JOHN M WENGRYN (NPI# 1215927991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215927991 |
| Entity Type | Individual |
| Full Name | JOHN M WENGRYN |
| Credential | M.D. |
| Practice Address |
116 Court St Ste 1 Plymouth MA 02360-8710 |
| Mailing Address |
116 Court St Plymouth MA 02360-3808 |
| Practice Telephone | 5087471318 |
| Practice Fax Number | 5087471410 |
| Mailing Telephone | 5087471318 |
| Mailing Fax Number | 5087471410 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
155123 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3196607 | 05 |
| Street Address |
116 COURT ST STE 1 |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-8710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073503751 | Robert G Nahill | Internal Medicine | 116 Court St Ste 1, Plymouth, MA 02360-8710 | 2005-10-25 |
| 1457546657 | M. Sheila Prendeville | Nurse Practitioner | 116 Court St Ste 1, Plymouth, MA 02360-8710 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922646140 | General Pulmonary Associates, Inc | Internal Medicine | 46 Obery St Ste 100, Plymouth, MA 02360-2237 | 2019-12-18 |
| 1568452241 | James P Wargovich | Internal Medicine | 116 Court St, Plymouth, MA 02360-8710 | 2005-10-25 |
| 1073503751 | Robert G Nahill | Internal Medicine | 116 Court St Ste 1, Plymouth, MA 02360-8710 | 2005-10-25 |
| 1154735181 | Saint Joseph Regional Medical Center, Inc. | Internal Medicine | 1919 Lake Ave Ste 102b, Plymouth, IN 46563-7830 | 2014-06-18 |
| 1710016316 | Pulmonary & Primary Care Associates of Plymouth, PC | Internal Medicine | 116 Court St, Plymouth, MA 02360-3808 | 2007-03-02 |
| 1225077589 | Roy Stillerman | Internal Medicine | 275 Sandwich St, Plymouth, MA 02360-2183 | 2006-06-05 |
| 1669434627 | Susan B Meyer | Internal Medicine | 116 Court St, Plymouth, MA 02360-3808 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457814469 | Sleep Medicine Associates Inc | Internal Medicine | 370 Faunce Corner Rd Fl 2, Dartmouth, MA 02747-1271 | 2019-04-08 |
| 1598234916 | Pulmcc LLC | Internal Medicine | 22 Agawam Rd, Winchester, MA 01890-3302 | 2018-11-14 |
| 1124487368 | Aba Somers Md LLC | Internal Medicine | 115 Lincoln St Fl 2, Framingham, MA 01702-6358 | 2016-02-16 |
| 1235547084 | Mass Lung & Allergy PC | Internal Medicine | 131 Old Rd To 9 Corner, Suite 410, Concord, MA 01742 | 2014-07-24 |
| 1528488459 | Kate Steinberg | Internal Medicine | 72 E Concord St # R304, Boston, MA 02118 | 2014-04-18 |
| 1831526193 | Apex Medical Associates LLC | Internal Medicine | 100 Highland St Ste 103, Milton, MA 02186-3801 | 2013-10-02 |
| 1992145437 | Lahey Clinic, Inc | Internal Medicine | 75 Herrick St., Suite 215, Lahey At Beverly, Beverly, MA 01915 | 2013-06-28 |
| 1619210846 | Wei He | Internal Medicine | 725 Albany St Fl 9, Boston, MA 02118-2526 | 2013-04-06 |
| 1528313210 | Assad Oskuei | Internal Medicine | 203 Plymouth Ave, Fall River, MA 02721-4300 | 2012-07-18 |
| 1669779211 | Eos Health LLC | Internal Medicine | Ten Post Office Square, 8th Floor, Boston, MA 02109-4629 | 2011-02-17 |
| 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.