MGH (NPI# 1063716579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063716579 |
| Entity Type | Organization |
| Organization Name | MGH |
| Other Organization Name | US NAVY |
| Practice Address |
10 Tall Tree Dr Beverly MA 01915-2012 |
| Mailing Address |
10 Tall Tree Drive Beverly MA 01915 |
| Practice Telephone | 9789797410 |
| Mailing Telephone | 9789797410 |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2010-12-28 |
| Authorized Official Name | LYNNE BRODSKY (MD) |
| Authorized Official Telephone | 6178898580 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | MG17508 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 281P00000X | Chronic Disease Hospital | 179866 | MA | Hospitals |
| Y | 302F00000X | Exclusive Provider Organization | 179866 | MA | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | NPI | 1003910548 | 01 |
| Other Name | Type Code |
|---|---|
| Us navy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801015045 | Mgh | General Acute Care Hospital | 55 Fruit St, Boston, MA 02114-2621 | 2007-04-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MGH & ASSOCIATES L.L.C. | 7825 Crittenden Rd, Suffolk, Virginia 23432 |
| Virginia Business Entities | MGH ACQ LLC | One Towne Sq, Ste 1600, Southfield, Michigan 48076 |
| Washington State Corporations | MGH ASSISTANCE LLC | 15015 Gibralter Rd, Anacortes, WA 98221-8617 |
| Oregon Corporations, Companies and Business Names | MGH AUTO, LLC | 7440 Sw Hunzinger Ste C, Tigard, OR 97223 |
| Oregon Corporations, Companies and Business Names | MGH BEND, LLC | 7440 Sw Hunziker Ste C, Tigard, OR 97223 |
| New York State Corporations | MGH COMMUNICATIONS CONSULTING LLC | 730 Meadowdale Road, Altamont, Ny 12009 |
| Indiana Business Entities | MGH CONSTRUCTION LLC | 6755 W. St. Rd. 340, Brazil, IN 47834 |
| Washington State Corporations | MGH CONSTRUCTION, INC. | 7446 Wheeler Rd, Maple Falls, WA 98266 |
| Connecticut Business Registrations | Mgh Construction, LLC | 105 Woolsun St, Watertown, CT 06795 |
| Washington State Corporations | MGH CONSULTANTS LTD. | 10900 Ne 4th St #2300, Bellevue, WA 98004 |
| Street Address |
10 TALL TREE DR |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 302F00000X |
| Grouping | Managed Care Organizations |
| Classification | Exclusive Provider Organization |
| (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations. |
| Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 15; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58; (3) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205369014 | Clinical & Support Options | Exclusive Provider Organization | 15 Vadnais St, East Longmeadow, MA 01028-1934 | 2017-04-07 |
| 1912362716 | Janet Vodvarka | Exclusive Provider Organization | 27 Waltham Rd, Wayland, MA 01778-1312 | 2015-12-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1518395284 | Cadre Ideal LLC | Exclusive Provider Organization | 60-70 Milton Street, Dedham, MA 02026 | 2013-10-16 |
| 1134553860 | The Children's Study Home | Exclusive Provider Organization | 150 Linden St Apt 4l, Holyoke, MA 01040-3304 | 2013-08-29 |
| 1740527787 | Wicfol Human Services | Exclusive Provider Organization | 1785 South St, Bridgewater, MA 02324-3525 | 2013-01-10 |
| 1952658056 | Mass Kidz Healthy Smiles LLC | Exclusive Provider Organization | 126 Audubon Ave, Braintree, MA 02184-2352 | 2012-08-07 |
| 1114280286 | South Shore Mental Health | Exclusive Provider Organization | 16 Penniman Circle, Stoughton, MA 02072 | 2012-06-22 |
| 1689949232 | Caring Home Health Care, LLC | Exclusive Provider Organization | 58 Princeton Rd, Malden, MA 02148-1642 | 2012-03-15 |
| 1497052930 | Cleghorn Professional Counseling Center | Exclusive Provider Organization | 63 Fairmount St Rear, Fitchburg, MA 01420-7613 | 2011-02-18 |
| 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.