KIMBERLY ANNE DEWEY (NPI# 1063408581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063408581 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNE DEWEY |
| Credential | MD |
| Practice Address |
2207 Boston Rd Wilbraham MA 01095-1155 |
| Practice Telephone | 4135991201 |
| Practice Fax Number | 4135962940 |
| Mailing Telephone | 4135991201 |
| Mailing Fax Number | 4135962940 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
220683 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA/USHC | 7034605 | 01 | |
| CHILDRENS MEDICAL SECURIT | 70513 | 01 | |
| HEALTH NEW ENGLAND | 34817 | 01 | |
| HARVARD PILGRIM | AA16576 | 01 | |
| DEA | BD8793552 | 01 | |
| UNITED HEALTHCARE | 1205530 | 01 | |
| NETWORK HEALTH | 969421 | 01 | |
| BOSTON MED CENTER HEALTHN | 000000028542 | 01 | |
| MA LICENSE | 220683 | 01 | |
| CONNECTICARE | 220683 | 01 | |
| BCBS | J27969 | 01 | |
| MA | 2080303 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982729653 | Kimberly A. Dewey | Speech-Language Pathologist | 464 Main St, Agawam, MA 01001-1826 | 2007-03-20 |
| Street Address |
2207 BOSTON RD |
| City | WILBRAHAM |
| State | MA |
| Zip Code | 01095-1155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346542313 | Priya Sharma Malik | Pediatrics | 2207 Boston Rd, Wilbraham, MA 01095-1155 | 2010-11-24 |
| 1497983530 | Jaime Thayer-awoniyi | Social Worker | 2207 Boston Rd, Wilbraham, MA 01095-1155 | 2009-06-28 |
| 1275793788 | Thirza C Lareau | Pediatrics | 2207 Boston Rd, Wilbraham, MA 01095-1155 | 2008-06-10 |
| 1518954825 | Kimberly Joyal Martins | Pediatrics | 2207 Boston Rd, Wilbraham, MA 01095-1155 | 2005-10-03 |
| 1639165517 | Francesca M Bajaj | Pediatrics | 2207 Boston Rd, Wilbraham, MA 01095-1155 | 2005-09-26 |
| 1306832290 | George Frank Vitek | Pediatrics | 2207 Boston Rd, Wilbraham, MA 01095-1155 | 2005-09-26 |
| 1568458479 | Gary John Nielan | Pediatrics | 2207 Boston Rd, Wilbraham, MA 01095-1155 | 2005-09-26 |
| 1992791800 | Amy C. Kasper | Pediatrics | 2207 Boston Rd, Wilbraham, MA 01095-1155 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912436619 | Amanda M Bryant | Nurse Practitioner | 70 Pst Office Park, Wilbraham, MA 01095 | 2017-06-06 |
| 1568867539 | Michael Roy | Physical Therapist | 2301 Boston Rd, Wilbraham, MA 01095 | 2014-11-03 |
| 1588925440 | Jeziel Miguel Gonzalez | Physical Therapist | 6 Colonial Rd, Wilbraham, MA 01095 | 2012-06-06 |
| 1306117783 | Rosemary Wrona | Physical Therapist | 2 Lodge Ln, Wilbraham, MA 01095 | 2012-01-18 |
| 1356508584 | Big Y Foods Inc | Pharmacy | 2035 Boston Rd, Wilbraham, MA 01095 | 2008-05-16 |
| 1235315854 | Elizabeth L Rose | Pediatrics | Riverbend Medical Group, Inc, 70 Post Office Park, Wilbraham, MA 01095 | 2008-01-14 |
| 1346315140 | Mary Beth Laliberte | Physician Assistant | 2040 Boston Rd Ste 5, Wilbraham, MA 01095 | 2006-11-21 |
| 1003993668 | Anita Chopra | Dentist | 2141 Boston Road, Northeast Dental, Wilbraham, MA 01095 | 2006-11-01 |
| 1558461525 | Cynthia A Kennedy | Nurse Practitioner | 34 Sandalwood Dr, Wilbraham, MA 01095 | 2006-09-22 |
| 1063447357 | Susan W James | Social Worker | 919 Main St., Wilbraham, MA 01095 | 2006-07-12 |
| Find all providers in zip 01095 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457393506 | George F Vitek Md & Associates PC | Pediatrics | 2207 Boston Road, Wilbraham, MA 01095-1155 | 2006-06-12 |
| 1518954825 | Kimberly Joyal Martins | Pediatrics | 2207 Boston Rd, Wilbraham, MA 01095-1155 | 2005-10-03 |
| 1639165517 | Francesca M Bajaj | Pediatrics | 2207 Boston Rd, Wilbraham, MA 01095-1155 | 2005-09-26 |
| 1568458479 | Gary John Nielan | Pediatrics | 2207 Boston Rd, Wilbraham, MA 01095-1155 | 2005-09-26 |
| 1992791800 | Amy C. Kasper | Pediatrics | 2207 Boston Rd, Wilbraham, MA 01095-1155 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033359898 | Bharati Reejhsinghani Md | Pediatrics | 754 Chestnut St, Springfield, MA 01107-1614 | 2009-03-05 |
| 1437301900 | Vaibhav Goyal | Pediatrics | 874 Purchase Street, Greater New Bedford Community Health, New Bedford, MA 02740 | 2008-10-16 |
| 1649455973 | Robert J. Giordano Md PC | Pediatrics | 100 South St Ste 205, Southbridge, MA 01550-4051 | 2008-01-06 |
| 1407979560 | Bharati Nandlal Reejhsinghani | Pediatrics | 754 Chestnut Street, Springfield, MA 01107 | 2007-04-06 |
| 1609903582 | Harris C Faigel | Pediatrics | 55 Kensington Cir, Chestnut Hill, MA 02467-2675 | 2007-02-27 |
| 1871667303 | Brian J. Dempsey Md | Pediatrics | 758 East St, Pittsfield, MA 01201-5326 | 2006-11-17 |
| 1295757268 | Mark Vonnegut | Pediatrics | 21 Totman Street #2, Quincy, MA 02169 | 2006-07-25 |
| 1356390215 | Richard John Kerbel | Pediatrics | 548 Mount Auburn St, Watertown, MA 02472-4122 | 2006-05-09 |
| 1487602884 | Paula K Braverman | Pediatrics | 50 Wason Avenue, Springfield, MA 01107-1274 | 2006-05-05 |
| 1619930559 | Marianne Sarah Koenig | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2006-04-11 |
| Find all providers with the same taxonomy | ||||
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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.