RAYNHAM TAUNTON PEDIATRICS (NPI# 1336117316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336117316 |
| Entity Type | Organization |
| Organization Name | RAYNHAM TAUNTON PEDIATRICS |
| Practice Address |
876 Broadway Raynham MA 02767-1797 |
| Practice Telephone | 5088249500 |
| Practice Fax Number | 5088249507 |
| Mailing Telephone | 5088249500 |
| Mailing Fax Number | 5088249507 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENNETH ALAN BERLIN (PRESIDENT) |
| Authorized Official Telephone | 5088249500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 52899 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | UNITED HEALTH CARE | 12-01645 | 01 |
| MA | HARVARD PILGRIM | 200584 | 01 |
| MA | 9702130 | 05 | |
| MA | TUFTS | 052899 | 01 |
| MA | CIGNA | B10358301 | 01 |
| MD | BLUE CROSS | J03588 | 01 |
| MA | AETNA | 2145974 | 01 |
| Street Address |
876 BROADWAY |
| City | RAYNHAM |
| State | MA |
| Zip Code | 02767-1797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487622007 | Kenneth Alan Berlin | Pediatrics | 876 Broadway, Raynham, MA 02767-1797 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044069 | Heather Dubose | Social Worker | 329 King Philip Street, Raynham, MA 02767 | 2020-08-21 |
| 1801115654 | Wanda L Meyer | Registered Nurse | 257 Prospect Hill St., Raynham, MA 02767 | 2010-05-19 |
| 1033386099 | Choice Dental Inc | Dentist | 606 North Main Streeet, Raynham, MA 02767 | 2008-05-09 |
| 1639378482 | Laura Eddy | Counselor | 90 New State Highway Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-07-12 |
| 1861617524 | Charlene A Remillard | Social Worker | 90 New State Highway, Raynham, MA 02767 | 2007-04-16 |
| 1437287166 | Sandra Diaz | Psychologist | 90 New State Hwy, Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-03-02 |
| 1629115688 | Luis Moncada | Dentist | 500 Raynham Street West, Raynham, MA 02767 | 2007-01-31 |
| 1942300371 | Cvs Pharmacy Inc | Pharmacy | 252 Broadway, Raynham, MA 02767 | 2006-09-25 |
| 1912004524 | Mrudula Patel | Family Medicine | 302 Broadway Ste 8, Hines Dermatology Associates, Raynham, MA 02767 | 2006-09-19 |
| 1447271374 | Mary Ann Garcia Dds PC | Dentist | 166 Paramount Dr, Raynham, MA 02767 | 2006-07-23 |
| Find all providers in zip 02767 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851427116 | Mitchell S Pozner | Pediatrics | 1215 Broadway, Raynham, MA 02767-1942 | 2007-02-23 |
| 1487622007 | Kenneth Alan Berlin | Pediatrics | 876 Broadway, Raynham, MA 02767-1797 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030720 | Mebe Massachusetts | Pediatrics | 51 Pleasant St # 1002, Malden, MA 02148-4904 | 2020-10-15 |
| 1801407564 | Catherine M. Vu Morrissey | Pediatrics | 451 Centre St, Milton, MA 02186-4118 | 2020-08-14 |
| 1962025379 | Elizabeth Mary Messineo | Pediatrics | 40 Greenhill Rd, Westwood, MA 02090-2704 | 2020-05-20 |
| 1639790280 | Allison Seats | Pediatrics | 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 | 2020-05-05 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1346871183 | Pm Pediatrics of New England | Pediatrics | 99 Commerce Way, Woburn, MA 01801-5199 | 2020-01-30 |
| 1346871381 | Heather Mccaslin Kempczinski | Pediatrics | 360 Beacon St Apt 1, Boston, MA 02116-1063 | 2020-01-29 |
| 1396388278 | Taylor Cinelli | Pediatrics | 203 John Scott Blvd, Norton, MA 02766-2616 | 2019-10-23 |
| 1972145290 | Lauren Nicole Mabe | Pediatrics | 45 Gordon St Apt 3, Allston, MA 02134-2458 | 2019-10-09 |
| 1417508946 | Devin Veronica Parker | Pediatrics | 2 Crescent St, Plympton, MA 02367-1400 | 2019-09-25 |
| 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.