EVENING PEDIATRIC CLINIC OF CAPE COD PC (NPI# 1215105366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215105366 |
| Entity Type | Organization |
| Organization Name | EVENING PEDIATRIC CLINIC OF CAPE COD PC |
| Practice Address |
244 Willow St Yarmouth Port MA 02675-1757 |
| Mailing Address |
Po Box 250 Yarmouth Port MA 02675-0250 |
| Practice Telephone | 5083625437 |
| Practice Fax Number | 5083625450 |
| Mailing Telephone | 5083625437 |
| Mailing Fax Number | 5083625450 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2008-02-26 |
| Authorized Official Name | LEIF R NORENBERG (PRESIDENT) |
| Authorized Official Telephone | 5083625437 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
244 WILLOW ST |
| City | YARMOUTH PORT |
| State | MA |
| Zip Code | 02675-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457394967 | Charles Levy | Dentist | 244 Willow St, Yarmouth Port, MA 02675-1757 | 2006-06-13 |
| 1376177790 | Greater Boston Allergy Asthma Sinus & Immunology Centers, P.C. | Pediatrics | 244 Willow St, Yarmouth Port, MA 02675-1757 | 2020-02-25 |
| 1740682517 | Cape Cod Periodontics PC | Dentist | 244 Willow St, Yarmouth Port, MA 02675-1757 | 2014-09-23 |
| 1043650641 | John Andrew Johnson Jr. | Allergy & Immunology | 244 Willow St, Yarmouth Port, MA 02675-1757 | 2013-06-27 |
| 1306177399 | Joe A Nguyen | Dentist | 244 Willow St, Yarmouth Port, MA 02675-1757 | 2010-01-15 |
| 1801095948 | Allergy and Asthma Center of Cape Cod | Specialist | 244 Willow St, Yarmouth Port, MA 02675-1757 | 2007-07-17 |
| 1891729554 | Paul Robert Sklarew | Allergy & Immunology | 244 Willow St, Yarmouth Port, MA 02675-1757 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723069 | Brian Galway | Counselor | 923 Massachusetts 6a, Yarmouthport, MA 02675 | 2019-01-07 |
| 1235576844 | Olga Shemanyuk | Dentist | Cape Cod Restorative Dentistry, 923 Route 6a, Yarmouth Port, MA 02675 | 2013-05-23 |
| 1972719672 | Cape Cod Restoritive & Cosmetic Dentistry | Dentist | Route 6a, Sunflower Marketplace, Yarmouthport, MA 02675 | 2007-05-16 |
| 1588879639 | Anne Marie Berry | Clinical Nurse Specialist | 379 Rte 6a, Yarmouthport, MA 02675 | 2007-05-11 |
| 1043331564 | Margaret Mary Bunzick | Counselor | Barnstable Counseling Associates,llc, 923 Route 6a,unit N, Yarmouth Port, MA 02675 | 2007-04-02 |
| 1740317858 | Vincent Charles Guardia | Counselor | 947 Rt 6a, Yarmouth Port, MA 02675 | 2007-02-27 |
| 1134183957 | Judith Recknagel | Internal Medicine | 923 Route 6a, Yarmouthport, MA 02675 | 2006-04-17 |
| 1871596437 | Robert I. Orenstein | Dentist | Sunflower Market Place Rt 6a, Yarmouth Port, MA 02675 | 2005-05-27 |
| 1578072922 | Mary Mcgreevy | Counselor | 221 Willow St, Yarmouth Port, MA 02675 | 2017-09-28 |
| 1518221670 | Chanda Dacayana Beaty | Nurse Practitioner | 923 Route 6a, Building 7 Apex Health, Yarmouthport, MA 02675 | 2012-07-03 |
| Find all providers in zip 02675 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124081625 | Edith Sanborn Kaselis | Pediatrics | 179 Route 6a, Yarmouth Port, MA 02675-1714 | 2006-04-07 |
| 1164954186 | Catherine Anne Suppan | Pediatrics | 179 Route 6a, Yarmouth Port, MA 02675-1714 | 2017-03-29 |
| 1457375156 | Richard David Bloom | Pediatrics | 179 Route 6a, Briarpatch Pediatrics, Yarmouth Port, MA 02675-1714 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030720 | Mebe Massachusetts | Pediatrics | 51 Pleasant St # 1002, Malden, MA 02148-4904 | 2020-10-15 |
| 1801407564 | Catherine M. Vu Morrissey | Pediatrics | 451 Centre St, Milton, MA 02186-4118 | 2020-08-14 |
| 1962025379 | Elizabeth Mary Messineo | Pediatrics | 40 Greenhill Rd, Westwood, MA 02090-2704 | 2020-05-20 |
| 1639790280 | Allison Seats | Pediatrics | 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 | 2020-05-05 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1346871183 | Pm Pediatrics of New England | Pediatrics | 99 Commerce Way, Woburn, MA 01801-5199 | 2020-01-30 |
| 1346871381 | Heather Mccaslin Kempczinski | Pediatrics | 360 Beacon St Apt 1, Boston, MA 02116-1063 | 2020-01-29 |
| 1396388278 | Taylor Cinelli | Pediatrics | 203 John Scott Blvd, Norton, MA 02766-2616 | 2019-10-23 |
| 1972145290 | Lauren Nicole Mabe | Pediatrics | 45 Gordon St Apt 3, Allston, MA 02134-2458 | 2019-10-09 |
| 1417508946 | Devin Veronica Parker | Pediatrics | 2 Crescent St, Plympton, MA 02367-1400 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
| City | YARMOUTH PORT |
| Zip Code | 02675 |
Please comment or provide details below to improve the information on EVENING PEDIATRIC CLINIC OF CAPE COD 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.