MOUNT GRACE FAMILY MEDICINE LLC (NPI# 1013346188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013346188 |
| Entity Type | Organization |
| Organization Name | MOUNT GRACE FAMILY MEDICINE LLC |
| Practice Address |
119 New Athol Rd Orange MA 01364-9603 |
| Mailing Address |
51 Wheeler Rd Warwick MA 01378-9345 |
| Practice Telephone | 9782493700 |
| Mailing Telephone | 6178352422 |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2014-07-15 |
| Authorized Official Name | DR. EKATERINA BRODSKI-QUIGLEY (PHYSICIAN) |
| Authorized Official Telephone | 9782493700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
119 NEW ATHOL RD |
| City | ORANGE |
| State | MA |
| Zip Code | 01364-9603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750337333 | Community Health Center of Franklin County | Counselor | 119 New Athol Rd, Orange, MA 01364-9603 | 2006-05-26 |
| 1093942641 | Leonard Optician Inc. | Hearing Instrument Specialist | 119 New Athol Rd, Orange, MA 01364-9603 | 2009-06-22 |
| 1639324866 | Leonard Optician Inc. | Hearing Aid Equipment | 119 New Athol Rd, Orange, MA 01364-9603 | 2008-12-02 |
| 1225288095 | Douglas J Dupell | Technician/Technologist | 119 New Athol Rd, Orange, MA 01364-9603 | 2008-09-29 |
| 1235389008 | William M Grant | Technician/Technologist | 119 New Athol Rd, Orange, MA 01364-9603 | 2008-09-29 |
| 1154571925 | David W Dougan | Technician/Technologist | 119 New Athol Rd, Orange, MA 01364-9603 | 2008-09-29 |
| 1356566806 | Donald Y. Stiles PC | Optometrist | 119 New Athol Rd, Orange, MA 01364-9603 | 2007-04-17 |
| 1689728925 | Leonard Optician, Inc. | Eyewear Supplier (Equipment, not the service) | 119 New Athol Rd, Orange, MA 01364-9603 | 2007-01-23 |
| 1306929187 | Gerald Chaskelson | Optometrist | 119 New Athol Rd, Orange, MA 01364-9603 | 2006-10-23 |
| 1114943149 | Donald Y. Stiles | Optometrist | 119 New Athol Rd, Orange, MA 01364 | 2006-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013464528 | Kayla Bosselait | Counselor | 15 E. Main St, #205, Orange, MA 01364 | 2016-09-01 |
| 1417223462 | Andrea Lee Callahan | Counselor | 131 West Main Street, Chd-first Floor, Orange, MA 01364 | 2012-03-23 |
| 1194950626 | Tasha Chemel | Counselor | 131 Main Street, Orange, MA 01364 | 2009-05-28 |
| 1831103233 | Debra Marie Kott | Social Worker | 131 W Main St, Orange, MA 01364 | 2006-07-28 |
| 1629136981 | Paul Antoni Kowacki | Chiropractor | 28 North Main St, Orange, MA 01364-0118 | 2006-12-05 |
| 1992842215 | Resmi P Nair | Dentist | 9 Grove St, Orange, MA 01364-1009 | 2007-01-30 |
| 1811406465 | Manish Juneja | Dentist | 9 Grove St, Orange, MA 01364-1009 | 2017-09-27 |
| 1982738209 | Orange Dental Group LLC | Dentist | 9 Grove St, Orange, MA 01364-1009 | 2007-03-16 |
| 1962833186 | Julie Stanley | Counselor | 73 Lincoln Ave, Orange, MA 01364-1012 | 2013-12-13 |
| 1578176129 | Four Wings Counseling LLC | Community/Behavioral Health | 337 N Main St, Orange, MA 01364-1060 | 2020-08-24 |
| Find all providers in zip 01364 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649748989 | Access Primary Care Physicians, Inc. | Family Medicine | 1100 Town & Country Road, Suite 1600, Orange, CA 92868 | 2018-11-05 |
| 1831622588 | Laetitia Truong | Family Medicine | 293 S Main St # 200, Orange, CA 92868-3843 | 2017-04-10 |
| 1891236535 | Telehealth Medical Group Inc | Family Medicine | 711 E Chapman Ave, Orange, CA 92866-1620 | 2017-03-14 |
| 1538541800 | My Md Inc | Family Medicine | 2680 N Santiago Blvd, Suite 100, Orange, CA 92867-1859 | 2015-06-23 |
| 1821476540 | Clinisanitas, PC | Family Medicine | 100 Boston Post Rd, Orange, CT 06477-3233 | 2015-05-14 |
| 1376839860 | T and D Medical Associates LLC | Family Medicine | 132 William St, Orange, NJ 07050-4065 | 2011-06-22 |
| 1134350606 | Kevin Lin | Family Medicine | 7630 E Chapman Ave Ste B, Orange, CA 92869-8536 | 2009-08-01 |
| 1700049459 | Kasein Gonzalez | Family Medicine | 303 W Katella Ave Ste 308, Orange, CA 92867-4790 | 2008-07-02 |
| 1336347293 | Dustin Anthony Taylor | Family Medicine | 2501 E Chapman Ave Ste 101, Orange, CA 92869-3204 | 2007-07-03 |
| 1265659262 | Joseph Tannenbaum | Family Medicine | 1681 N Hunters Way, Orange, CA 92869-1017 | 2007-04-19 |
| Find all providers in ORANGE | ||||
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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.