DR. JUSTIN SANDERS GROODE (NPI# 1114108438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114108438 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN SANDERS GROODE |
| Credential | M.D. |
| Practice Address |
372 Washington St Marino Center for Integrative Health Wellesley MA 02481-6202 |
| Mailing Address |
372 Washington St Wellesley MA 02481-6202 |
| Practice Telephone | 7812355200 |
| Practice Fax Number | 6176821101 |
| Mailing Telephone | 7812355200 |
| Mailing Fax Number | 7812351103 |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2011-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 243102 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MEDICARE PROVIDER GROUP | M21670 | 01 |
| Street Address |
372 WASHINGTON ST MARINO CENTER FOR INTEGRATIVE HEALTH |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144200981 | Linda Diane Kames | Psychologist | 372 Washington St, Wellesley, MA 02481-6202 | 2006-01-18 |
| 1669028353 | Premier Dermatology, Pllc | Dermatology | 372 Washington St, 2nd Floor, Wellesley, MA 02481-6216 | 2019-08-18 |
| 1881134203 | Kristen Rivard | Nurse Practitioner | 372 Washington St, Wellesley, MA 02481-6202 | 2017-03-03 |
| 1093152662 | Meghan S. Garcia Webb | Internal Medicine | 372 Washington St, Wellesley, MA 02481-6202 | 2013-05-23 |
| 1386995397 | Matthew R. Fantasia, D.m.d., P.C. | Dentist | 372 Washington St, Wellesley, MA 02481-6202 | 2012-10-01 |
| 1689950412 | Willie L. Stephens, Dds, PC | Dentist | 372 Washington St, Suite 2500, Wellesley, MA 02481-6202 | 2011-10-25 |
| 1265699888 | Jonathan Stephens | Dentist | 372 Washington St, Wellesley, MA 02481-6202 | 2008-05-21 |
| 1275707275 | Judy Korik Weinstock | General Practice | 372 Washington St, Wellesley, MA 02481-6202 | 2008-04-22 |
| 1871790170 | John Sexton, Dmd, Msd,pc | Dentist | 372 Washington St, Suite 2500, Wellesley, MA 02481-6202 | 2007-06-29 |
| 1376752840 | Matthew R Fantasia | Dentist | 372 Washington St, Wellesley, MA 02481 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| 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 |
|---|---|---|---|---|
| 1427094234 | David P Chodirker Md | Family Medicine | 173 Worcester Street, Wellesley, MA 02481-5521 | 2006-06-21 |
| 1093716821 | Ronda A Rockett | Family Medicine | 173 Worcester St, Wellesley, MA 02481-5521 | 2005-08-02 |
| 1992311401 | Diana Namumbejja Abwoye | Family Medicine | 148 Linden St Ste 208, Wellesley, MA 02482-7916 | 2020-09-20 |
| 1326514894 | Colleen M Levesque | Family Medicine | 173 Worcester St, Wellesley, MA 02481-5521 | 2018-10-22 |
| 1841646932 | Jessica Platt | Family Medicine | 65 Walnut St, Wellesley, MA 02481-2118 | 2016-05-09 |
| 1962826354 | Renaissance Family Medicine of Wellesley LLC | Family Medicine | 332 Washington Street, 200, Wellesley, MA 02481-6217 | 2014-02-06 |
| 1588898720 | Alana Ivy Franklin | Family Medicine | 173 Worcester St, Wellesley, MA 02481-5521 | 2009-05-01 |
| 1902056310 | Wellesley Family Care Associates, PC | Family Medicine | 173 Worcester St, Wellesley, MA 02481-5521 | 2008-09-22 |
| 1720241490 | Sarah J. Byrne | Family Medicine | 170 Worcester St, Wellesley, MA 02481-5506 | 2008-07-03 |
| 1548468119 | Noelle Lee | Family Medicine | 170 Worcester St, Visions Medical Center, Wellesley, MA 02481-5506 | 2007-07-05 |
| Find all providers in WELLESLEY | ||||
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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.