CONCORD PRIMARY CARE,INC (NPI# 1316003429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316003429 |
| Entity Type | Organization |
| Organization Name | CONCORD PRIMARY CARE,INC |
| Practice Address |
131 Old Road To 9 Acre Cor Suite 810 Jcb Concord MA 01742-4181 |
| Mailing Address |
Po Box 2669 Acton MA 01720-6669 |
| Practice Telephone | 9783180007 |
| Practice Fax Number | 9783180056 |
| Mailing Telephone | 9783180007 |
| Mailing Fax Number | 9783180056 |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. VINEETA JOSHI (PHYSICAIN) |
| Authorized Official Telephone | 9783180007 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 154169 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TRICARE | 17782053 | 01 |
| MA | FALLON PROVIDER # | 6405 | 01 |
| MA | BCBS PROVIDER# | J18209 | 01 |
| MA | TUFTS PROVIDER # | 137610 | 01 |
| MA | HPHC | 400094 | 01 |
| MA | TUFTS GROUP # | 693861 | 01 |
| MA | AETNA PROVIDER # | 1012166 | 01 |
| MA | 3168794 | 05 | |
| MA | 9734601 | 05 | |
| MA | BCBSGROUP # | M18857 | 01 |
| MA | FIRST HEALTH | 2033845 | 01 |
| MA | UNITED HEALTH CARE | 2115197 | 01 |
| MA | AETNA GROUP # | 3680770 | 01 |
| MA | FALLON GROUP # | 91080 | 01 |
| Street Address |
131 OLD ROAD TO 9 ACRE COR SUITE 810 JCB |
| City | CONCORD |
| State | MA |
| Zip Code | 01742-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275519340 | Ingrid Anita Balcomb | Obstetrics & Gynecology | 131 Old Road To 9 Acre Cor, Suite 830, Concord, MA 01742-4181 | 2005-12-20 |
| 1831708361 | Leanna Eleanor Patterson | Nurse Practitioner | 131 Old Road To 9 Acre Cor, Concord, MA 01742-4181 | 2020-07-30 |
| 1821623075 | Krystina Monique San Soucie | Advanced Practice Midwife | 131 Old Road To 9 Acre Cor, Concord, MA 01742-4181 | 2020-03-09 |
| 1053781732 | Stephanie Sandwich | Registered Nurse | 131 Old Road To 9 Acre Cor, Suite 830, Concord, MA 01742-4181 | 2015-10-06 |
| 1659704872 | Erin M Rauker | Nurse Practitioner | 131 Old Road To 9 Acre Cor, Suite 830, Concord, MA 01742-4181 | 2013-08-12 |
| 1033492269 | Steven Herson Md | Internal Medicine | 131 Old Road To 9 Acre Cor, John Cuming Building Suite 650, Concord, MA 01742-4181 | 2011-09-23 |
| 1942580261 | Trista Brittany Phaneuf | Advanced Practice Midwife | 131 Old Road To 9 Acre Cor, John Cuming Building Suite 830, Concord, MA 01742-4181 | 2011-08-17 |
| 1225347909 | Emily Strehle | Obstetrics & Gynecology | 131 Old Road To 9 Acre Cor, Suite 830, Concord, MA 01742-4181 | 2010-09-29 |
| 1205144755 | Megan Loring | Obstetrics & Gynecology | 131 Old Road To 9 Acre Cor, Concord, MA 01742-4181 | 2010-09-17 |
| 1770742587 | Jonathan Benjamin Greene | Internal Medicine | 131 Old Road To 9 Acre Cor, Suite 330, Concord, MA 01742-4181 | 2008-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674348 | Camille Arcidi | Dentist | 747 Main Street, Suite 221, Concord, MA 01742 | 2020-09-17 |
| 1851916936 | Paige Hamilton-read | Psychologist | 333 Thoreau Street, Concord, MA 01742 | 2020-06-14 |
| 1467926113 | Judith Segal | Psychologist | 844 Sudbury Road, Concord, MA 01742 | 2019-01-16 |
| 1316422983 | Lisa Colagiovanni | Social Worker | 54 Hillside Ave., Concord, MA 01742 | 2018-09-30 |
| 1932699907 | Margaret C O'hearn-curran | Psychologist | 178 Silver Hill Rd, Concord, MA 01742 | 2018-05-15 |
| 1205358678 | Eva Moen | Pharmacist | 19 Nathan Pratt Drive, Unit 308, Concord, MA 01742 | 2017-07-07 |
| 1215475421 | Hengameh Lavasanifar | Pharmacist | Jcb;131 Ornac Suite 200;, Mgh Cancer Center At Emerson Hospital, Concord, MA 01742 | 2017-02-08 |
| 1255882684 | Stephanie Randazzo | Counselor | 20 Nathan Pratt Drive Unit 209, Concord, MA 01742 | 2016-10-20 |
| 1871943704 | Marjorie E. Cahn | Social Worker | 634 Walden Street, Concord, MA 01742 | 2016-06-22 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| Find all providers in zip 01742 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1821613480 | Carolinas Physicians Network Inc | Internal Medicine | 8815 Christenbury Pkwy Ste 30, Concord, NC 28027-0261 | 2020-06-10 |
| 1205395480 | Carolinas Physicians Network Inc | Internal Medicine | 845 Church St N Ste 101, Concord, NC 28025-4373 | 2019-03-18 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| 1306259700 | Charis Gn Stone | Internal Medicine | 200 Medical Park Dr Ste 330, Concord, NC 28025-0937 | 2014-06-04 |
| 1255766267 | Pro Care Medical Group Inc | Internal Medicine | 1155 Rock Creek Way, Concord, CA 94521-5022 | 2013-09-10 |
| 1912339995 | Mehmet Sercan Marangoz | Internal Medicine | 18 Foundry St Ste 102, Concord, NH 03301 | 2013-08-01 |
| 1891032892 | Walter C Dueger | Internal Medicine | 215 Mountain Rd, Concord, NH 03301-6946 | 2013-01-10 |
| 1750680427 | Julian Lel | Internal Medicine | 131 Old Road To Nac Cor Bldg Suite660, Concord, MA 01742 | 2011-03-21 |
| 1164654885 | Patricia Ruze | Internal Medicine | 965 Elm St., Mci-concord, Concord, MA 01742-9106 | 2009-08-13 |
| Find all providers in CONCORD | ||||
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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.