STEWARD MEDICAL GROUP EXPRESS CARE, INC (NPI# 1962812149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962812149 |
| Entity Type | Organization |
| Organization Name | STEWARD MEDICAL GROUP EXPRESS CARE, INC |
| Practice Address |
500 Boylston St Boston MA 02116-3740 |
| Practice Telephone | 6174194700 |
| Mailing Telephone | 6174194700 |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2014-04-28 |
| Authorized Official Name | DR. MICHAEL CALLUM (PRESIDENT OF STEWARD MEDICAL GROUP) |
| Authorized Official Telephone | 6174194718 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | STEWARD MEDICAL GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205225752 | Steward Medical Group Express Care, Inc | Internal Medicine | 54 Miller St, Quincy, MA 02169-4725 | 2015-01-21 |
| Street Address |
500 BOYLSTON ST |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-3740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255600300 | Steward Medical Group, Inc | Internal Medicine | 500 Boylston St, Boston, MA 02116-3740 | 2011-12-19 |
| 1972935666 | Caregiver Homes of Texas Inc. | Custodial Care Facility | 500 Boylston St, Suite 640, Boston, MA 02116-3740 | 2013-08-05 |
| 1336496405 | Steward Medical Group, Inc | Physical Medicine & Rehabilitation | 500 Boylston St, Boston, MA 02116-3740 | 2012-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
| 1942705884 | Jillian Britt Duffy | Emergency Medicine | 1 Boston Medical Ctr Pl Rm 1322, Boston, MA 02118 | 2018-03-23 |
| 1245760024 | Nicholas D. Kurtzman | Emergency Medicine | One Deaconess Road Rosenberg Building, 2nd Floor, Department of Emergency Medicine, Boston, MA 02215 | 2017-06-14 |
| 1942730007 | Alec John Koffer | Emergency Medicine | 1 Deaconess Rd Bldg 2nd, Boston, MA 02215-5321 | 2017-06-12 |
| 1609257609 | Andrew Dean Alex Marshall | Emergency Medicine | 1 Deaconess Rd Fl 2, Boston, MA 02215-5321 | 2015-06-16 |
| 1124414446 | Alister Martin | Emergency Medicine | 75 Francis St # At, Boston, MA 02115-6110 | 2015-04-14 |
| 1699188524 | Vijay Christopher Kannan | Emergency Medicine | 1 Deaconess Road W/cc2, Boston, MA 02215 | 2014-06-09 |
| 1659798809 | Jonathan Van Ornam | Emergency Medicine | 75 Francis St # 236a, Boston, MA 02115-6110 | 2014-03-26 |
| 1871938597 | Christine Lee | Emergency Medicine | Department of Emergency Medicine, Beth Israel Deaconess, One Deaconess Road, Rosenberg Building 2, Boston, MA 02215-5321 | 2013-05-08 |
| 1497098149 | Andrew Perechocky | Emergency Medicine | 1 Boston Medical Center Place, Dowling 1 South Rm 1322, Boston Medical Center, Dept. of Emergency Medicine, Boston, MA 02118 | 2013-04-01 |
| 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.