BOSTON WELLNESS HEALTH CARE CORPORATION (NPI# 1114388162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114388162 |
| Entity Type | Organization |
| Organization Name | BOSTON WELLNESS HEALTH CARE CORPORATION |
| Practice Address |
1377 Dorchester Ave Boston MA 02122-2950 |
| Practice Telephone | 6178220900 |
| Practice Fax Number | 6178220800 |
| Mailing Telephone | 6178220900 |
| Mailing Fax Number | 6178220800 |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |
| Authorized Official Name | DR. THOMAS STEPHEN SULLIVAN (CHIEF PROFESSIONAL OFFICER) |
| Authorized Official Telephone | 6178220900 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 385 | MA | Chiropractic Providers |
| Street Address |
1377 DORCHESTER AVE |
| City | BOSTON |
| State | MA |
| Zip Code | 02122-2950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033720875 | Joey Mark Nguyen | Pharmacist | 747 Gallivan Blvd, Dorchester, MA 02122 | 2020-08-14 |
| 1518575240 | Hamilton Pharmacy LLC | Pharmacy | 246 Bowdoin St, Dorchester, MA 02122 | 2020-07-20 |
| 1336789528 | Katheline Leconte | Social Worker | 230 Bowdoin Street, Dorchester, MA 02122 | 2020-01-15 |
| 1700374725 | Renee Ahern | Registered Nurse | 398 Neponset Ave., Dorchester, MA 02122 | 2018-04-25 |
| 1861902371 | Bridget Mary Walsh | Specialist/Technologist | 519 Ashmont St, Dorchester, MA 02122 | 2017-10-10 |
| 1649798133 | Roosevelt Lewis IIi | Registered Nurse | 1486 Dorchester Ave Ste 206, Boston, MA 02122 | 2017-09-05 |
| 1811427404 | Hanh Nguyen | Counselor | 50 Redfield St, Suite 300, Dorchester, MA 02122 | 2017-06-15 |
| 1669902474 | Thuy T Nguyen | Counselor | 415 Neponset Avenue, Dorchester, MA 02122 | 2017-06-14 |
| 1093262651 | David Scot Rapaport | Counselor | 1452 Dorchester Avenue, Fcbl-4, Boston, MA 02122 | 2016-09-01 |
| 1104372960 | Kevin Lyn Sisson | Student in an Organized Health Care Education/Training Program | 417 Neponset Ave, Boston, MA 02122 | 2016-08-31 |
| Find all providers in zip 02122 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649779281 | Timothy Simansky D.c. P.C. | Chiropractor | 139 Beacon St Apt 2, Boston, MA 02116-1559 | 2018-02-09 |
| 1881102432 | Kristen Bova | Chiropractor | 79a Prince St, Boston, MA 02113-1701 | 2018-01-17 |
| 1700264397 | Eunheay Lee | Chiropractor | 30 Fenway, Unit 1, Boston, MA 02215-4004 | 2015-05-14 |
| 1144623687 | Elevate Health Cambridge | Chiropractor | 72 Bakersfield St Unit 3, Boston, MA 02125-1901 | 2014-09-29 |
| 1073959409 | A Touch of Health Chiropractic Boston, LLC | Chiropractor | 61 Endicott St, Boston, MA 02113-2202 | 2013-05-13 |
| 1821333212 | Ryan Patrick Hollien | Chiropractor | 212 Northern Ave, Boston, MA 02210-2089 | 2012-12-11 |
| 1912265778 | Malori Tinsley | Chiropractor | 183 Beacon St, Apartment 1r, Boston, MA 02116 | 2012-04-30 |
| 1861761587 | Inyoung Yang | Chiropractor | 30 Fenway Ste 1, Boston, MA 02215-4016 | 2011-12-27 |
| 1912213216 | Clayton John Blanchette | Chiropractor | 441 Stuart St Fl 3, Boston, MA 02116-5019 | 2010-08-24 |
| 1689994907 | Chung-tser Blair Lee | Chiropractor | 50 Congress St, Suite 7, Boston, MA 02109-4002 | 2010-06-09 |
| Find all providers in BOSTON | ||||
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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.