HOLYOKE FAMILY PRACTICE, PC (NPI# 1245248715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245248715 |
| Entity Type | Organization |
| Organization Name | HOLYOKE FAMILY PRACTICE, PC |
| Practice Address |
195 High St Holyoke MA 01040-6504 |
| Mailing Address |
59 Temple Pl Suite 612 Boston MA 02111-1307 |
| Practice Telephone | 4133156110 |
| Practice Fax Number | 4133156114 |
| Mailing Telephone | 6172649764 |
| Mailing Fax Number | 6172649763 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PUNYAMURTULA S KISHORE (PRESIDENT) |
| Authorized Official Telephone | 6177384640 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | HOLYOKE FAMILY PRACTICE, PC | 59 Temple Place, Suite 612, Boston, MA 02111 |
| Street Address |
195 HIGH ST |
| City | HOLYOKE |
| State | MA |
| Zip Code | 01040-6504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1225646904 | Jasmine Glover | Counselor | 476 Appleton St. Suite 5, Holyoke, MA 01040 | 2020-07-17 |
| 1932662319 | Damaris Santingo Martinez | Registered Nurse | 46 Magnolia Ave, Holyoke, MA 01040 | 2019-04-11 |
| 1104302371 | Cheryl Ann Lauben | Counselor | 476 Appleton Street, Suite 2, Holyoke, MA 01040 | 2018-07-11 |
| 1740704741 | Miranda Lynn Fogg | Behavior Technician | 244 Westfield Rd, Holyoke, MA 01040 | 2017-08-01 |
| 1770020018 | Total Wellness Centers, LLC | Clinical Medical Laboratory | 59 Bobala Rd, Holyoke, MA 01040 | 2017-01-25 |
| 1184097768 | Chi Wan Wong | Physical Therapy Assistant | 110 Cherry Street, Holyoke, MA 01040 | 2015-11-04 |
| 1841666724 | Danielle Moroney | Counselor | River Valley Counseling Center Mental Health Service, 303 Beech St, Holyoke, MA 01040 | 2015-08-14 |
| 1285019638 | Ashley Papineau | Social Worker | 9 Faille Ave, Apt 3, Holyoke, MA 01040 | 2015-07-28 |
| 1205216967 | Vanessa Vazquez | Counselor | 1233 Main St., Holyoke, MA 01040 | 2015-06-08 |
| Find all providers in zip 01040 | ||||
| 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 |
|---|---|---|---|---|
| 1760793244 | Aaron Lindley Wilson | Family Medicine | 645 S Sheridan Ave, Holyoke, CO 80734-1233 | 2010-06-29 |
| 1790915569 | Thomas James Graziano | Family Medicine | 10 Hospital Dr Ste 104, Holyoke, MA 01040-6603 | 2009-07-15 |
| 1275649105 | Elizabeth J Noyes | Family Medicine | 10 Hospital Drive, Suite 305, Western Mass Physician Associates, Inc, Holyoke, MA 01040 | 2006-08-22 |
| 1427065549 | Dennis J. Jelden | Family Medicine | 1001 E. Johnston Street, Holyoke, CO 80734-1854 | 2006-08-02 |
| 1356398689 | Thomas M Klepacki | Family Medicine | 1221 Main Street, Western Regional/medical Examiner, Holyoke, MA 01040 | 2006-05-30 |
| 1770553794 | Kevin James Cuccinelli | Family Medicine | 1001 E Johnson St, Holyoke, CO 80734-1854 | 2006-01-23 |
| 1720556327 | Sarah Elizabeth Kells | Family Medicine | 306 Race St, Holyoke, MA 01040-5720 | 2018-11-13 |
| 1184178386 | Sound Physicians of Massachusetts, Inc | Family Medicine | 575 Beech St, Holyoke, MA 01040-2223 | 2016-08-05 |
| 1861806929 | Daniela Monique De Vargas Boyer | Family Medicine | 1001 E Johnson St, Melissa Memorial Hospital, Holyoke, CO 80734 | 2014-06-17 |
| 1881824225 | Jaehyun Byun | Family Medicine | 230 Maple St, Holyoke, MA 01040-5144 | 2009-07-20 |
| Find all providers in HOLYOKE | ||||
Please comment or provide details below to improve the information on HOLYOKE FAMILY PRACTICE, 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.