407513 | Courtney Loper Risley | Nurse Practitioner | Boston Children's Hospital, 300 Longwood Avenue, Farley Building Room 403, Boston, MA 02115 | 2009-12-03 |
| 1417103193 | Loren Jean D'angelo | Nurse Practitioner | 300 Longwood Ave -, Children's Hospital Boston Fegan 707, Boston, MA 02113 | 2008-08-13 |
| 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.