BUMC OTOLARYNGOLOGIC FOUNDATION, INC.


Address: 830 Harrison Ave, Suite 1400, Boston, MA 02118-2905
Phone: 6176388124

BUMC OTOLARYNGOLOGIC FOUNDATION, INC. (NPI# 1942257159) 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) 1942257159
Entity Type Organization
Organization Name BUMC OTOLARYNGOLOGIC FOUNDATION, INC.
Practice Address 830 Harrison Ave
Suite 1400
Boston
MA 02118-2905
Mailing Address 801 Albany St Fl G
Boston
MA 02119-3791
Practice Telephone 6176388124
Practice Fax Number 6174144953
Mailing Telephone 6174145405
Mailing Fax Number 6174146031
Enumeration Date 2006-05-31
Last Update Date 2020-07-16
Authorized Official Name GREGORY A. GRILLONE (PRESIDENT)
Authorized Official Telephone 6176387934
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110071851A 05
NH 3115088 05

Office Location

Street Address 830 HARRISON AVE
SUITE 1400
City BOSTON
State MA
Zip Code 02118-2905

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316937436 Minh Tam Truong Radiology 830 Harrison Ave, Moakley Building Ll100, Boston, MA 02118 2005-10-28
1457950131 Maggie Ruderman Genetic Counselor, MS 830 Harrison Ave, Boston, MA 02118-2905 2020-10-22
1760096606 Fabio Petrocca Student in an Organized Health Care Education/Training Program 830 Harrison Ave, Boston, MA 02118-2905 2020-09-08
1801447495 Kailey Vitale Speech-Language Pathologist 830 Harrison Ave, Boston, MA 02118-2905 2019-09-25
1437718228 Kayla Mcdonald Physician Assistant 830 Harrison Ave, Moakley, Suite 3400, Boston, MA 02118 2019-06-06
1154984888 Elizabeth Tiani Nurse Practitioner 830 Harrison Ave, Boston, MA 02118 2019-04-18
1669938981 Lynsie Rae Adams Nurse Practitioner 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 2019-02-11
1548754385 Lisa Jiyoung Kim Nurse Practitioner 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 2018-06-15
1891226650 Navid Alavi Internal Medicine 830 Harrison Ave, Moakley, 3rd Floor, Boston, MA 02118 2017-03-23
1952842189 Samuel Rubin Otolaryngology 830 Harrison Ave, 1st Floor, Boston, MA 02118-2905 2017-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649870023 Carlos E Salazar Counselor Hcrc 23 Bradston St., Boston, MA 02118 2020-10-27
1780292607 Jinal Gandhi Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Boston, MA 02118 2020-07-16
1669094777 German Eduardo Velez Student in an Organized Health Care Education/Training Program One Boston Medical Center Place Boston Medical Center, Boston, MA 02118 2020-05-12
1255969895 Isabela Medeiros Heringer Pereira Student in an Organized Health Care Education/Training Program 670 Albany Stree, 4th Floor, Boston, MA 02118 2020-03-30
1033746466 Karan Sunil Hingorani Student in an Organized Health Care Education/Training Program Shapiro Primary Care, 725 Albany Street, Precepting Room, Boston, MA 02118 2020-03-25
1326672791 Azza Ahmed Dentist 635 Albany St. G-744, Boston, MA 02118 2020-02-25
1538707401 Jane Margolis Social Worker 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
1871134833 Supontep Teerakanok Dentist Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 2019-10-01
1750939583 Qasim Silman Ajmi Orthopaedic Surgery Department of Orthopaedic Surgery Boston Medical Center, 850 Harrison Ave Dowling 2 North, Boston, MA 02118 2019-08-26
1922655539 Jami Ryan Pollard Physician Assistant 840 Harrison Avenue, Menino Building, Boston, MA 02118 2019-08-20
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215497938 Emily Gall Otolaryngology 860 Washington St Fl 1, Boston, MA 02111-1521 2019-03-20
1538628789 Pratima Agarwal Otolaryngology 800 Harrison Avenue, Bcd 5th Floor, Boston, MA 02118 2019-03-18
1497259212 Michal Plocienniczak Otolaryngology 830 Harrison Ave Fl 1, Boston, MA 02118-2905 2018-03-19
1396158507 Erin Haser Otolaryngology 800 Washington St # 850, Department of Otolaryngology, Boston, MA 02111-1552 2014-06-05
1447675152 Taleb Barghouthi Otolaryngology 300 Longwood Venue, Boston Children's Hospital, Boston, MA 02115 2014-03-04
1518229228 James G Naples Otolaryngology 110 Francis St Ste 6e, Boston, MA 02215-5501 2012-06-10
1700143013 Rami Abdou Otolaryngology 20 E Springfield St Apt 5, Boston, MA 02118-3258 2012-04-12
1366739153 Daniel Faden Otolaryngology 830 Harrison Ave Ste 1400, Boston, MA 02118 2011-06-30
1578868485 Brian Lin Otolaryngology 110 Francis St Ste 9b, Boston, MA 02215-5501 2011-01-24
1588825541 Tiffiny Ann Hron Otolaryngology One Bowdoin Square, 11th Floor, Boston, MA 02114 2008-06-23
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City BOSTON
Zip Code 02118

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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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