AN K PHAN (NPI# 1104872274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104872274 |
| Entity Type | Individual |
| Full Name | AN K PHAN |
| Credential | MD |
| Practice Address |
541 Main St Ste 400 South Weymouth MA 02190-1889 |
| Practice Telephone | 7819521280 |
| Mailing Telephone | 7819521280 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 226928 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 230 Bowdoin St, Dorchester, MA 021221817 | 6177540100 | |
| 15 Corporate Park Dr, Pembroke, MA 023591966 | 7818268065 | |
| 56 New Driftway Ste 101, Scituate, MA 020664533 | 7815457243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659849412 | An Phan | Physical Therapist | 16921 Taylor Ct, Torrance, CA 90504-2213 | 2018-11-08 |
| 1215222054 | An Phan | Pharmacist | 8448 Center Run Rd, T-0635, Indianapolis, IN 46250-4505 | 2011-06-09 |
| 1588674030 | An T Phan | Family Medicine | 1370 Dorchester Ave, Ste 23, Dorchester, MA 02122-2921 | 2006-08-08 |
| 1437711173 | An Truong Phan | Pharmacist | 12254 Bellflower Blvd, Downey, CA 90242-2804 | 2019-07-02 |
| 1316453087 | An Hoang Phan | Acupuncturist | 2850 Se 82nd Ave Unit 8, Portland, OR 97266-1599 | 2017-12-18 |
| 1154857373 | An Phan | Student in an Organized Health Care Education/Training Program | 1356 Lusitana St Fl 4, Honolulu, HI 96813 | 2017-05-08 |
| 1336465293 | An T Phan | Anesthesiology | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2010-04-15 |
| Street Address |
541 MAIN ST STE 400 |
| City | SOUTH WEYMOUTH |
| State | MA |
| Zip Code | 02190-1889 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932671401 | Lily Savoie | Nurse Practitioner | 541 Main St Ste 400, South Weymouth, MA 02190-1889 | 2018-12-21 |
| 1588100796 | Diane Marie White | Nurse Practitioner | 541 Main St Ste 400, South Weymouth, MA 02190 | 2017-01-11 |
| 1235282278 | Paula Jeanne Kue | Internal Medicine | 541 Main St Ste 400, South Weymouth, MA 02190-1889 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| 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 |
|---|---|---|---|---|
| 1942360508 | Johvonne Michelle Claybourne | Family Medicine | 541 Main St 414, South Weymouth, MA 02190-1889 | 2006-12-12 |
| 1588041396 | Ann-gael Deborrah Privert | Family Medicine | 55 Fogg Rd, South Weymouth, MA 02190-2455 | 2015-04-30 |
| 1609807874 | Mario L Dominguez | Family Medicine | 1690 Main St, Suite 4, South Weymouth, MA 02190-1279 | 2006-07-06 |
| 1124079561 | Harbor Medical Associates, Inc. | Family Medicine | 541 Main St, Suite 400, South Weymouth, MA 02190-1868 | 2006-05-12 |
| 1295785889 | Sarah M Sciascia | Family Medicine | 541 Main St, Suite 301, South Weymouth, MA 02190-1868 | 2006-05-12 |
| 1821061391 | Viduri Parekh | Family Medicine | 541 Main St, Suite 301, South Weymouth, MA 02190-1868 | 2006-02-07 |
| 1770571259 | Michael N Doupe | Family Medicine | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2005-10-10 |
| 1730175142 | Mary Catherine Gustilo | Family Medicine | 541 Main St, Suite 301, South Weymouth, MA 02190-1868 | 2005-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966806 | Eliana Decastro Cuellar | Family Medicine | 1030 President Ave Ste 1001, Fall River, MA 02720-5923 | 2020-09-12 |
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1588290324 | Lighthouse Primary Care PC | Family Medicine | 315 Main St Ste 101, North Reading, MA 01864-1326 | 2020-03-12 |
| 1730714106 | Berkshire Whole Health PC | Family Medicine | 8 Pine St, Stockbridge, MA 01262-9706 | 2020-03-06 |
| 1578100889 | Kelly Ramappa | Family Medicine | 96 Temple St, West Newton, MA 02465-2307 | 2019-12-05 |
| 1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
| 1154962942 | Molly Rose Lodigiani | Family Medicine | 275 Cypress St Apt 105, Brookline, MA 02445-6774 | 2019-10-02 |
| 1699316539 | Luisa Alejandra Centeno Silva | Family Medicine | 4785 Washington St # 2, West Roxbury, MA 02132-2113 | 2019-10-02 |
| 1609427962 | Jessica Blanchard | Family Medicine | 100 Leominster Rd, Sterling, MA 01564-2156 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WEYMOUTH |
| Zip Code | 02190 |
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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.