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EDWIN ISHOO MD NPI 1760497226


NPI Information

NPI: 1760497226
Provider Name: EDWIN ISHOO, MD
Classification: Otolaryngology - 207YX0007X
Entity Type: Individual

Specialization: Plastic Surgery within the Head & Neck

PECOS Registration: Yes

Address:
ONE BROOKLINE PLACE
SUITE 321
BROOKLINE, MA
ZIP 02445
Phone: (781) 552-6089
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Edwin Ishoo, MD is a plastic surgery within the head and neck otolaryngology in Brookline, MA. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. Edwin Ishoo, MD NPI is 1760497226. 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:

ONE BROOKLINE PLACE
SUITE 321
BROOKLINE, MA
ZIP 02445
Phone: (781) 552-6089

The NPI 1760497226 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 7/30/2006 and was last updated on 9/23/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology2005-0084NEW MEXICONo
2207Y00000XOtolaryngology154977MASSACHUSETTSNo
3207YS0123XOtolaryngologyFacial Plastic Surgery154977MASSACHUSETTSNo
4207YX0602XOtolaryngologyOtolaryngic AllergyMD2005-0084NEW MEXICONo
5208200000XPlastic Surgery154977MASSACHUSETTSNo
6207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck154977MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1345601601MEDICARE ID-TYPE UNSPECIFIEDNEW MEXICO
22161133MEDICAIDMASSACHUSETTS
3A2852201MEDICARE UPINMASSACHUSETTS
4G72583MEDICARE UPINNEW MEXICO

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.