NPIMap

Organization Active NPI

Boston University Cardiac and Thoracic Surgical Foundation, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Boston, MA
National Provider Identifier
1407892078
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
Legal business name
BOSTON UNIVERSITY CARDIAC AND THORACIC SURGICAL FOUNDATION, INC.
Practice address
88 E Newton St
Robinson C500
Boston, MA 02118-2308
Phone
(617) 638-5600
Fax
(617) 638-7228
NPI assigned
Jun 21, 2006
Last updated
Oct 10, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

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

Authorized official

Name
David McAneny, MD
Title
Interim President
Phone
(617) 638-8446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X Primary

Addresses

Primary practice location

88 E Newton St
Robinson C500
Boston, MA 02118-2308

Mailing address

720 Harrison Ave
Dob 503
Boston, MA 02118-2371
Phone (617) 414-5405

Other identifiers 1

IdentifierTypeStateIssuer
110070942AMedicaidMA

Other names 1

  • Faculty Practice Foundation Inc Boston Univ Cardiac & Thoracic Surg Former legal business name

National Provider Directory

National Provider Directory

Locations

732 Harrison Ave
Fl 3
Boston, MA 02118
Phone (617) 638-5350

88 East Newton St
#F
Boston, MA 02118
Phone (617) 638-8560

1 Elliot Way
#100
Manchester, NH 03103
Phone (603) 627-1669

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1407892078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 HARRISON AVE",
            "address_2": "DOB 503",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182371",
            "telephone_number": "617-414-5405",
            "fax_number": "617-414-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 E NEWTON ST",
            "address_2": "ROBINSON C500",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182308",
            "telephone_number": "617-638-5600",
            "fax_number": "617-638-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSTON UNIVERSITY CARDIAC AND THORACIC SURGICAL FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-21",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "MCANENY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "INTERIM PRESIDENT",
        "authorized_official_telephone_number": "617-638-8446",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110070942A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faculty Practice Foundation Inc Boston Univ Cardiac & Thoracic Surg",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; 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.