STEPHEN PAUL KAJENCKI (NPI# 1073521753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073521753 |
| Entity Type | Individual |
| Full Name | STEPHEN PAUL KAJENCKI |
| Credential | M.D. |
| Practice Address |
800 S Main St Suite 304 Mansfield MA 02048-3144 |
| Practice Telephone | 5089645560 |
| Practice Fax Number | 5089645570 |
| Mailing Telephone | 5089645560 |
| Mailing Fax Number | 5089645570 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2020-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 72749 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UHC | 0102003 | 01 | |
| MA | HPHC | 7535 | 01 |
| MA | FALLON | 342 | 01 |
| MA | TUFTS | 725893 | 01 |
| MA | 3064565 | 05 | |
| MA | MABC | J09823 | 01 |
| MA | CIGNA | B10041301 | 01 |
| RI BLUE CHIP | 202367 | 01 |
| Street Address |
800 S MAIN ST SUITE 304 |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-3144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730400011 | Tender Loving Care Health Care Services of New England, L.L.C. | Home Health | 800 S Main St, Suite 202, Mansfield, MA 02048-3144 | 2010-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| 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 |
|---|---|---|---|---|
| 1396351474 | Rudo P Madondo-gwitira | Family Medicine | 4201 Palmer Dr, Mansfield, TX 76063-3432 | 2020-09-23 |
| 1174937916 | Kyle Ungvarsky | Family Medicine | 416 South Main Street, Mansfield, PA 16933 | 2014-06-19 |
| 1992143549 | Philip U Ramirez | Family Medicine | 1601 E Debbie Ln Ste 2109, Mansfield, TX 76063-4130 | 2013-06-05 |
| 1396066171 | Jeffrey Urieto | Family Medicine | 1776 North Us 287, Suite 220, Mansfield, TX 76063 | 2010-06-16 |
| 1184882813 | Doyle Fairchild Gallman Jr. | Family Medicine | 2360 Highway 157 N, Mansfield, TX 76063-7540 | 2008-05-29 |
| 1699958579 | Pannaben H Nangha | Family Medicine | 221 Regency Pkwy, Suite 125, Mansfield, TX 76063-5165 | 2007-12-13 |
| 1992905376 | Joseph M Kim | Family Medicine | 1718 Us 287 Frontage Rd., Suite 200, Mansfield, TX 76063 | 2007-07-23 |
| 1487861738 | Erica L Sails | Family Medicine | 1757 Broad Park Cir N Ste 201, Mansfield, TX 76063-7839 | 2007-05-17 |
| 1578618492 | Doyle F Gallman Do Pa | Family Medicine | 2360 Fm 157 N, Mansfield, TX 76063-7540 | 2007-01-23 |
| 1689730996 | Patricia Charlene Laurie Brock | Family Medicine | 1420 Parkside Dr, Mansfield, TX 76063-8618 | 2006-12-29 |
| Find all providers in MANSFIELD | ||||
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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.