MR. JEFFERSON KNOTT PA
NPI 1285615641
Physician Assistant - Surgical in Boston, MA
Active since November 10, 2005
330 BROOKLINE AVE, BIDMC SHAPIRO 2 C/O DR. PAUL GLAZER, BOSTON, MA 02215(617) 667-2225(617) 667-2233 Get Directions Write a Review
About Mr. Jefferson Knott Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. JEFFERSON KNOTT PA (NPI 1285615641) is an individual surgical provider in Boston, Massachusetts and active in the NPI registry since November 2005.
NPPES Registry Identity
NPI1285615641
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. JEFFERSON KNOTTCredential: PA
Location Address330 BROOKLINE AVE, BIDMC SHAPIRO 2 C/O DR. PAUL GLAZERBoston, MA 02215-5400
Mailing Address330 Brookline Ave, Bidmc Shapiro 2 C/o Dr. Paul GlazerBoston, MA 02215-5400 · (617) 667-2225 · Fax (617) 667-2233
Phone(617) 667-2225
Fax(617) 667-2233
Sole ProprietorYes
Enumeration DateNovember 10, 2005
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1285615641 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
330 BROOKLINE AVE, Boston, MA 02215
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
330 BROOKLINE AVE, KS 306
BOSTON, MA 02215
BOSTON, MA 02215
Internal Medicine (Cardiovascular Disease)
330 BROOKLINE AVE
BOSTON, MA 02215
BOSTON, MA 02215
Anesthesiology
330 BROOKLINE AVE, DEPT OF ANESTHESIA ST-308
BOSTON, MA 02215
BOSTON, MA 02215
Internal Medicine (Critical Care Medicine)
330 BROOKLINE AVE, GZ 405
BOSTON, MA 02215
BOSTON, MA 02215
Radiology (Radiation Oncology)
330 BROOKLINE AVE, FINARD BUILDING B25
BOSTON, MA 02215
BOSTON, MA 02215
Pathology (Neuropathology)
330 BROOKLINE AVE, DEPT. OF NEUROLOGY
BOSTON, MA 02215
BOSTON, MA 02215
Internal Medicine (Cardiovascular Disease)
330 BROOKLINE AVE
BOSTON, MA 02215
BOSTON, MA 02215
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285615641, enumerated as an "individual" on November 10, 2005.
The provider is located at 330 BROOKLINE AVE BIDMC SHAPIRO 2 C/O DR. PAUL GLAZER BOSTON, MA 02215 and the phone number is (617) 667-2225.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.