GLENNON JOHN OGRADY (NPI# 1174502140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174502140 |
| Entity Type | Individual |
| Full Name | GLENNON JOHN OGRADY |
| Practice Address |
2100 Dorchester Avenue Family Medicine Dorchester MA 02124 |
| Practice Telephone | 6175064970 |
| Practice Fax Number | 9786864137 |
| Mailing Telephone | 6175064970 |
| Mailing Fax Number | 9786864137 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2012-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 59292 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
2100 DORCHESTER AVENUE FAMILY MEDICINE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321347 | Chinh Van Le | Family Medicine | 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 | 2005-07-28 |
| 1235651449 | Monia Chopra | Internal Medicine | 2100 Dorchester Avenue, Dorchester, MA 02124 | 2017-07-10 |
| 1376845958 | Greater Boston Urology, LLC | Urology | 2100 Dorchester Avenue, Suite 2206, Dorchester, MA 02124-5615 | 2010-12-02 |
| 1922251776 | Nancy Dowling | Dietitian, Registered | 2100 Dorchester Avenue, Outpatient Nutrition, Dorchester, MA 02124-5666 | 2008-10-24 |
| 1497823579 | Caritas Carney Hospital-psychiatry | Psychiatric Unit | 2100 Dorchester Avenue, Dorchester, MA 02124 | 2006-11-30 |
| 1639137136 | Taranga Ghosh | Hospitalist | 2100 Dorchester Avenue, Carney Hospital, Dorchester, MA 02124 | 2006-05-03 |
| 1225017627 | Padma Gulur | Anesthesiology | 2100 Dorchester Avenue, 7th Floor, Dorchester, MA 02124-5615 | 2006-01-13 |
| 1780674531 | Michael J. Barza | Internal Medicine | 2100 Dorchester Avenue, Dorchester, MA 02124-5666 | 2005-10-24 |
| 1639169618 | Lisa F Antonelli | Internal Medicine | 2100 Dorchester Avenue, Smg - Carney Hospital, Dorchester, MA 02124 | 2005-10-21 |
| 1528069499 | Olga Volfson | Anesthesiology | 2100 Dorchester Avenue, 7th Floor, Dorchester, MA 02124-5615 | 2005-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| 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 |
|---|---|---|---|---|
| 1932580495 | Ankur Patel | Family Medicine | 2100 Dorchester Ave Bldg Suite314, Dorchester, MA 02124-5615 | 2015-06-10 |
| 1730238270 | An Ngoc Thai | Family Medicine | 1443b Dorchester Ave, Dorchester, MA 02122-1347 | 2007-01-10 |
| 1588674030 | An T Phan | Family Medicine | 1370 Dorchester Ave, Ste 23, Dorchester, MA 02122-2921 | 2006-08-08 |
| 1265477145 | Jean Suzin Whitten | Family Medicine | 398 Neponset Avenue, Dorchester, MA 02122 | 2006-06-17 |
| 1255378204 | Grier H Merwin | Family Medicine | 500 Columbia Road, Upham's Corner Health Ctr, Dorchester, MA 02125 | 2006-05-31 |
| 1558332270 | Elisabeth Joan Moths-rebrovic | Family Medicine | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2006-01-30 |
| 1871579342 | Stephenson Bernard Tobierre | Family Medicine | 637 Washington Street, Dorchester, MA 02124 | 2005-12-16 |
| 1992791883 | Christine Farrell-riley | Family Medicine | 637 Washington St, Dorchester, MA 02124-3510 | 2005-09-26 |
| 1023002169 | Geoffrey Alan Modest | Family Medicine | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2005-09-05 |
| 1154321347 | Chinh Van Le | Family Medicine | 2100 Dorchester Avenue, Family Medicine, Dorchester, MA 02124 | 2005-07-28 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02124 |
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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.