Active NPI
Boston Ultrasound Consultants PC
- Diagnostic Radiology Physician
- Brookline, MA
National Provider Identifier
1508975657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- BOSTON ULTRASOUND CONSULTANTS PC
- Practice address
- 55 Pond Ave
Suite 201E
Brookline, MA 02445-7170 - Phone
- (617) 232-4600
- NPI assigned
- Aug 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Michele E Taillon
- Title
- Billing Manager
- Phone
- (617) 232-4600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
55 Pond Ave
Suite 201E
Brookline, MA 02445-7170
Mailing address
55 Pond Ave
Suite 201E
Brookline, MA 02445-7170
Phone (617) 232-4600
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M14961 | Other | MA | BLUE CROSS BLUE SHIELD |
| 1600064 | Other | MA | UNITED HEALTHCARE |
| 9760431 | Medicaid | MA | |
| 0007192 | Other | MA | NEIGHBORHOOD HEALTH |
| 711720 | Other | MA | TUFTS HEALTHPLAN |
| 602943 | Other | MA | HARVARD PILGRIM |
National Provider Directory
National Provider DirectoryLocations
55 Pond Ave
Ste 201E
Brookline, MA 02445
Phone (617) 232-4600
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Brookline, MA
- NPI 1679544167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508975657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 POND AVE",
"address_2": "SUITE 201E",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457170",
"telephone_number": "617-232-4600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 POND AVE",
"address_2": "SUITE 201E",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024457170",
"telephone_number": "617-232-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOSTON ULTRASOUND CONSULTANTS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TAILLON",
"authorized_official_first_name": "MICHELE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "617-232-4600",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M14961",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1600064",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9760431",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH",
"identifier": "0007192",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTHPLAN",
"identifier": "711720",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "602943",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.