STEWARD MEDICAL GROUP, INC (NPI# 1043711914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043711914 |
| Entity Type | Organization |
| Organization Name | STEWARD MEDICAL GROUP, INC |
| Other Organization Name | STEWARD ANESTHESIA |
| Practice Address |
795 Middle St Fall River MA 02721-1733 |
| Mailing Address |
77 Warren St Brighton MA 02135-3601 |
| Practice Telephone | 5086745600 |
| Mailing Telephone | 6175625628 |
| Enumeration Date | 2018-02-26 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | CHRISTINE M. ROGERS (PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 6175625628 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| SMG Anesthesia | Other Name - Individual/Organization |
| Steward Anesthesia | Other Name - Individual/Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 88 Washington St, Taunton, MA 027802465 | 5088287000 | |
| 70 East St, Methuen, MA 018444597 | 9786870156 | |
| 138 Haverhill St, Andover, MA 018101509 | 9784752880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255600300 | Steward Medical Group, Inc | Internal Medicine | 500 Boylston St, Boston, MA 02116-3740 | 2011-12-19 |
| 1972073716 | Steward Medical Group, Inc | Radiology | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-12-04 |
| 1134697923 | Steward Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 531 Faunce Corner Rd, North Dartmouth, MA 02747-1242 | 2018-11-09 |
| 1962881078 | Steward Medical Group, Inc | Clinic/Center | 1 Pearl St, Suite 1800, Brockton, MA 02301-2864 | 2015-05-21 |
| 1780937326 | Steward Medical Group, Inc | Physical Therapist | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2012-10-19 |
| 1821349317 | Steward Medical Group, Inc | Internal Medicine | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2012-09-25 |
| 1336496405 | Steward Medical Group, Inc | Physical Medicine & Rehabilitation | 500 Boylston St, Boston, MA 02116-3740 | 2012-08-08 |
| 1013220151 | Steward Medical Group, Inc | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-07-19 |
| 1356654495 | Steward Medical Group, Inc | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-07-19 |
| 1629398219 | Steward Medical Group, Inc | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STEWARD MEDICAL GROUP, INC. | 28 Liberty St., New York, Ny 10005 |
| Massachusetts Corporations | STEWARD MEDICAL GROUP, INC. | 500 Boylston St., Boston, MA 02116 |
| Street Address |
795 MIDDLE ST |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02721-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661540 | Leonid Gershman | Anesthesiology | 795 Middle St, Fall River, MA 02721-1733 | 2005-07-06 |
| 1598305856 | Autumn Makowski | Dietitian, Registered | 795 Middle St, Fall River, MA 02721-1798 | 2020-01-14 |
| 1306481270 | Lauren Theresa Stanley | Physician Assistant | 795 Middle St, Fall River, MA 02721-1733 | 2019-11-14 |
| 1346883345 | Kristin Cabral | Nurse Practitioner | 795 Middle St, Fall River, MA 02721-1798 | 2019-10-22 |
| 1164076899 | Julia Margaret Sylvia | Nurse Practitioner | 795 Middle St, Fall River, MA 02721-1733 | 2019-07-31 |
| 1811549231 | Kerry Maccini | Emergency Medicine | 795 Middle St, Fall River, MA 02721-1798 | 2019-07-15 |
| 1043871064 | Courtney L Faiola | Dietitian, Registered | 795 Middle St, Fall River, MA 02721-1733 | 2019-06-21 |
| 1740774090 | Danielle Leigh Capece | Physician Assistant | 795 Middle St, Fall River, MA 02721 | 2018-06-20 |
| 1982192613 | Rebecca Frias | Social Worker | 795 Middle St, Fall River, MA 02721-1733 | 2018-04-27 |
| 1396261863 | Danielle Lee Bouchard | Nurse Practitioner | 795 Middle St, Fall River, MA 02721-1733 | 2017-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139703 | Ervin Pejo | Dentist | 824 William S Canning Blvd A, Fall River, MA 02721 | 2020-09-18 |
| 1316561814 | Sravanthi Tapal | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fallriver, MA 02721 | 2020-06-01 |
| 1447808811 | Guilbert Maria | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fall River, MA 02721 | 2019-08-29 |
| 1619466638 | Alpha Dental Center, P.c | Dentist | 516 Newton St., Fall River, MA 02721 | 2018-05-04 |
| 1083987374 | Fall River Dental Center | Dentist | 516 Newton St, Fall River, MA 02721 | 2012-02-16 |
| 1033489109 | Phoenix Psychiatric Services | Clinic/Center | 101 Jeremiah Sullivan Dr, Fall River, MA 02721 | 2012-01-06 |
| 1619271491 | Amanda Leigh Sims | Student in an Organized Health Care Education/Training Program | 1575 North Main Street, Fall River, MA 02721 | 2011-01-07 |
| 1346481280 | Paul Ongulo | Counselor | 170 Pleasant Street, Fall River, MA 02721 | 2009-03-23 |
| 1508020439 | Dental Dreams LLC | Dentist | 45 Mariano South Bishop Blvd, Fall River, MA 02721 | 2008-07-10 |
| 1174793244 | Joan P Riley | Social Worker | 700 Shore Dr Unit 605, Fall River, MA 02721 | 2008-03-05 |
| Find all providers in zip 02721 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144216557 | Mary Frances Sippell | Anesthesiology | 795 Middle Street, Fall River, MA 02721-1733 | 2005-09-21 |
| 1083614887 | Geeta R Trivedi | Anesthesiology | 272 Stanley St, Fall River, MA 02720-6009 | 2005-07-22 |
| 1588661540 | Leonid Gershman | Anesthesiology | 795 Middle St, Fall River, MA 02721-1733 | 2005-07-06 |
| 1780681742 | George S Botros | Anesthesiology | 363 Highland Ave, Fall River, MA 02720-3703 | 2005-07-06 |
| 1831206416 | Thaddeus J Krensavage | Anesthesiology | 363 Highland Ave, Fall River, MA 02720-3703 | 2006-08-23 |
| 1912926460 | Paul J. Flaherty Jr. | Anesthesiology | 363 Highland Ave, Fall River, MA 02720-3703 | 2006-07-18 |
| 1477590883 | Surgicenter Anesthesia Associates, LLC | Anesthesiology | 272 Stanley St, Fall River, MA 02720-6009 | 2006-06-02 |
| 1164489647 | Mervyn Woolf | Anesthesiology | 363 Highland Ave, Fall River, MA 02720-3703 | 2006-04-27 |
| 1043277072 | Andrea R Stewart | Anesthesiology | 363 Highland Avenue, Fall River, MA 02720 | 2006-04-26 |
| 1154309417 | Thomas Gordon Mcnabb | Anesthesiology | 272 Stanley St, Fall River, MA 02720-6009 | 2006-01-06 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02721 |
Please comment or provide details below to improve the information on STEWARD MEDICAL GROUP, INC.
| 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.