Dr. David Henry Ebb

MD | Pediatric Hematology-Oncology | Male

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Complete Profile:

Dr. David Henry Ebb basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Hematology-Oncology
Provider Name :	Dr. David Henry Ebb
Credential :	MD
Gender :	Male

Business Address:

Dr. David Henry Ebb address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	55 Fruit St, Yaw 8b, Pediatric Hematolgy-oncology Boston, MA, 02114-2696 United States
Phone Number :	617-726-2737
Fax Number :	617-724-0702

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1003898297
NPI Entity Type :	Individual
First Enrolment Date :	15 Nov, 2005
Last Updated On :	18 Dec, 2012

Medicare Participation:

Dr. David Henry Ebb participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6507839297
Medicare Enrollment ID :	I20040819000911
Primary Specialty :	Hematology/oncology
Medical School :	State University Of New York At Stony Brook, School Of Medicine
Graduation Year :	1987
Accepts Medicare?	Yes. Dr. David Henry Ebb accepts medicare insurance.

Group Practice Association:

Dr. David Henry Ebb is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. David Henry Ebb is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
The General Hospital Corporation	6507803806	1008	55 Fruit St Boston, MA - 021142621 Ph: 6177262000	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. David Henry Ebb are as mentioned. Primary taxonomy code for Dr. David Henry Ebb, MD is 2080P0207X (Pediatrics Pediatric Hematology-Oncology).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	No	77317	MA
2080P0207X	Pediatrics Pediatric Hematology-Oncology	Yes	77317	MA

Legacy Identifiers:

Other legacy medical identifiers of Dr. David Henry Ebb such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
3111202	MEDICAID	MA
J13960	Other	MA	BCBS MA
730166	Other	MA	TUFTS HEALTH PLAN

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 9142 Charlestown, MA, 02129-9142 United States
Phone Number :	617-726-2737
Fax Number :	617-724-0702

Business Location:

Patients can refer following map for directions to Dr. David Henry Ebb practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.