SHANNON ELIZABETH GRALEY (NPI# 1154393940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154393940 |
| Entity Type | Individual |
| Full Name | SHANNON ELIZABETH GRALEY |
| Other Name | SHANNON ELIZABETH SHORT |
| Credential | D.O. |
| Practice Address |
255 E Old Sturbridge Rd Brimfield MA 01010-9647 |
| Mailing Address |
Po Box 40 Southbridge MA 01550-0040 |
| Practice Telephone | 4132450966 |
| Practice Fax Number | 4132454553 |
| Mailing Telephone | 5089097799 |
| Mailing Fax Number | 5087642432 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 260251 | MA | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 52347 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
255 E OLD STURBRIDGE RD |
| City | BRIMFIELD |
| State | MA |
| Zip Code | 01010-9647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023463924 | Deborah A Hanchek | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2016-04-28 |
| 1851711329 | Ruth G Benet | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2014-04-23 |
| 1811246275 | Kayla Elise Capizzano Cross | Nurse Practitioner | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2012-08-31 |
| 1942407069 | Kimberly L Vetal | Nurse Practitioner | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2007-07-02 |
| 1578597456 | Charles E Cavagnaro IIi | Internal Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2006-07-10 |
| 1780646927 | Brimfield Family Health Center, P.C. | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2006-04-04 |
| 1821062407 | Katarzyna Pomianowski | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447526694 | Gustavo Enrique Cosenza | Psychiatry & Neurology | 3a. Calle A 8-51 Zona 10, Guatemala, GUATEMALA 01010 | 2012-03-31 |
| 1396932612 | Elizabeth M. Smola | Emergency Medicine | 1529 Dunhamtown Brimfield Road, Brimfield, MA 01010 | 2007-10-01 |
| 1902264724 | Colleen Ann Burque | Physical Therapy Assistant | 45 Dean Pond Rd, Brimfield, MA 01010-2012 | 2016-02-08 |
| 1225527369 | Tina R. Adams | Psychologist | 12 St Clair Rd, Brimfield, MA 01010-2120 | 2018-05-03 |
| 1740815018 | Bianca Venezia Gonynor | Registered Nurse | 19 2nd St, Brimfield, MA 01010-9600 | 2020-03-07 |
| 1295346849 | Alexander Hellyar | Physician Assistant | 145 Little Alum Rd, Brimfield, MA 01010-9632 | 2020-08-16 |
| 1649635673 | Sylvia Forcier | Occupational Therapy Assistant | 62 6th St, Brimfield, MA 01010-9663 | 2015-12-17 |
| 1639354814 | Elizabeth Ortiz | Counselor | 22 Wales Rd, Brimfield, MA 01010-9678 | 2008-01-07 |
| 1770578767 | Brimfield Ambulance Service Inc | Ambulance | 34 Wales Rd, Brimfield, MA 01010-9678 | 2005-09-15 |
| 1053525717 | Rebecca Jeanne Butler | Registered Nurse | 145 Paige Hill Rd, Brimfield, MA 01010-9777 | 2007-05-10 |
| Find all providers in zip 01010 | ||||
| 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 |
|---|---|---|---|---|
| 1700886280 | Robert Scott Bevill | Family Medicine | 111 E Knoxville St, Brimfield, IL 61517-8022 | 2005-07-27 |
| 1023463924 | Deborah A Hanchek | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2016-04-28 |
| 1851711329 | Ruth G Benet | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2014-04-23 |
| 1780646927 | Brimfield Family Health Center, P.C. | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2006-04-04 |
| 1821062407 | Katarzyna Pomianowski | Family Medicine | 255 E Old Sturbridge Rd, Brimfield, MA 01010-9647 | 2006-02-13 |
| 1508867557 | Eagle Family Medicine Sc | Family Medicine | 111 E Knoxville St, Brimfield, IL 61517-8022 | 2005-08-02 |
| 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 | ||||
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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.