SOUTHAMPTON PEDIATRICS, LLC (NPI# 1396876199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396876199 |
| Entity Type | Organization |
| Organization Name | SOUTHAMPTON PEDIATRICS, LLC |
| Practice Address |
6 Parc Pl Southampton MA 01073-9277 |
| Practice Telephone | 4135297161 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEANINE DOWNIE (CREDENTIALS SPECIALIST) |
| Authorized Official Telephone | 4135822342 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | SOUTHAMPTON PEDIATRICS, LLC | 6 Parc Place, Southampton, MA 01073 |
| Street Address |
6 PARC PL |
| City | SOUTHAMPTON |
| State | MA |
| Zip Code | 01073-9277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043292089 | Mark Albert Bigda | Internal Medicine | 6 Parc Pl, Suite A, Southampton, MA 01073-9277 | 2005-11-16 |
| 1356737274 | April Belanger | Physician Assistant | 6 Parc Pl, Suite A, Southampton, MA 01073-9277 | 2015-04-07 |
| 1053647834 | Dana M. Litturi, D.m.d., LLC | Dentist | 6 Parc Pl, Suite C, Southampton, MA 01073-9277 | 2009-10-28 |
| 1972773117 | Chalice Santorelli | Nurse Practitioner | 6 Parc Pl, Southampton, MA 01073-9277 | 2008-03-04 |
| 1427243039 | Leah Carrasquillo | Nurse Practitioner | 6 Parc Pl, Southampton, MA 01073-9277 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942496344 | Southampton Family Dentistry, LLC | Dentist | 4 Line Street, Southampton, MA 01073 | 2007-09-19 |
| 1861616955 | Jerry P Will Sr. | Technician/Technologist | 15 B College Highway, 15 B Southampton Optical, Southampton, MA 01073 | 2007-04-12 |
| 1316013485 | Wendy Dixon | Dentist | 4 Park Ave, Sugarloaf Dental, South Deerfield, MA 01073 | 2006-11-28 |
| 1093854432 | Hans-christoph Beer | Dentist | 16 Pomeroy Meadow Rd, Southampton, MA 01073-0156 | 2007-02-05 |
| 1659304723 | Town of Southampton | Ambulance | 204 College Hwy, Southampton, MA 01073-0428 | 2006-07-09 |
| 1992798383 | Michael Jude Glaiel | Chiropractor | 166 College Hwy, Southampton, MA 01073-9272 | 2005-08-31 |
| 1013463140 | Kelly Bado, O.d. | Optometrist | 15 College Hwy Ste B, Southampton, MA 01073-9274 | 2016-08-29 |
| 1992302392 | Constant Vision 2020 | Technician/Technologist | 15 College Hwy Ste B, Southampton, MA 01073-9274 | 2020-10-08 |
| 1205450129 | Yves Constant | Technician/Technologist | 15 College Hwy Ste B, Southampton, MA 01073-9274 | 2020-06-05 |
| 1881055929 | Michelle Zemba | Massage Therapist | 54 Line St, Southampton, MA 01073-9316 | 2016-03-17 |
| Find all providers in zip 01073 | ||||
| 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 |
|---|---|---|---|---|
| 1780740647 | Gerard P Mcloughlin | Pediatrics | 436 Hill St, Southampton, NY 11968 | 2006-12-28 |
| 1134138357 | Forough B Mokhtari | Pediatrics | 5 Squiretown Road, South Hampton Pediatric, Southampton, NY 11946 | 2006-08-05 |
| 1629016530 | Tri-county Pediatrics, Inc | Pediatrics | 57 Street Rd, Southampton, PA 18966-3100 | 2006-06-03 |
| 1841290608 | Louis M Goldblum | Pediatrics | 325 Meeting House Ln, Southampton, NY 11968 | 2005-07-22 |
| 1548264906 | Laura Michelle Donaldson | Pediatrics | 44 2nd Street Pike, Ste 301, Southampton, PA 18966-3830 | 2005-06-13 |
| 1295213700 | Kacey Johannah Pryzby | Pediatrics | 444 N Sea Rd, Southampton, NY 11968-2057 | 2018-08-06 |
| 1326351933 | Dionne Hazel Magdelene Donald | Pediatrics | 240 Meeting House Ln, Southampton, NY 11968-5009 | 2010-07-23 |
| 1730325721 | Thelma Barker Gaetano | Pediatrics | 325 Meeting House Ln, Southampton, NY 11968-5087 | 2008-12-23 |
| 1205007002 | Karen Lee | Pediatrics | 444 N Sea Rd, Southampton, NY 11968 | 2008-03-19 |
| 1093913261 | Laura M. Donaldson, Do-pediatrics, PC | Pediatrics | 44 Second Street Pike, Suite 301, Southampton, PA 18966-3830 | 2007-07-10 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 01073 |
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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.