COORDINATED PRIMARY CARE (NPI# 1104880673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104880673 |
| Entity Type | Organization |
| Organization Name | COORDINATED PRIMARY CARE |
| Other Organization Name | HEALTHALLIANCE NEUROLOGY |
| Practice Address |
50 Memorial Drive Suite 211 Leominster MA 01453 |
| Practice Telephone | 9784662411 |
| Practice Fax Number | 9785379211 |
| Mailing Telephone | 9784662411 |
| Mailing Fax Number | 9785379211 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2008-05-21 |
| Authorized Official Name | PHYLLIS FABELLO (DIRECTOR CPC) |
| Authorized Official Telephone | 9784664243 |
| Is Organization Subpart | Y |
| Parent Organization Name | COORDINATED PRIMARY CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9771476 | 05 |
| Other Name | Type Code |
|---|---|
| HealthAlliance Neurology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669597209 | Coordinated Primary Care | Orthopaedic Surgery | 100 Hospital Rd Ste 3c, Leominster, MA 01453-2253 | 2007-03-20 |
| 1306090527 | Coordinated Primary Care | Family Medicine | 155 Franklin Road, Fitchburg, MA 01420 | 2008-11-14 |
| 1821213455 | Coordinated Primary Care | Internal Medicine | 50 Memorial Dr, Suite 210, Leominster, MA 01453-2238 | 2007-04-17 |
| 1316072283 | Coordinated Primary Care | Internal Medicine | 50 Memorial Dr, Suite 114, Leominster, MA 01453-2238 | 2007-02-22 |
| 1477535813 | Coordinated Primary Care | Internal Medicine | 275 Nichols Rd, Fitchburg, MA 01420 | 2005-11-18 |
| Street Address |
50 MEMORIAL DRIVE SUITE 211 |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093704298 | Payam Aghassi | Internal Medicine | 50 Memorial Drive, Suite 113, Leominster, MA 01453-2238 | 2005-10-19 |
| 1417386681 | Samantha Aupperlee Good | Nurse Practitioner | 50 Memorial Drive, Suite 205, Leominster, MA 01453 | 2013-11-07 |
| 1508055427 | Sandrina Rodrigues | Nurse Practitioner | 50 Memorial Drive, Suite 214, Leominster, MA 01453 | 2007-10-16 |
| 1518092485 | Coordinated Primary Care Dba Healthalliance Pulmonary | Internal Medicine | 50 Memorial Drive, Suite 113, Leominster, MA 01453 | 2007-02-22 |
| 1255470571 | Wachusett Medical Associates | Internal Medicine | 50 Memorial Drive, Suite 108, Leominster, MA 01453 | 2007-02-05 |
| 1942373691 | Urology Central PC | Urology | 50 Memorial Drive, Suite 108, Leominster, MA 01453 | 2006-11-17 |
| 1447346531 | Daniel O'leary | Internal Medicine | 50 Memorial Drive, Suite 205, Leominster, MA 01453 | 2006-10-05 |
| 1417043589 | Robert J Fraser | Internal Medicine | 50 Memorial Drive, Suite 205, Leominster, MA 01453 | 2006-10-05 |
| 1114013216 | Eric P Cotter | Internal Medicine | 50 Memorial Drive, Suite 214, Leominster, MA 01453 | 2006-10-05 |
| 1538272539 | Edward E. Kamens | Internal Medicine | 50 Memorial Drive, Suite 111, Leominster, MA 01453 | 2006-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952586034 | Andreja Packard, Md, PC | Psychiatry & Neurology | 80 Erdman Way, Suite 202, Leominster, MA 01453-1840 | 2008-01-08 |
| 1043421845 | Jie Yin | Psychiatry & Neurology | 50 Memorial Dr, Suite 209, Leominster, MA 01453-2238 | 2007-05-24 |
| 1194757294 | Michael Edwad Gotthelf I | Psychiatry & Neurology | 50 Memorial Dr, Suite 211, Leominster, MA 01453-2238 | 2006-07-07 |
| 1053368787 | Lloyd M. Alderson | Psychiatry & Neurology | 50 Memorial Dr, Suite 211, Leominster, MA 01453-2238 | 2006-05-28 |
| 1992798797 | Shabbir A Abbasi | Psychiatry & Neurology | 50 Memorial Dr, Leominster, MA 01453-2238 | 2005-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609344555 | Rosalind Mandelbaum | Psychiatry & Neurology | 45 Resnik Rd Ste 205, Plymouth, MA 02360-7223 | 2018-11-08 |
| 1336626324 | Mary Jane Lim Fat | Psychiatry & Neurology | 450 Brookline Ave Dept Dana2, Boston, MA 02215-5418 | 2018-07-23 |
| 1336668326 | Western Mass Neurology PC | Psychiatry & Neurology | 175 Carew St Ste 140, Springfield, MA 01104-2389 | 2017-09-12 |
| 1417475336 | Hampshire Neurology LLC | Psychiatry & Neurology | 234 Russell St Ste 206, Hadley, MA 01035-3534 | 2017-08-30 |
| 1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
| 1821538497 | Santiago Arroyo | Psychiatry & Neurology | 28 Constitution Rd, Charlestown, MA 02129-2008 | 2017-03-02 |
| 1801256094 | Lincoln S Darla X | Psychiatry & Neurology | 260 Tremont Street 2nd Floor, Tufts Medical Center, Biewend Building, Boston, MA 02111 | 2016-03-01 |
| 1871975144 | Yadira Flores Montanez | Psychiatry & Neurology | 1 Brookline Pl Ste 406, Brookline, MA 02445-7296 | 2015-06-23 |
| 1104207901 | Aditi Ahlawat | Psychiatry & Neurology | 1280 W Central St Ste 102, Franklin, MA 02038-3110 | 2015-06-17 |
| 1558755835 | Grigoriy I Labun | Psychiatry & Neurology | 23 Peach Tree Ln, Newton, MA 02459-3123 | 2015-03-24 |
| Find all providers with the same taxonomy | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
Please comment or provide details below to improve the information on COORDINATED PRIMARY CARE.
| 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.