Janice Wiesman
Psychiatry & Neurology (Neurology)

Address: 725 Albany St, Shapiro &th Floor, Suite 7b, Boston, MA 02118-2526
Phone: 6176388456

Janice Wiesman (NPI# 1982666988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1982666988
Entity Type Individual
Full Name Janice Wiesman
Credential M.D.
Gender Female
Practice Address 725 Albany St
Shapiro &th Floor, Suite 7b
Boston
MA 02118-2526
Practice Telephone 6176388456
Practice Fax Number 6176388465
Mailing Address 720 Harrison Ave
Dob 503
Boston
MA 02118-2371
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-04-05
Last Update Date 2014-07-24

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 2084N0400X Psychiatry & Neurology · Neurology Allopathic & Osteopathic Physicians 78681 MA

Other Provider Identifier

State Identifier Issuer Type Code
MA 110056147A MEDICAID

Physician Overview

NPI 1982666988
PAC ID by PECOS 8123036480
Professional Enrollment ID I20060328000400
Full Name Janice F Wiesman
Organization Legal Name BOSTON UNIVERSITY NEUROLOGY ASSOCIATES INC
Phone Number 6176388456
Gender F
Credential MD
Medical School HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 1989
Primary Specialty NEUROLOGY
Group Practice PAC ID 6608772462
Number of Group Practice Members 32
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330204 BELLEVUE HOSPITAL CENTER
220031 BOSTON MEDICAL CENTER CORPORATION-

Office Location

Street Address 725 ALBANY ST
SHAPIRO &TH FLOOR, SUITE 7B
City BOSTON
State MA
Zip Code 02118-2526

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730184854 Christopher W Shanahan Internal Medicine 725 Albany St, Shapiro 5, Suite B, Boston, MA 02118-2526 2005-06-15
1508333832 Michael L Alosco Clinical Neuropsychologist 725 Albany St, Boston, MA 02118-2526 2018-10-24
1255818514 Finora Mary Rodriques Counselor 725 Albany St, Boston, MA 02118-2526 2018-07-19
1962907824 Brian Schwartz Student in an Organized Health Care Education/Training Program 725 Albany St, Boston, MA 02118-2526 2018-03-23
1568966745 Sarah Altajar Internal Medicine 725 Albany St, Shapiro 5 &6, Boston, MA 02118 2018-03-21
1942704135 David Ng Student in an Organized Health Care Education/Training Program 725 Albany St, Boston, MA 02118-2526 2018-03-21
1306349170 Madeline Alexandra Dilorenzo Student in an Organized Health Care Education/Training Program 725 Albany St, Shapiro 5 and 6, Boston, MA 02118-2526 2018-03-17
1952813933 Kashonda Lorraina Davis Social Worker 725 Albany St, Boston, MA 02118-2526 2017-10-30
1205351616 Emily Rae Young Physician Assistant 725 Albany St, Shapiro 4 Suite B, Boston, MA 02118 2017-08-07
1265954523 Alice Anne Grant Nurse Practitioner 725 Albany St, Shapiro 5 & 6, Boston, MA 02118 2017-07-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952874737 Boston University Medical Center Anesthesiologists, Inc. Anesthesiology 750 Albany St, Power Plant 2r, Boston, MA 02118 2019-01-04
1205311966 Jacqueline Husid Social Worker 1313washingtonst., Uniy 707, Boston, MA 02118 2018-09-28
1902380363 Bryan David Godduhn-braaten Nurse Practitioner 830 Harrison Ave, Suite 3500, Boston, MA 02118 2018-09-21
1710469176 Brunilda Torres Social Worker 566 Columbus Ave, Boston, MA 02118 2018-09-02
1528549425 Adekemi Victoria Adeleye Registered Nurse 725 Albany St Ste 5b, Boston, MA 02118 2018-08-28
1245718576 Sateesh Jayappa Radiology 820, Harrison Ave, Deaprtment of Radiology, Fgh Building, 3rd Floor, Boston, MA 02118 2018-07-30
1982181715 Camila Souza Alves Cosmo Student in an Organized Health Care Education/Training Program 771 Albany St Ste 3314, Boston, MA 02118 2018-07-24
1871070144 Giuseppe Orlando Orthopaedic Surgery 850 Harrison Avenue, Dowling 2 North Bme, Boston, MA 02118 2018-07-19
1619467057 Michelle Poon Dentist 658 Tremont St Apt 9, Boston, MA 02118 2018-05-11
1588154041 Ralph Nader Internal Medicine 72 East Concord St, Collamore Suite 29, Boston, MA 02118 2018-05-10
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336626324 Mary Jane Lim Fat Psychiatry & Neurology 450 Brookline Ave Dept Dana2, Boston, MA 02215-5418 2018-07-23
1467973040 Camilo Andres Diaz Cruz Psychiatry & Neurology 260 Tremont St Fl 12, Boston, MA 02116 2017-07-04
1346655032 Mauricio Fernando Villamar Davila Psychiatry & Neurology 60 Fenwood Rd Fl, Boston, MA 02115-6128 2014-06-22
1093135048 Pria Anand Psychiatry & Neurology 55 Fruit St Ste 835, Boston, MA 02114-2696 2014-04-17
1770925976 Ammar Kheder Psychiatry & Neurology 55 Fruit Street, Epilepsy Service, Wang Acc 7, Massachusetts General Hospital, Boston, MA 02114 2013-07-29
1225477953 Christopher T Doughty Psychiatry & Neurology 60 Fenwood Rd Dept Of, Boston, MA 02115 2013-06-16
1669815486 Paloma Gonzalez Perez Psychiatry & Neurology 165 Cambridge St Fl 8, Boston, MA 02114-2747 2013-04-10
1235494048 Sameen Jafari Psychiatry & Neurology 52 Fruit St, Wang 721j, Boston, MA 02114-2620 2012-07-08
1508093675 Sana Syed Psychiatry & Neurology 725 Shapiro, 716, Boston, MA 02118-2307 2009-06-16
1689801979 Jasmeer Preet Chhatwal Psychiatry & Neurology 55 Fruit St - Neurology / Memory Disorders, Wacc 715, Massachusetts General Hospital, Boston, MA 02114-2621 2009-06-15
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City BOSTON
Zip Code 02118

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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