SKYLIGHT HEALTH GROUP MA PC (NPI# 1255931937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255931937 |
| Entity Type | Organization |
| Organization Name | SKYLIGHT HEALTH GROUP MA PC |
| Practice Address |
49 River St Ste 4 Waltham MA 02453-8345 |
| Mailing Address |
82 Hartwell St Fall River MA 02721-3025 |
| Practice Telephone | 8446448880 |
| Mailing Telephone | 5086899706 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-10-30 |
| Authorized Official Name | STEPHANIE GLUCHACKI (PRESIDENT CLINICAL OPERATIONS) |
| Authorized Official Telephone | 5086899706 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 938 Ma-6a, Yarmouthport, MA 02675 | 8446448880 | 7818594190 |
| Street Address |
49 RIVER ST STE 4 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453-8345 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447234737 | Kristina E Orio | Emergency Medicine | 1030 Main St, Waltham, MA 02451-7447 | 2005-12-01 |
| 1760557896 | Sophia P Hill | Emergency Medicine | 1030 Main St, Waltham, MA 02451-7447 | 2006-11-22 |
| 1710934047 | Barry A Ehrlich | Emergency Medicine | 9 Hope Avenue, Waltham Urgent Care Center, Waltham, MA 02453 | 2006-05-30 |
| 1467403931 | Jessica Radin Peters | Emergency Medicine | 9 Hope Ave, Waltham Urgent Care Center, Waltham, MA 02453 | 2006-05-12 |
| 1982679643 | Richard J Foster | Emergency Medicine | 9 Hope Ave, Waltham, MA 02453-2741 | 2006-02-17 |
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| 1417508284 | Nuch of Massachusetts, LLC | Emergency Medicine | 81 Gold Star Blvd Ste 1, Worcester, MA 01606-2813 | 2019-09-24 |
| 1518523810 | Center for Vein Restoration Ma LLC | Emergency Medicine | 3640 Main St Ste 302, Springfield, MA 01107-1134 | 2019-05-13 |
| 1629555842 | Dispatchhealth Massachusetts PC | Emergency Medicine | 123 Park Ave, West Springfield, MA 01089-3337 | 2018-07-20 |
| 1366947954 | Karrin Weisenthal | Emergency Medicine | 1 Boston Pl Rm 1322, Boston, MA 02108 | 2018-03-27 |
| 1942705884 | Jillian Britt Duffy | Emergency Medicine | 1 Boston Medical Ctr Pl Rm 1322, Boston, MA 02118 | 2018-03-23 |
| 1316464621 | Katelyn Anne Brightman | Emergency Medicine | 30 Florence St, Somerville, MA 02145-4307 | 2017-08-28 |
| 1245760024 | Nicholas D. Kurtzman | Emergency Medicine | One Deaconess Road Rosenberg Building, 2nd Floor, Department of Emergency Medicine, Boston, MA 02215 | 2017-06-14 |
| 1821528746 | Daniel Lapidus | Emergency Medicine | 1963 Commonwealth Ave, Brighton, MA 02135-5937 | 2017-06-13 |
| 1942730007 | Alec John Koffer | Emergency Medicine | 1 Deaconess Rd Bldg 2nd, Boston, MA 02215-5321 | 2017-06-12 |
| 1740725852 | Medexpress Urgent Care, PC - Massachusetts | Emergency Medicine | 39 Chelmsford St, Chelmsford, MA 01824-3016 | 2016-12-28 |
| 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.