RAD RHEUMATOLOGY AND AUTOIMMUNE DISORDERS (NPI# 1114281102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114281102 |
| Entity Type | Organization |
| Organization Name | RAD RHEUMATOLOGY AND AUTOIMMUNE DISORDERS |
| Practice Address |
675 Paramount Dr Suite 205 Raynham MA 02767-5416 |
| Practice Telephone | 5088222874 |
| Practice Fax Number | 5088800540 |
| Mailing Telephone | 5088222874 |
| Mailing Fax Number | 5088800540 |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2012-06-25 |
| Authorized Official Name | MRS. MARIANNA FEOKTISTOV (OFFICE MANAGER) |
| Authorized Official Telephone | 5088222874 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
211533 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9781510 | 05 |
| Street Address |
675 PARAMOUNT DR SUITE 205 |
| City | RAYNHAM |
| State | MA |
| Zip Code | 02767-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091024 | Patricia I. Kussman | Physical Therapist | 675 Paramount Dr, Suite 103, Raynham, MA 02767-5416 | 2005-08-24 |
| 1104292101 | Kohli Plastic Surgery PC | Clinic/Center | 675 Paramount Dr, Suite 304, Raynham, MA 02767-5416 | 2015-08-13 |
| 1629459474 | Tristan Medical, PC | Clinic/Center | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 | 2015-06-17 |
| 1063829620 | Catherine Green | Physician Assistant | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 | 2014-07-16 |
| 1134536055 | Jacquelyn Elise Pennie | Physician Assistant | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 | 2014-07-14 |
| 1396152187 | Brendan Ryan | Physician Assistant | 675 Paramount Dr, 203, Raynham, MA 02767-5416 | 2014-07-14 |
| 1881009009 | Deanna Nicole Packard | Physician Assistant | 675 Paramount Dr, Suite 205, Raynham, MA 02767-5416 | 2014-06-26 |
| 1144644857 | Orthopedic Care Physician Network LLC | Orthopaedic Surgery | 675 Paramount Dr, Suite 205, Raynham, MA 02767-5416 | 2014-02-17 |
| 1225381783 | Maseo Tran | Physician Assistant | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 | 2012-10-22 |
| 1821340811 | Bethany Lynn Akins | Physical Therapist | 675 Paramount Dr, Suite 103, Raynham, MA 02767-5416 | 2012-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044069 | Heather Dubose | Social Worker | 329 King Philip Street, Raynham, MA 02767 | 2020-08-21 |
| 1801115654 | Wanda L Meyer | Registered Nurse | 257 Prospect Hill St., Raynham, MA 02767 | 2010-05-19 |
| 1033386099 | Choice Dental Inc | Dentist | 606 North Main Streeet, Raynham, MA 02767 | 2008-05-09 |
| 1639378482 | Laura Eddy | Counselor | 90 New State Highway Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-07-12 |
| 1861617524 | Charlene A Remillard | Social Worker | 90 New State Highway, Raynham, MA 02767 | 2007-04-16 |
| 1437287166 | Sandra Diaz | Psychologist | 90 New State Hwy, Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-03-02 |
| 1629115688 | Luis Moncada | Dentist | 500 Raynham Street West, Raynham, MA 02767 | 2007-01-31 |
| 1942300371 | Cvs Pharmacy Inc | Pharmacy | 252 Broadway, Raynham, MA 02767 | 2006-09-25 |
| 1912004524 | Mrudula Patel | Family Medicine | 302 Broadway Ste 8, Hines Dermatology Associates, Raynham, MA 02767 | 2006-09-19 |
| 1447271374 | Mary Ann Garcia Dds PC | Dentist | 166 Paramount Dr, Raynham, MA 02767 | 2006-07-23 |
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| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164041349 | American Arthritis & Rheumatology Associates Ma PC | Internal Medicine | 1351 Main St Ste 5, Brockton, MA 02301-7153 | 2020-04-08 |
| 1144757337 | Gertrud M. Rastalsky Md LLC | Internal Medicine | 822 Boylston St Ste 100, Chestnut Hill, MA 02467-2504 | 2017-05-18 |
| 1124405105 | Elizabeth T Curtis, Md | Internal Medicine | 867 Turnpike St, North Andover, MA 01845-6142 | 2015-04-29 |
| 1093109142 | Benjamin Patrick Persons | Internal Medicine | 725 Albany St Ste 7b, Boston, MA 02118 | 2015-03-26 |
| 1295145811 | Chio Yokose | Internal Medicine | 55 Fruit Street Bulfinch 165, Boston, MA 02114 | 2014-05-05 |
| 1487096996 | Dilpreet Kaur Singh | Internal Medicine | 3377 Main Street, Springfield, MA 01107-1111 | 2013-07-25 |
| 1346681038 | Linet Martirossian | Internal Medicine | 72 E Concord St Fl 5, Boston, MA 02118-2307 | 2013-07-10 |
| 1710112685 | Robert S Pinals | Internal Medicine | 18 Pickman Dr, Bedford, MA 01730-1005 | 2009-05-21 |
| 1982854154 | Noreen F. Bedini Ferrante | Internal Medicine | 1 Lyons St., Dedham Medical Associates, Inc., Dedham, MA 02026 | 2008-09-24 |
| 1518132059 | Barton L Wise | Internal Medicine | 720 Harrison Ave Ste 401, Boston, MA 02118-2371 | 2008-04-25 |
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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.