BAY STATE MEDICAL ASSOCIATES, PC (NPI# 1144460478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144460478 |
| Entity Type | Organization |
| Organization Name | BAY STATE MEDICAL ASSOCIATES, PC |
| Practice Address |
425 Boylston St Suite 310 Boston MA 02116-3315 |
| Practice Telephone | 6178483948 |
| Mailing Telephone | 6178483948 |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2009-02-26 |
| Authorized Official Name | YANANTS ANTONEVICH (PRESIDENT) |
| Authorized Official Telephone | 6178483948 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255749289 | Bay State Medical Associates, PC | Psychiatry & Neurology | 1717 Main St, Brockton, MA 02301-7134 | 2014-07-22 |
| Street Address |
425 BOYLSTON ST SUITE 310 |
| City | BOSTON |
| State | MA |
| Zip Code | 02116-3315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104439272 | Dennis Lau | Pharmacist | 21-23 Stanhope St., Boston, MA 02116 | 2020-08-28 |
| 1184199457 | Padideh Mohammad Alizadeh Chafjiri | Dentist | 62 Baylston Street Apt 801, Boston, MA 02116 | 2018-10-12 |
| 1114407467 | Marissa Shallcross | Social Worker | 120 Boylston Street, Boston, MA 02116 | 2018-08-16 |
| 1245732825 | Rachel Klein | Social Worker | 39 Boylston Street, Boston, MA 02116 | 2018-02-28 |
| 1447759691 | Yintuition Wellness, Pllc | Acupuncturist | 551 Boylston St., Suite 4, Boston, MA 02116 | 2018-02-02 |
| 1104324094 | Anne Vinick | Social Worker | The Community Builders, 185 Dartmouth Street 9th Floor, Boston, MA 02116 | 2018-01-25 |
| 1982117743 | Cassandra Xanthos | Social Worker | Tca Counseling, 262 Beacon St. 2nd Floor, Boston, MA 02116 | 2017-11-14 |
| 1255859757 | Carolyn Jamie Kussmaul | Physician Assistant | 216 Beacon Street Apt 1, Boston, MA 02116 | 2017-09-05 |
| 1215472634 | Chantel Castro | Counselor | 8 Yarmouth Place Apt #2, Boston, MA 02116 | 2016-12-20 |
| 1336598598 | Nicole Savina Rittershaus | Pediatrics | 354 Tremont Street, Boston, MA 02116 | 2016-06-08 |
| Find all providers in zip 02116 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720226012 | Simmons College Health Center | Clinic/Center | 94 Pilgrim Road, Simmons College Health Center, Boston, MA 02115 | 2009-01-26 |
| 1306991088 | Sidney Borum Jr. Health Center | Clinic/Center | 130 Boylston St, Boston, MA 02116-4608 | 2007-01-24 |
| 1285251413 | Boston Spine and Performance, LLC | Clinic/Center | 665 Boylston St Ste 3, Boston, MA 02116-4825 | 2020-07-03 |
| 1144575093 | Simmons College Health Center | Clinic/Center | 94 Pilgrim Rd, Boston, MA 02215-4127 | 2012-07-17 |
| 1891961033 | University Health Services | Clinic/Center | 100 Morrissey Blvd, Quinn Administration Building Health Services, Boston, MA 02125-3393 | 2008-05-07 |
| 1164590634 | Brigham and Women's Hospital | Clinic/Center | 75 Francis St, Tower 2, Nutrition Services, Boston, MA 02115-6110 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326654807 | Yarmouth Health Stop, LLC | Clinic/Center | 612 Route 28, West Yarmouth, MA 02673-5062 | 2020-09-19 |
| 1811509490 | Inner Source Family Chiropractic Inc | Clinic/Center | 138 Dodge St, Beverly, MA 01915-1866 | 2020-08-17 |
| 1730797226 | Integra Wellness Health. PC | Clinic/Center | 1077 Lexington St Ste 203, Waltham, MA 02452-7233 | 2020-07-21 |
| 1821626763 | Renewal Integrative Psychotherapies LLC | Clinic/Center | 90 Madison St Ste 502, Worcester, MA 01608-2058 | 2020-03-27 |
| 1477184216 | Wellpoint Healing Center, Inc | Clinic/Center | 175 Derby St Ste 18a, Hingham, MA 02043-4051 | 2020-01-30 |
| 1073078531 | Body Dynamics Nutrition | Clinic/Center | 11 Apex Dr, Marlborough, MA 01752-1858 | 2019-02-08 |
| 1194214742 | Norwood Dental Sleep Medicine LLC | Clinic/Center | 100 Day St, Norwood, MA 02062-2125 | 2018-05-08 |
| 1356843890 | Family Eyecare Solutions LLC | Clinic/Center | 51 Mill St Bldg E, Hanover, MA 02339-1641 | 2018-03-01 |
| 1326587288 | Nicole Marie Kantor | Clinic/Center | 182 Church St Apt 3, Newton, MA 02458-1962 | 2017-02-13 |
| 1043757115 | Neurosportelite North Boston, LLC | Clinic/Center | 78 Olympia Ave, Woburn, MA 01801-2057 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BAY STATE MEDICAL ASSOCIATES, PC.
| 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.