Elizabeth Bowen Fortescue, M.D., M.P.H.

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

License

237708 Issued in MA

Practice address

300 Longwood Ave
Farley 174
Boston, MA 02115-5724

Phone

(617) 899-6553

Fax

(781) 237-4833

NPI assigned

Aug 13, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Elizabeth Bowen Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1376799049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "FARLEY 174",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-899-6553",
            "fax_number": "781-237-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "FARLEY 174",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "617-899-6553",
            "fax_number": "781-237-4833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORTESCUE",
        "first_name": "ELIZABETH",
        "middle_name": "BOWEN",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "MA",
            "license": "237708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MILLER",
            "middle_name": "BOWEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Forsyth Dental Infirmary for Children (Forsyth Dental Associates)
• Forsyth Hygiene Program
• Alison Forte
• Corrie Masson Forte
• Jordan Eugene Forte
• Rebecca Fortgang, PHD
• Bridget Forth
• Victoria Forth, PA-C
• Catherine Brawn Fortier, PH.D.
• Elizabeth Fortin, MD

• Research Study Specialist in Boston, MA
• Providers in Boston, MA by specialty
• Research Study Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.