DR. JUSTIN C. OGBONNA (NPI# 1952626483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952626483 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN C. OGBONNA |
| Credential | DPM |
| Practice Address |
732 Harrison Avenue Preston 5th Floor Boston MA 02118 |
| Mailing Address |
720 Harrison Ave Dob 503 Boston MA 02118-2371 |
| Practice Telephone | 6174146840 |
| Practice Fax Number | 6174146710 |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2018-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
2387 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110093644A | 05 |
| Street Address |
732 HARRISON AVENUE PRESTON 5TH FLOOR |
| City | BOSTON |
| State | MA |
| Zip Code | 02118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623694 | David E. Negron | Podiatrist | 732 Harrison Avenue, Preston 5th Floor, Boston, MA 02118 | 2005-10-18 |
| 1477106086 | Kathryn Koestner | Nurse Practitioner | 732 Harrison Avenue, 3rd Floor, Boston, MA 02118 | 2019-07-23 |
| 1164074654 | Courtney Faiella | Registered Nurse | 732 Harrison Avenue, Preston, 3rd Floor, Boston, MA 02118-2309 | 2019-07-15 |
| 1356759914 | Taylor Jeanne Deasy | Nurse Practitioner | 732 Harrison Avenue, Preston, 2nd Floor, Boston, MA 02118 | 2014-07-28 |
| 1558792267 | Victoria Coffey | Nurse Practitioner | 732 Harrison Avenue, Preston, 2nd Floor, Boston, MA 02118 | 2013-12-05 |
| 1700186947 | Johanne Jeudy | Nurse Practitioner | 732 Harrison Avenue, Preston, 2nd Floor, Boston, MA 02118 | 2010-10-21 |
| 1467764605 | Poorani N. Goundan | Internal Medicine | 732 Harrison Avenue, Preston, 2nd Floor, Boston, MA 02118 | 2010-07-03 |
| 1073753414 | Ivania Rizo | Internal Medicine | 732 Harrison Avenue, Preston, 2nd Floor, Boston, MA 02118 | 2009-02-25 |
| 1750531026 | Jan Marie Ring | Nurse Practitioner | 732 Harrison Avenue, 3rd Floor, Boston, MA 02118 | 2008-09-24 |
| 1194912519 | Ayse N. Sahin-efe | Internal Medicine | 732 Harrison Avenue, Preston, 2nd Floor, Boston, MA 02118 | 2007-09-30 |
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| 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 |
| Find all providers in zip 02118 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366795023 | Matthew P. Butler, D.p.m. LLC | Podiatrist | 1153 Centre Street, Suite # 5980, Brigham and Women's Faulkner Hospital, Boston, MA 02130 | 2012-10-18 |
| 1558397190 | Vickie Rae Driver | Podiatrist | 732 Harrison Ave, Boston, MA 02118 | 2006-06-24 |
| 1609837723 | Christopher M Locke | Podiatrist | 732 Harrison Ave, Preston 5th Floor, Boston, MA 02118-2656 | 2006-03-29 |
| 1598726622 | Geoffrey M Habershaw | Podiatrist | 732 Harrison Ave, Preston 5th Floor, Boston, MA 02118-2656 | 2006-03-29 |
| 1043285646 | Jordana Lea Szpiro | Podiatrist | 264 Beacon St, 4th Floor, Boston, MA 02116-1236 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043746878 | Faezeh Bakhtiari-nejad | Podiatrist | 223 Concord Tpke Unit 219, Cambridge, MA 02140-2338 | 2017-05-11 |
| 1679966584 | Melrose Family Foot Care Group | Podiatrist | 533 Franklin St, Melrose, MA 02176-1742 | 2015-03-17 |
| 1518141035 | Richard S. Donela | Podiatrist | 900 State Rd, North Adams, MA 01247-3030 | 2007-12-19 |
| 1962685396 | Cecilia G. Moore Dpm LLC | Podiatrist | 214 Orleans Rd, Suite C, North Chatham, MA 02650-3101 | 2007-12-07 |
| 1932145810 | Mark Paul Sanphy | Podiatrist | 98 Nahant St, Lynn, MA 01902-3315 | 2006-06-21 |
| 1154385078 | Matthew P Butler | Podiatrist | 340 Maple Street, Suite 405, Marlborough, MA 01752 | 2006-04-17 |
| 1083675573 | Susan M Walsh | Podiatrist | 981 Canton Ave, Milton, MA 02186-3621 | 2006-04-01 |
| 1316914971 | Bruce Treadwell Croft | Podiatrist | 795 Main St, Holden, MA 01520-3800 | 2006-03-02 |
| 1255301891 | James Gerard Cataldo | Podiatrist | 14 Manning Ave, Suite 302, Leominster, MA 01453-5768 | 2006-01-25 |
| 1104804640 | Neil J Feldman | Podiatrist | 299 Lincoln St, Suite 202, Worcester, MA 01605-3646 | 2006-01-05 |
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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.