UNIVERSITY OF VIRGINIA (NPI# 1902338460) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902338460 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF VIRGINIA |
| Practice Address |
15 Parkman St Boston MA 02114-3117 |
| Mailing Address |
15 Parkman St Boston MA 02114 |
| Practice Telephone | 9177268554 |
| Mailing Telephone | 9177268554 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Authorized Official Name | DR. MATTHEW MCLEOD (ASSISTANT IN SURGERY) |
| Authorized Official Telephone | 9177268554 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
0101249738 | VA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629404108 | University of Virginia | General Acute Care Hospital | Department of Radiology Neuroradiology, 1215 Lee Street New Hospital, Charlottesville, VA 22908-0001 | 2013-09-17 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1366785081 | University of Virginia | Clinic/Center | 2955 Ivy Rd, Suite 201, Charlottesville, VA 22903-9353 | 2013-04-01 |
| 1093094302 | University of Virginia | General Acute Care Hospital | 1215 Lee St, Charlottesville, VA 22908-0265 | 2011-08-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | UNIVERSITY OF VIRGINIA | 1001 N Emmet St, Charlottesville, VA 22903-4833 |
| Virginia Business Entities | UNIVERSITY OF VIRGINIA AUXILIARY SERVICES FOUNDATION | Po Box 400218, Charlottesville, Virginia 22904-4218 |
| Virginia Business Entities | UNIVERSITY OF VIRGINIA COMMUNITY CREDIT UNION INC. | 3300 Berkmar Dr, Charlottesville, Virginia 22901 |
| Colorado Business Entities | University of Virginia Darden School Foundation | 100 Darden Boulevard, Charlottesville, VA 22903 |
| Virginia Business Entities | UNIVERSITY OF VIRGINIA DARDEN SCHOOL FOUNDATION | Po Box 7263, Charlottesville, Virginia 22906 |
| Oklahoma Business Registrations | UNIVERSITY OF VIRGINIA DARDEN SCHOOL FOUNDATION | 100 Darden Blvd, Charlottesville, VA 22903 |
| Virginia Business Entities | University of Virginia Engineering Foundation Incorporated | Po Box 400256, 351 Mccormick Rd Thornton Hall Rm, Charlottesville, Virginia 22904 |
| Virginia Business Entities | University of Virginia Foundation | Po Box 400218, Charlottesville, Virginia 22904-4218 |
| System for Award Management (SAM) Entities | UNIVERSITY OF VIRGINIA HEALTH SYSTEM | 1215 Lee St, Charlottesville, VA 22908-0816 |
| Virginia Business Entities | UNIVERSITY OF VIRGINIA HOSPITAL AUXILIARY | University of Va. Hospital Auxiliary Inc., Hospital Box 800668, Charlottesville, Virginia 22908 |
| Street Address |
15 PARKMAN ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02114-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972505402 | Mira Kautzky | Internal Medicine | 15 Parkman St, Suite 645, Wacc, Boston, MA 02114 | 2005-08-15 |
| 1528678646 | Lizabeth J Flash | Psychiatry & Neurology | 15 Parkman St, Boston, MA 02114-3117 | 2020-08-04 |
| 1710513726 | Travis Robert Hallett | Student in an Organized Health Care Education/Training Program | 15 Parkman St, Wacc-6-635, Boston, MA 02114 | 2020-03-21 |
| 1679118780 | Loren Hasse | Physical Medicine & Rehabilitation | 15 Parkman St, Boston, MA 02114-3117 | 2019-11-12 |
| 1891344354 | Wallace Leo Frigon Jr. | Physical Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2019-09-08 |
| 1447818539 | Catherine Moore | Registered Nurse | 15 Parkman St, Boston, MA 02114-3117 | 2019-06-03 |
| 1285197038 | Ashley Marie O'brien | Physical Therapist | 15 Parkman St, Wac 134, Boston, MA 02114-3117 | 2019-04-09 |
| 1386105302 | Ayana Robertson | Physical Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2019-03-31 |
| 1407315765 | Griffin Ayaz Tyree | Student in an Organized Health Care Education/Training Program | 15 Parkman St, Wang 812, Boston, MA 02114-3117 | 2019-03-17 |
| 1962987172 | Joshua Connor Torrey | Physical Therapist | 15 Parkman St, Boston, MA 02114-3117 | 2018-10-03 |
| Find all providers in the same location | ||||
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568584852 | Jeffrey H Lee | Surgery | 170 Commonwealth Avenue, St 112, Boston, MA 02116 | 2007-04-06 |
| 1013575091 | Jl Plastic Surgery, Inc. | Surgery | 170 Commonwealth Ave, Boston, MA 02116-2704 | 2019-06-04 |
| 1083176978 | Kimberly Khouri | Surgery | 75 Francis St, Boston, MA 02115-6110 | 2019-04-01 |
| 1568924389 | Tal Kaufman Goldberg | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-04-01 |
| 1316421852 | Emma Peditto | Surgery | 110 Francis St Ste 5a, Boston, MA 02215-5566 | 2018-09-20 |
| 1811339120 | Oren Ganor | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-07-28 |
| 1902243579 | Eleanor Tomczyk | Surgery | 15 Parkman St, Wang 435, Boston, MA 02114-3117 | 2013-05-23 |
| 1902249634 | Daniel Michael Balkin | Surgery | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-04-11 |
| 1093060642 | Mohamed Amir Mrad | Surgery | 55 Fruit St, Department of Plastic Surgery, Boston, MA 02114-2621 | 2012-07-19 |
| 1861747826 | Christopher Homsy | Surgery | 800 Washington St, Boston, MA 02111-1552 | 2012-07-16 |
| 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.