COORDINATED PRIMARY CARE (NPI# 1306090527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306090527 |
| Entity Type | Organization |
| Organization Name | COORDINATED PRIMARY CARE |
| Other Organization Name | DBA CPC FAMILY PRACTICE |
| Practice Address |
155 Franklin Road Fitchburg MA 01420 |
| Practice Telephone | 9783426240 |
| Practice Fax Number | 9783426240 |
| Mailing Telephone | 9783426240 |
| Mailing Fax Number | 9783426240 |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2009-06-11 |
| Authorized Official Name | PHYLLIS FABELLO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9784664268 |
| Is Organization Subpart | Y |
| Parent Organization Name | COORDINATED PRIMARY CARE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MA HEALTH GROUP NUMBER | 9771476 | 01 |
| MA | 110072006A | 05 | |
| MA | MEDICARE GROUP NUMBER | M20928 | 01 |
| Other Name | Type Code |
|---|---|
| dba CPC Family Practice | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669597209 | Coordinated Primary Care | Orthopaedic Surgery | 100 Hospital Rd Ste 3c, Leominster, MA 01453-2253 | 2007-03-20 |
| 1821213455 | Coordinated Primary Care | Internal Medicine | 50 Memorial Dr, Suite 210, Leominster, MA 01453-2238 | 2007-04-17 |
| 1316072283 | Coordinated Primary Care | Internal Medicine | 50 Memorial Dr, Suite 114, Leominster, MA 01453-2238 | 2007-02-22 |
| 1104880673 | Coordinated Primary Care | Psychiatry & Neurology | 50 Memorial Drive, Suite 211, Leominster, MA 01453 | 2006-04-13 |
| 1477535813 | Coordinated Primary Care | Internal Medicine | 275 Nichols Rd, Fitchburg, MA 01420 | 2005-11-18 |
| Street Address |
155 FRANKLIN ROAD |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073734901 | Deepthi Pandraju | Family Medicine | 155 Franklin Road, Fitchburg, MA 01420 | 2007-05-01 |
| 1689864167 | Karla Christo | Family Medicine | 155 Franklin Road, Fitchburg, MA 01420-5140 | 2007-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| 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 |
|---|---|---|---|---|
| 1932333937 | Iris Sullivan M.d., PC | Family Medicine | 64 Whalon St, Fitchburg, MA 01420-7138 | 2009-05-06 |
| 1073734901 | Deepthi Pandraju | Family Medicine | 155 Franklin Road, Fitchburg, MA 01420 | 2007-05-01 |
| 1750412797 | Paul E Cochrane | Family Medicine | 29 Hillside Rd, Fitchburg, MA 01420-2007 | 2007-03-09 |
| 1447367578 | David M Deci | Family Medicine | 5717 Margate St, Fitchburg, WI 53711-6426 | 2006-08-24 |
| 1447218474 | Kathleen A. Sweeney | Family Medicine | 326 Nichols Road, Fitchburg, MA 01420 | 2006-05-01 |
| 1841257714 | James E Fluet | Family Medicine | 155 Franklin Rd, Fitchburg, MA 01420-5140 | 2006-04-26 |
| 1780640961 | Iris Sullivan | Family Medicine | 64 Whalon Street, Fitchburg, MA 01420 | 2006-04-25 |
| 1225092950 | James H Shropshire | Family Medicine | 2690 Research Park Dr, Suite 240, Fitchburg, WI 53711-4921 | 2006-04-12 |
| 1821058025 | Piamarie Ballarin-feldman | Family Medicine | 47 Ashby State Road, Tmg Primary Care Suite 102, Fitchburg, MA 01420 | 2006-03-23 |
| 1811956964 | Farhat B Malik | Family Medicine | 5679 Polworth St, Fitchburg, WI 53711-5487 | 2006-03-18 |
| Find all providers in FITCHBURG | ||||
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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.