NPIMap

Individual provider Active NPI

Whitfield Board Growdon, M.D.

  • Gynecologic Oncology Physician
  • Boston, MA
National Provider Identifier
1669530481
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
313314 Issued in NY
Practice address
55 Fruit St
Yawkey Center for Outpatient Care, Suite 9E
Boston, MA 02114-2621
Phone
(617) 724-4800
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 218456 MA
Gynecologic Oncology Physician 207VX0201X 313314 NY Primary

Addresses

Primary practice location

55 Fruit St
Yawkey Center for Outpatient Care, Suite 9E
Boston, MA 02114-2621

Mailing address

55 Fruit St
Yawkey Center for Outpatient Care, Suite 9E
Boston, MA 02114-2621
Phone (617) 724-4800

Other practice location 1

240 E 38th St
New York, NY 10016-2708
Phone (212) 731-6455

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address wgrowdon478490@nyumc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070817000028 MA Practitioner - Obstetrics/Gynecology 1557453735 Reassigns benefits to 2 organizations
I20211108001712 NY Practitioner - Obstetrics/Gynecology 1557453735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

240 E 38TH St
New York, NY 10016-2708
Phone (212) 263-7300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of the uterus23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
218456MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Obstetrics & Gynecology CurrentSince Nov 1, 2021 Accepting new patients
New York University CurrentSince Nov 1, 2021 Accepting new patients
The General Hospital Corporation CurrentSince Jul 1, 2010 Accepting new patients
Massachusetts General Physicians Organization Inc Obstetrics & Gynecology CurrentSince Jul 1, 2010 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

55 Fruit St
Ste 9E
Boston, MA 02114
Phone (617) 724-4800

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

240 E 38th St
New York, NY 10016
Phone (212) 263-6033

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: wgrowdon1899205@nychhc.direct-ci.com
  • Direct secure messaging: wgrowdon478490@nyumc.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1669530481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "YAWKEY CENTER FOR OUTPATIENT CARE, SUITE 9E",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT ST",
            "address_2": "YAWKEY CENTER FOR OUTPATIENT CARE, SUITE 9E",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021142621",
            "telephone_number": "617-724-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 E 38th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100162708",
            "country_code": "US",
            "telephone_number": "212-731-6455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROWDON",
        "first_name": "WHITFIELD",
        "middle_name": "BOARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "218456",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NY",
            "license": "313314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wgrowdon478490@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "240 E 38th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100162708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.