Sophie Vadeboncoeur, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

262975 Issued in MA

Practice address

300 Longwood Ave
Boston Children'S Hospital
Boston, MA 02115

Phone

(617) 415-6438

NPI assigned

Jan 19, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1679930804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SAINT ALPHONSUS ST APT 1915",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021201694",
            "telephone_number": "617-415-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "BOSTON CHILDREN'S HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02115",
            "telephone_number": "617-415-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADEBONCOEUR",
        "first_name": "SOPHIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MA",
            "license": "262975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francis Xavier Vacanti, MD
• Joseph Philip Vacanti, MD
• Joshua C. Vacanti, MD
• Piamkamon Vacharotayangul, DDS, PHD
• Vishwani Vachhani
• Tracy Vadeboncoeur, LICSW
• Melissa Ann Karp Vadenais, AU.D.
• Raghav Vadhul, MD
• Diamler Vadlamuri, MD
• Mary A Vadnais, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.