NICOLE MARY MAHONEY (NPI# 1225325368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225325368 |
| Entity Type | Individual |
| Full Name | NICOLE MARY MAHONEY |
| Credential | PA-C |
| Practice Address |
780 Main St South Weymouth MA 02190-1622 |
| Practice Telephone | 7813314600 |
| Mailing Telephone | 7813314600 |
| Mailing Fax Number | 7813375095 |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2016-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA4190 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184260333 | Nicole Lynn Mahoney | Behavior Technician | 9122 Baltimore Ave Apt 4039, College Park, MD 20740-1379 | 2019-11-22 |
| 1588087027 | Nicole Mahoney | Dentist | 9040 Hawley Dr, Fort Worth, TX 76244-6120 | 2014-02-03 |
| 1245606318 | Nicole Mahoney | Family Medicine | 2401 S 31st St, Temple, TX 76508-5342 | 2015-08-12 |
| 1881745271 | Nicole L Mahoney | Pediatrics | 43097 Woodward Ave, Ste 201, Bloomfield Hills, MI 48302-5041 | 2007-01-15 |
| 1992729966 | Nicole Denise Mahoney | Physician Assistant | 150 Presidential Way, Suite 110, Woburn, MA 01801-1100 | 2006-07-26 |
| Street Address |
780 MAIN ST |
| City | SOUTH WEYMOUTH |
| State | MA |
| Zip Code | 02190-1622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538151527 | Ralph Joseph Froio | Surgery | 780 Main St, Suite 2a, South Weymouth, MA 02190-1622 | 2005-08-17 |
| 1962769190 | South Shore Urology, Inc. | Specialist | 780 Main St, Suite 2c, South Weymouth, MA 02190-1639 | 2012-04-12 |
| 1093984742 | Kurtus Dafford | Neurological Surgery | 780 Main St, South Weymouth, MA 02190-1622 | 2008-02-27 |
| 1801096680 | Stanley Hom,md | Orthopaedic Surgery | 780 Main St, Suite 1-d, South Weymouth, MA 02190-1622 | 2007-07-20 |
| 1164620589 | South Shore Neurospine Group, LLC | Specialist | 780 Main St, South Weymouth, MA 02190-1622 | 2007-07-06 |
| 1295939379 | Juan Ramon Ortega-barnett | Neurological Surgery | 780 Main St, South Weymouth, MA 02190-1622 | 2007-06-13 |
| 1235240219 | Young Han Kim | Specialist | 780 Main St, South Weymouth, MA 02190-1622 | 2006-08-31 |
| 1053343574 | Sergio D Fefer | Specialist | 780 Main St, South Weymouth, MA 02190-1622 | 2006-07-07 |
| 1699710236 | South Shore Surgical Specialists, Inc | Specialist | 780 Main St, Suite 2a, South Weymouth, MA 02190-1622 | 2006-06-18 |
| 1194715110 | John D Feldman | Specialist | 780 Main St, South Weymouth, MA 02190-1622 | 2005-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1306062138 | Jennifer Vitti | Physician Assistant | 541 Main St. Suite 314, Harbor Medical Associates, South Weymouth, MA 02190 | 2007-04-18 |
| 1215426986 | Victoria Pearce | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2455 | 2018-05-08 |
| 1346769049 | Rebecca Thibault | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2017-09-13 |
| 1942636303 | Stephanie Ann Mcauley | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2013-09-17 |
| 1649591983 | Farah Malary | Physician Assistant | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2010-06-22 |
| 1174752752 | Rachael Colby Viccaro | Physician Assistant | 55 Fogg Rd, Hospitalist Office, South Weymouth, MA 02190-2432 | 2009-07-05 |
| 1902079494 | John Wolfert | Physician Assistant | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2008-04-07 |
| 1700954179 | Thomas Francis Walsh Jr. | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-12-01 |
| 1285717736 | Lisa Janelle Grant | Physician Assistant | 55 Fogg Rd, South Shore Hospital Emergency Department, South Weymouth, MA 02190-2432 | 2006-10-20 |
| Find all providers in SOUTH WEYMOUTH | ||||
| City | SOUTH WEYMOUTH |
| Zip Code | 02190 |
Please comment or provide details below to improve the information on NICOLE MARY MAHONEY.
| 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.