STODDARD MEDICAL ASSOCIATES, LLC (NPI# 1356421713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356421713 |
| Entity Type | Organization |
| Organization Name | STODDARD MEDICAL ASSOCIATES, LLC |
| Practice Address |
15 Stoddard Ave Pittsfield MA 01201-4215 |
| Practice Telephone | 4134482447 |
| Practice Fax Number | 4134482450 |
| Mailing Telephone | 4134482447 |
| Mailing Fax Number | 4134482450 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. PATRICIA LEHMANN (OWNER) |
| Authorized Official Telephone | 4134482447 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | 46404 | MA | Allopathic & Osteopathic Physicians |
| X | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
14566 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9731881 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | STODDARD MEDICAL ASSOCIATES, LLC | 15 Stoddard Ave., Pittsfield, MA 01201 |
| Street Address |
15 STODDARD AVE |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-4215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891875324 | Nancy A Ciuk | Nurse Practitioner | 15 Stoddard Ave, Pittsfield, MA 01201-4215 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| 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 |
|---|---|---|---|---|
| 1265882195 | Alexandr Karimov | Internal Medicine | 1196 North St, Apt.b, Pittsfield, MA 01201-1536 | 2016-06-22 |
| 1265883102 | Nkechi Chiugo Mbaebie | Internal Medicine | 62 Highview Dr, Apt C, Pittsfield, MA 01201-2062 | 2016-06-22 |
| 1760898589 | Eziafa Oduah | Internal Medicine | 750 North Street, Berkshire Medical Center, Pittsfield, MA 01201 | 2014-07-02 |
| 1972853604 | Berkshire Mobile Medical, PC | Internal Medicine | 24 Baglee Ave, Pittsfield, MA 01201-1007 | 2012-09-10 |
| 1649568759 | Relffa Jacho Sathe | Internal Medicine | 34 Parkside Ave, Pittsfield, MA 01201-5563 | 2011-07-11 |
| 1356580013 | Rosario Noto | Internal Medicine | 156 Orchard Cir, Pittsfield, MA 01201-8814 | 2009-02-19 |
| 1992942189 | Cecilia Pena-sisto | Internal Medicine | 510 North St # 1, Pittsfield, MA 01201-5493 | 2009-01-09 |
| 1952554370 | Henry Tulgan | Internal Medicine | 25 Palomino Dr, Pittsfield, MA 01201-7133 | 2008-10-29 |
| 1912154253 | Sreedhar Kurma | Internal Medicine | Berkshrire Medical Center, 725 North Street, Pittsfield, MA 01201 | 2008-08-19 |
| 1417078643 | Frank I Burno | Internal Medicine | 144 Mountain Dr, Pittsfield, MA 01201-7420 | 2007-04-03 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
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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.