DR. BRUCE W WEINSTOCK (NPI# 1972572063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972572063 |
Entity Type | Individual |
Full Name | DR. BRUCE W WEINSTOCK |
Credential | MD, MPH |
Practice Address |
55 Fruit St Boston MA 02114-2621 |
Mailing Address |
66 Lawton St Brookline MA 02446-5801 |
Practice Telephone | 6178187976 |
Mailing Telephone | 6178187976 |
Enumeration Date | 2006-03-14 |
Last Update Date | 2019-01-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
71557 | MA | Allopathic & Osteopathic Physicians |
Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
71557 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 3051196 | 05 |
Street Address |
55 FRUIT ST |
City | BOSTON |
State | MA |
Zip Code | 02114-2621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568465888 | Michael A Nichols | Nurse Anesthetist, Certified Registered | 55 Fruit St, Boston, MA 02114-2696 | 2005-05-31 |
1740881374 | Katelyn Mary Bushey | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-11-02 |
1316546849 | Amy Lauren Greenblatt | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-26 |
1134728116 | Stephanie Qualls | Student in an Organized Health Care Education/Training Program | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-21 |
1811596190 | Andrea S Hansen | Clinical Nurse Specialist | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
1649879974 | Barbara Healy | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2696 | 2020-10-19 |
1770181117 | Molly Cristina Reynolds | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-16 |
1245838325 | Katerina Eleni Kafkas | Nurse Practitioner | 55 Fruit St, Boston, MA 02114-2621 | 2020-10-12 |
1578179040 | Vivian Ellen Donahue | Registered Nurse | 55 Fruit St, Boston, MA 02114-2696 | 2020-09-21 |
1699380956 | Joanne Gover | Registered Nurse | 55 Fruit St, Boston, MA 02114-2621 | 2020-09-14 |
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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 |
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Taxonomy Code | 2080P0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Emergency Medicine |
A pediatrician who has special qualifications to manage emergencies in infants and children. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235572322 | Michael Anthony Lee Jr. | Pediatrics | 300 Longwood Ave Bch3066, Divison of Emergency Medicine, Boston, MA 02115-5724 | 2013-04-09 |
1073091351 | Sarah Mousseau | Pediatrics | 300 Longwood Avenue, Boston, MA 02115 | 2018-07-30 |
1275983157 | Arianne Lee Baker | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2016-06-21 |
1639533417 | Grace Ye | Pediatrics | 725 Albany St, Boston, MA 02118-3549 | 2016-04-07 |
1699161786 | Larissa Lester Truschel | Pediatrics | 300 Longwood Ave, Main 1- Emergency, Boston, MA 02115 | 2015-04-15 |
1073931481 | Angelica Garcia | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2014-04-02 |
1144562562 | Eva Seligman | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2013-03-24 |
1699037036 | Max D Rubinstein | Pediatrics | 300 Longwood Ave, Boston, MA 02115 | 2012-06-12 |
1275797326 | Atima Delaney | Pediatrics | Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115 | 2008-07-17 |
1225295652 | Carrie Danziger | Pediatrics | 300 Longwood Ave, Boston, Boston, MA 02115 | 2008-05-22 |
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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.