IMG MEDICAL GROUP (NPI# 1326304718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326304718 |
| Entity Type | Organization |
| Organization Name | IMG MEDICAL GROUP |
| Practice Address |
365 Ferry St Ste 5 Everett MA 02149-5652 |
| Practice Telephone | 8572331713 |
| Mailing Telephone | 8572331713 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Authorized Official Name | MR. JAMES MOXLEY (OWNER) |
| Authorized Official Telephone | 8572331713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
365 FERRY ST STE 5 |
| City | EVERETT |
| State | MA |
| Zip Code | 02149-5652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295336550 | Berthonya Joas | Physical Therapy Assistant | 62 Lawrence St, Everett, MA 02149 | 2020-11-03 |
| 1053940031 | Sarah Ann Bottiglio | Pharmacist | Whidden Hospital, 103 Garland Street, Everett, MA 02149 | 2020-04-02 |
| 1417494139 | Tsering Dolkar | Registered Nurse | Department of Surgery 103 Garland Street, Everett Hospital, Everett, MA 02149 | 2017-01-20 |
| 1073060190 | Egenie Desir | Registered Nurse | 102 Edith St, Everett, MA 02149 | 2016-09-07 |
| 1295113215 | Tracy Guan | Speech-Language Pathologist | 213 Springvale Ave, Everett, MA 02149 | 2015-05-11 |
| 1386075562 | Maritza Andrea Romano | Licensed Practical Nurse | 77 Clark Street, Everett, MA 02149 | 2013-12-12 |
| 1619221454 | Nicole Marie Shanahan | Social Worker | 23 Union Street, Apartment 2, Everett, MA 02149 | 2012-11-01 |
| 1760764997 | Ashish Agarwal | Pharmacist | 317 Ferry Street, Everett, MA 02149 | 2011-09-14 |
| 1851684856 | Jocelyn Ronda | Internal Medicine | Mgh Everett Family Care, 19 Norwood St, Everett, MA 02149 | 2011-05-24 |
| 1720292204 | Geraldine Chandra Martin | Optometrist | 2 Mystic View Road, Everett, MA 02149 | 2007-05-10 |
| Find all providers in zip 02149 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477098598 | Wendell Chiropractic and Rehabilitation, LLC | Chiropractor | 152 New Zealand Rd, Everett, PA 15537-7007 | 2016-12-28 |
| 1366831257 | Maximilian Bicoff | Chiropractor | 209 E Casino Rd, Ste A, Everett, WA 98208-2610 | 2015-01-14 |
| 1063837995 | Hyun Charlie Jo | Chiropractor | 7404 Evergreen Way Ste A, Everett, WA 98203 | 2014-03-01 |
| 1811335557 | Hung Mong Nguyen | Chiropractor | 4903 112th St Se, Everett, WA 98208-9177 | 2013-06-04 |
| 1639454051 | Wheeler Chiropractic, P.s. | Chiropractor | 209 E Casino Rd Ste A, Everett, WA 98208-2610 | 2011-10-17 |
| 1770883910 | Chiropractic Health Inc | Chiropractor | 10530 19th Ave S.e., Ste. 101, Everett, WA 98208-4282 | 2010-10-21 |
| 1225277601 | Chul Ho Jun | Chiropractor | 221 Se Everett Mall Way, Suite M7, Everett, WA 98208-3239 | 2009-02-09 |
| 1831346790 | Donald Louis Gross | Chiropractor | 9505 19th Ave. Se #109, Everett, WA 98208-3841 | 2008-08-22 |
| 1992951792 | Andrew Howard Marrone | Chiropractor | 5709 137th Pl Se, Everett, WA 98208-9473 | 2008-08-12 |
| 1861667487 | Everett Accident and Injury Center Ps Corp | Chiropractor | 717 128th St Sw Ste B103, Everett, WA 98204-9349 | 2008-04-24 |
| Find all providers in EVERETT | ||||
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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.