GREATER BOSTON WELLNESS PRIMARY CARE PC (NPI# 1073090692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073090692 |
Entity Type | Organization |
Organization Name | GREATER BOSTON WELLNESS PRIMARY CARE PC |
Practice Address |
200 Providence Hwy Dedham MA 02026-1881 |
Mailing Address |
246 Walnut St Ste 104 Newton MA 02460-1639 |
Practice Telephone | 7814610660 |
Mailing Telephone | 6172443322 |
Enumeration Date | 2018-07-26 |
Last Update Date | 2018-07-26 |
Authorized Official Name | DENNIS TEEHAN (MD) |
Authorized Official Telephone | 7813261464 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
Street Address |
200 PROVIDENCE HWY |
City | DEDHAM |
State | MA |
Zip Code | 02026-1881 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508846882 | Eugenio Martinez | Physical Medicine & Rehabilitation | 200 Providence Hwy, Dedham, MA 02026-1881 | 2006-01-20 |
1194350868 | Kristen Taylor Cockrell | Physical Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2020-03-03 |
1720580491 | Kelly Murphy | Physical Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2018-03-08 |
1679959977 | Northeast Orthopedic Associates, Inc. | Clinic/Center | 200 Providence Hwy, Suite 200, Dedham, MA 02026-1881 | 2015-08-10 |
1235514795 | Greater Boston Wellness Physicians | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2015-07-27 |
1588060669 | Adam Kuks | Physical Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2014-11-17 |
1821407156 | Meghan Burke Johnson | Physical Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2014-08-12 |
1215366042 | Thomas Snediker Jr. | Physical Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2013-11-02 |
1124455381 | Todd Phillip Norton | Physical Therapist | 200 Providence Hwy, Dedham, MA 02026-1881 | 2013-10-02 |
1073818092 | Judy Brasier Do, LLC | Clinic/Center | 200 Providence Hwy, Suite 200, Dedham, MA 02026-1881 | 2011-01-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
1497354674 | Lifetime Physical Therapy | Physical Therapist | 453 Sprague St, Dedham, MA 02026 | 2020-10-20 |
1164060067 | Healthy Healing Home Care Agency LLC | In Home Supportive Care | 3 Allied Dr Suite 303, Dedham, MA 02026 | 2019-12-11 |
1689149023 | Alyssa Michel | Counselor | 20 E Astbrook Rd, Suite 104, Dedham, MA 02026 | 2018-10-12 |
1467968800 | Joshua A Helm | Chiropractor | 200 Boston Providence Highway, Suite #206, Dedham, MA 02026 | 2017-12-21 |
1598283848 | Jason Peltier | Physical Therapist | 606 Providence Highway, Dedham, MA 02026 | 2017-09-07 |
1558883371 | Padme Physical Therpay | Clinic/Center | 227 Legacy Place Boulevard, Stil Studio, Dedham, MA 02026 | 2017-07-13 |
1851828107 | Pm Pediatrics of New England | Pediatrics | 719 Providence Highway, Dedham, NY 02026 | 2017-05-17 |
1740715846 | Stil Legacy Dedham | Physical Therapist | 227 Legacy Place, Dedham, MA 02026 | 2017-04-26 |
1053856310 | Donald Hughes | Social Worker | 270 Bridge Street, Suite 301, Dedham, MA 02026 | 2016-12-22 |
Find all providers in zip 02026 |
Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235514795 | Greater Boston Wellness Physicians | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2015-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437494473 | Healthstat On-site Clinic/varian- Newburyport | Preventive Medicine | 4 Stanley Tucker Dr, Newburyport, MA 01950-4039 | 2012-12-03 |
1780934349 | Healthstat Arkansas/pace Ind.- Cambridge | Preventive Medicine | 67 Faulkner St., North Billerica, MA 01862 | 2012-09-11 |
1033315114 | Manijeh Berenji | Preventive Medicine | 725 Albany St Ste 4b, Boston, MA 02118-3549 | 2007-06-25 |
1164630471 | James Robert Garb | Preventive Medicine | 11 Kingsbury Way, Yarmouth Port, MA 02675-1227 | 2007-05-18 |
1326162447 | Paul Anthony Keefe | Preventive Medicine | 29 Eaton Rd, Needham, MA 02492-3303 | 2007-03-16 |
1194894154 | Michael Erdil | Preventive Medicine | 5 Mount Royal Ave Ste 50, Marlborough, MA 01752-1921 | 2006-11-06 |
1497749618 | Sven Knudsen Ljaamo | Preventive Medicine | 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 | 2005-09-02 |
1942756192 | Patthrarawalai Phichalai | Preventive Medicine | 5 Middlesex Ave., Cambridge Health Alliance, Occupational Medicine Clinic, Somerville, MA 02145-1677 | 2016-08-28 |
1801131842 | Healthstat On-site Clinic/varian- Gloucester | Preventive Medicine | 35 Dory Rd, Gloucester, MA 01930-2236 | 2012-12-03 |
1114218682 | Jeffrey Vogel | Preventive Medicine | 5 Middlesex Ave, Somerville, MA 02145-1102 | 2011-05-02 |
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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.