Individual provider Active NPI

Shauna Duigenan, MD

  • Body Imaging Physician
  • Boston, MA
National Provider Identifier
1770714651
Registry record updated Jul 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
239530 Issued in MA
Practice address
Massachusetts General Hospital Abdominal Radiology
55 Fruit Street White BLDG 270
Boston, MA 02114-3458
Phone
(617) 726-8396
NPI assigned
Jul 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 239530 MA Primary

Addresses

Primary practice location

Massachusetts General Hospital Abdominal Radiology
55 Fruit Street White BLDG 270
Boston, MA 02114-3458

Mailing address

68 Phillips St Apt 10
Boston, MA 02114-3458
Phone (857) 366-0138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
239530MAMDBody Imaging Physician

NPI Registry JSON

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

{
    "created_epoch": "1248652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1770714651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 PHILLIPS ST APT 10",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143458",
            "telephone_number": "857-366-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MASSACHUSETTS GENERAL HOSPITAL ABDOMINAL RADIOLOGY",
            "address_2": "55 FRUIT STREET WHITE BLDG 270",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143458",
            "telephone_number": "617-726-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUIGENAN",
        "first_name": "SHAUNA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-27",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MA",
            "license": "239530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 27, 2009; 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.