MARK WILLIAM KIERAN MD PHD NPI 1790747236

NPI Information

NPI: 1790747236
Provider Name: MARK WILLIAM KIERAN, MD PHD
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
44 BINNEY ST
ROOM SW331
BOSTON, MA
ZIP 02115
Phone: (617) 632-4907
Get Directions

Mark William Kieran, MD PHD is a pediatric hematology-oncology pediatrics in Boston, MA. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. Mark William Kieran, MD PHD NPI is 1790747236. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

44 BINNEY ST
ROOM SW331
BOSTON, MA
ZIP 02115-013
Phone: (617) 632-4907
Fax: (617) 632-4897

The NPI 1790747236 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/3/2006 and was last updated on 8/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	76146	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	8545845	OTHER	CIGNA
2	F33356DF	OTHER	HPHC DFCI ONLY
3	000000026066	OTHER	BMC HEALTHNET
4	2929111	OTHER	AETNA US HEALTHCARE
5	3138950	OTHER	MASSHEALTH
6	F33356	MEDICARE UPIN
7	076146	OTHER	TUFTS
8	J12662	MEDICARE ID-TYPE UNSPECIFIED
9	7505047	OTHER	UNITED HEALTH CARE
10	370013224	OTHER	RR MEDICARE BINNEY MED
11	23303	OTHER	FALLON COMMUNITY HEALTH
12	J31260	OTHER	MA BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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