MARTIN DEVINE (NPI# 1134180425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134180425 |
Entity Type | Individual |
Full Name | MARTIN DEVINE |
Credential | MD |
Practice Address |
61 N Main St Charlton MA 01507-1315 |
Mailing Address |
Po Box 40 Southbridge MA 01550-0040 |
Practice Telephone | 5082481745 |
Mailing Telephone | (508) 909-7799 |
Enumeration Date | 2006-03-28 |
Last Update Date | 2017-08-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | 155910 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ONE HEALTH PLAN | 042472266 | 01 | |
TUFTS HEALTH PLAN | 155190 | 01 | |
CHILDRENS MEDICAL SECURIT | 31001 | 01 | |
HEALTHY START | 31001 | 01 | |
MVP HEALTH CARE | 786721 | 01 | |
PRIVATE HEALTHCARE SYSTEM | 042472266 | 01 | |
THREE RIVERS | 042472266 | 01 | |
FALLON COMMUNITY HEALTH P | 42367 | 01 | |
AETNA US HEALTHCARE | 5478684 | 01 | |
CIGNA HEALTH PLAN | 9077680 | 01 | |
BLUE CARE ELECT | J19558 | 01 | |
BLUE SHIELD INDEMNITY | J19558 | 01 | |
FIRST HEALTH | 2031301 | 01 | |
BLUE SHIELD HMO BLUE | J19558 | 01 | |
MEDICAID WELFARE | 3183475 | 01 | |
MA | 3183475 | 05 | |
HARVARD PILGRIM HEALTHCAR | 71937 | 01 |
Street Address |
61 N MAIN ST |
City | CHARLTON |
State | MA |
Zip Code | 01507-1315 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528358090 | Shilpa Monga | Obstetrics & Gynecology | 61 N Main St, Charlton, MA 01507-1315 | 2011-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477179653 | Lissette Hernandez | Counselor | 159 C Worcester Road, Charlton, MA 01507 | 2020-06-23 |
1841657426 | Renee M Gomez-chlebica Od LLC | Optometrist | 109-6 Masonic Home Rd., Charlton, MA 01507 | 2016-01-27 |
1467728725 | Rebecca Bullock | Occupational Therapist | 11 Sunset Drive, Charlton, MA 01507 | 2012-03-30 |
1326347139 | Michelle Beshire | Pharmacist | 188 Center Depot Rd, Charlton, MA 01507 | 2011-03-18 |
1063710762 | Daniel R Tetreault | Specialist/Technologist | 70 Hanson Road, Charlton, MA 01507 | 2011-03-03 |
1508901828 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 142 Worcester Rd, Charlton, MA 01507 | 2007-02-21 |
1780727743 | Peter Maly | Technician/Technologist | 109-6 Masonic Home Road, Charlton, MA 01507 | 2007-02-15 |
1083680128 | Mary-elise Smith | Emergency Medicine | 10 North Main Street, Charlton, MA 01507 | 2006-02-28 |
1932183241 | Steven V Vachula II | Optometrist | 20 Southbridge Rd, Charlton, MA 01507 | 2005-11-30 |
1154304228 | Teddi Bachawaty | Obstetrics & Gynecology | 9 Trolley Crossing Rd, Charlton, MA 01507 | 2005-11-22 |
Find all providers in zip 01507 |
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 |
---|---|---|---|---|
1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
1447321385 | Charlton Family Practice | Family Medicine | 246 Southbridge Road, Charlton, MA 01507-5237 | 2006-11-13 |
1386663003 | Kristen Hedger Martin | Family Medicine | 286 Stage Rd, Charlton, NY 12019-2619 | 2006-07-19 |
1598046203 | Community Care Physicians, PC | Family Medicine | 286 Stage Rd, Charlton, NY 12019 | 2011-09-08 |
1780895433 | Carleen Anne Mcquaid | Family Medicine | 246 Southbridge Rd, Charlton Family Practice, Charlton, MA 01507 | 2007-05-24 |
1972671758 | Paul D Harrington | Family Medicine | 246 Southbridge Road, Charlton, MA 01507-5237 | 2006-12-01 |
1417020090 | Holly Wasniewski | Family Medicine | 286 Stage Rd, Charlton, NY 12019-2618 | 2006-11-15 |
1306945092 | Brenda J Geddis-comrie | Family Medicine | 10 N Main St, Charlton, MA 01507-1590 | 2006-09-21 |
1033138755 | Philip Raymond Hunter | Family Medicine | 286 Stage Rd, Charlton, NY 12019 | 2006-07-19 |
1730112368 | Andrey Yuryevich Sayko | Family Medicine | 246 Southbridge Rd, Charlton, MA 01507-5237 | 2006-07-08 |
Find all providers in CHARLTON |
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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.