Boston Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

MA106293 Issued in MA

Legal business name

BOSTON MEDICAL CENTER

Practice address

732 Harrison Ave
Suite 500
Boston, MA 02118-2309

Phone

(617) 638-8400

Fax

(617) 638-8406

NPI assigned

Apr 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Elaine Russo Boucher, RN. NP.

Title

Nurse Practitioner

Phone

(617) 414-8258

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1174748701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 WAREHAM ST",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021556222",
            "telephone_number": "617-638-8400",
            "fax_number": "617-638-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 HARRISON AVE",
            "address_2": "SUITE 500",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182309",
            "telephone_number": "617-638-8400",
            "fax_number": "617-638-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "BOUCHER",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "RUSSO",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "617-414-8258",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN. NP."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "MA106293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boston Integrated Health, LLC
• Boston Medical & Rheumatologic Associates Inc
• Boston Medical Center
• Boston Medical Center
• Boston Medical Center
• Boston Medical Center
• Boston Medical Center
• Boston Medical Center
• Boston Medical Center
• Boston Medical Center

• General Acute Care Hospital in Boston, MA
• Providers in Boston, MA by specialty
• General Acute Care Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.