DAVID J PETULLO (NPI# 1003890344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003890344 |
| Entity Type | Individual |
| Full Name | DAVID J PETULLO |
| Credential | MD |
| Practice Address |
60 Hospital Rd Leominster MA 01453-2205 |
| Mailing Address |
630 Plantation St Wot Fl 12 Worcester MA 01605 |
| Practice Telephone | 9784664169 |
| Practice Fax Number | 9784664169 |
| Mailing Telephone | 5083685529 |
| Mailing Fax Number | 5083685530 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 80754 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 165 Mill St, Leominster, MA 01453 | 5088520600 | |
| 60 Hospital Rd, Leominster, MA 014532205 | 9784664169 | 9784664169 |
| Street Address |
60 HOSPITAL RD |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453-2205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720083892 | Matthew G Masiello | Pediatrics | 60 Hospital Rd, Leominster, MA 01453-2205 | 2005-06-16 |
| 1851911150 | Terese Andrea Holm | Nurse Practitioner | 60 Hospital Rd, Leominster, MA 01453-2205 | 2020-04-16 |
| 1770115891 | Ashley Jennifer Goddard | Nurse Practitioner | 60 Hospital Rd, Leominster, MA 01453-2205 | 2020-02-06 |
| 1265076392 | Laura Villani | Dietitian, Registered | 60 Hospital Rd, Leominster, MA 01453-2205 | 2019-11-01 |
| 1841852811 | Umass Memorial Healthalliance Clinton Hospital Inc | Dietitian, Registered | 60 Hospital Rd, Leominster, MA 01453-2205 | 2019-07-01 |
| 1942860317 | Rachael Sharpe | Dietitian, Registered | 60 Hospital Rd, Leominster, MA 01453-2205 | 2019-06-18 |
| 1891359444 | Anya Plucinsky | Dietitian, Registered | 60 Hospital Rd, Leominster, MA 01453-2205 | 2019-04-30 |
| 1386126985 | Janet Margaret Bombaci | Social Worker | 60 Hospital Rd, Leominster, MA 01453-2205 | 2018-08-30 |
| 1942709852 | Brian P Houle | Nurse Practitioner | 60 Hospital Rd, Leominster, MA 01453-2205 | 2018-02-06 |
| 1205345030 | Nancy M Bisceglia | Social Worker | 60 Hospital Rd, Leominster, MA 01453-2205 | 2017-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528294139 | Sherard Nj Lacaille | Internal Medicine | 14 Monument Sq, Suite 401, Leominster, MA 01453-5766 | 2009-06-09 |
| 1811153489 | Mandeep Hundal | Internal Medicine | 100 Hospital Rd Ste 2a, Leominster, MA 01453-2253 | 2008-08-04 |
| 1235184102 | Danilo Tolentino Funa | Internal Medicine | 50 Memorial Dr Ste 214, Leominster, MA 01453-2238 | 2006-05-22 |
| 1306825831 | Ashraf F Elkerm | Internal Medicine | 55 Cinema Blvd, Leominster, MA 01453-3290 | 2006-01-12 |
| 1093704298 | Payam Aghassi | Internal Medicine | 50 Memorial Drive, Suite 113, Leominster, MA 01453-2238 | 2005-10-19 |
| 1013903210 | Jyoti Dhananjay Nagarkar | Internal Medicine | 80 Erdman Way, Suite 207, Leominster, MA 01453-1840 | 2005-09-22 |
| 1003810094 | Paul J Block | Internal Medicine | 100 Hospital Rd, Ste 3a, Leominster, MA 01453-2253 | 2005-06-08 |
| 1396136560 | Tayyaba Salman | Internal Medicine | 60 Hospital Rd, Leominster, MA 01453 | 2015-02-10 |
| 1245586346 | Praveen Devineni | Internal Medicine | 60 Hospital Rd, Leominster, MA 01453-2205 | 2012-07-26 |
| 1962780411 | Sunny Jain | Internal Medicine | 60 Hospital Rd, Leominster, MA 01453-2205 | 2011-08-02 |
| Find all providers in LEOMINSTER | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
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| 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.