YARMOUTH MEDICAL CENTER LLC (NPI# 1124304456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124304456 |
| Entity Type | Organization |
| Organization Name | YARMOUTH MEDICAL CENTER LLC |
| Practice Address |
23 Whites Path Suite F South Yarmouth MA 02664-1221 |
| Practice Telephone | 5087602054 |
| Practice Fax Number | 5087601218 |
| Mailing Telephone | 5087602054 |
| Mailing Fax Number | 5087601218 |
| Enumeration Date | 2011-11-01 |
| Last Update Date | 2012-05-23 |
| Authorized Official Name | DR. PETER MICHAEL RIPLEY (OWNER/PRESIDENT/MEMBER) |
| Authorized Official Telephone | 5087602054 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 234328 | MA | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 57339 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3019853 | 05 |
| Street Address |
23 WHITES PATH SUITE F |
| City | SOUTH YARMOUTH |
| State | MA |
| Zip Code | 02664-1221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598198079 | Brittany Elizabeth Enz | Nurse Practitioner | 23 Whites Path, Yarmouth Medical Center LLC, South Yarmouth, MA 02664-1221 | 2013-08-19 |
| 1184911026 | Eye Health Services, Inc | Ophthalmology | 23 Whites Path, South Yarmouth, MA 02664-1221 | 2011-06-29 |
| 1942360615 | Eye Health Services,inc. | Technician/Technologist | 23 Whites Path, A, South Yarmouth, MA 02664-1221 | 2006-12-11 |
| 1508956731 | Karen Marie Desimone | Physical Therapist | 23 Whites Path, South Yarmouth, MA 02664-1221 | 2006-10-16 |
| 1033127592 | Bonnie Jean Jackson | Physical Therapist | 23 Whites Path, Suite O2, South Yarmouth, MA 02664-1221 | 2006-08-03 |
| 1497717243 | Peter M. Ripley | Family Medicine | 23 Whites Path, Suite F, South Yarmouth, MA 02664-1221 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721648 | Taylor Drew | Behavior Technician | 435 Station Ave., Unit B, South Yarmouth, MA 02664 | 2019-10-11 |
| 1114428794 | Emily Rose Clark | Behavioral Analyst | 936b Station Ave, Yarmouth, MA 02664 | 2018-02-28 |
| 1124547906 | Kylie Joanne Zurn | Speech-Language Pathologist | 76 Phyllis Drive, South Yarmouth, MA 02664 | 2017-09-13 |
| 1841731338 | Meagan Pavao | Counselor | 31 Workshop Road, South Yarmouth, MA 02664 | 2017-03-16 |
| 1205296878 | Howayne A L Hamilton | Behavioral Analyst | 107 West Great Western Road, South Yarmouth, MA 02664 | 2016-02-25 |
| 1053656371 | Susan Elizabeth Davenport | Nurse Practitioner | 23 F. Whites Path, South Yarmouth, MA 02664 | 2012-11-28 |
| 1649444514 | Transitions Centers Inc. | Day Training, Developmentally Disabled Services | 782 Route 28, South Yarmouth, MA 02664 | 2008-04-22 |
| 1902934326 | David Mishkin | Clinical Neuropsychologist | 23p2 Union Station- Whites Path, S. Yarmouth, MA 02664 | 2007-02-28 |
| 1841343084 | Kristin Elizabeth Schmidt | Counselor | 50 Long Pond Dr, South Yarmouth, MA 02664 | 2007-01-19 |
| 1578628111 | Rhetta Annie Scott | Social Worker | 50 Long Pond Drive, South Yarmouth, MA 02664 | 2006-12-26 |
| Find all providers in zip 02664 | ||||
| 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 |
|---|---|---|---|---|
| 1831359637 | Mario Alexander Zacharatos | Family Medicine | 257 Station Ave, South Yarmouth, MA 02664-1842 | 2008-06-15 |
| 1689175846 | Value In Prevention of Massachusetts, LLC | Family Medicine | 257 Station Ave, South Yarmouth, MA 02664-1842 | 2018-02-23 |
| 1740394154 | Jacquelyn Marie Lamb | Family Medicine | 23 Whites Path Ste F, Yarmouth Medical Center, South Yarmouth, MA 02664-1238 | 2006-08-19 |
| 1497717243 | Peter M. Ripley | Family Medicine | 23 Whites Path, Suite F, South Yarmouth, MA 02664-1221 | 2006-04-06 |
| 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 YARMOUTH |
| Zip Code | 02664 |
Please comment or provide details below to improve the information on YARMOUTH MEDICAL CENTER LLC.
| 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.