PREVENTIVE MEDICINE ASSOCIATES (NPI# 1427360072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427360072 |
| Entity Type | Organization |
| Organization Name | PREVENTIVE MEDICINE ASSOCIATES |
| Other Organization Name | NORTH ANDOVER WELLNESS CENTER |
| Practice Address |
451 Andover St Suite 195 North Andover MA 01845-5044 |
| Practice Telephone | 9782587191 |
| Practice Fax Number | 9782583659 |
| Mailing Telephone | 9782587191 |
| Mailing Fax Number | 9782583659 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |
| Authorized Official Name | MS. MARY J DELONG (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4132227711 |
| Authorized Official Credential | MM, RHIA |
| Is Organization Subpart | Y |
| Parent Organization Name | PREVENTIVE MEDICINE ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| North Andover Wellness Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528353612 | Preventive Medicine Associates | Family Medicine | 154 Lynnway, Suite 1c, Lynn, MA 01902-3479 | 2011-06-16 |
| 1659679793 | Preventive Medicine Associates | Family Medicine | 2201 Washington St, Suite 302, Roxbury, MA 02119-3212 | 2011-03-13 |
| 1568760601 | Preventive Medicine Associates | Family Medicine | 501b Washington St, Dorchester Center, MA 02124-2014 | 2011-03-13 |
| 1962705251 | Preventive Medicine Associates | Family Medicine | 9 Henshaw St, Brighton, MA 02135-2905 | 2010-12-08 |
| 1326350976 | Preventive Medicine Associates | Family Medicine | 360 Coggeshall St, New Bedford, MA 02746-1923 | 2010-07-12 |
| 1689900565 | Preventive Medicine Associates | Family Medicine | 322 Gifford St, Falmouth, MA 02540 | 2009-10-27 |
| 1962641159 | Preventive Medicine Associates | Family Medicine | 63 Winthrop St, # C1, C2, Taunton, MA 02780-6218 | 2009-02-11 |
| 1578702957 | Preventive Medicine Associates | Counselor | 3261 Main St, Barnstable, MA 02630-1105 | 2009-02-09 |
| 1356507511 | Preventive Medicine Associates | Family Medicine | 98 Suffolk St, Holyoke, MA 01040-4458 | 2008-08-06 |
| 1588093744 | Preventive Medicine Associates | Specialist | 1919 Sw 10th Ave, Suite 22, Topeka, KS 66604-1425 | 2013-11-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PREVENTIVE MEDICINE ASSOCIATES, INC. | 59 Temple Place, Suite 612, Boston, MA 02111 |
| Street Address |
451 ANDOVER ST SUITE 195 |
| City | NORTH ANDOVER |
| State | MA |
| Zip Code | 01845-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649269135 | Essex Medical Associates | Clinic/Center | 451 Andover St, Suite 206, North Andover, MA 01845-5044 | 2005-10-17 |
| 1952949943 | Nutrition In Motion | Dietitian, Registered | 451 Andover St, North Andover, MA 01845-5044 | 2019-12-20 |
| 1982251443 | Savanah Nora Snook | Speech-Language Pathologist | 451 Andover St, North Andover, MA 01845-5044 | 2019-08-20 |
| 1699273037 | Rachelle Blauvelt | Registered Nurse | 451 Andover St, North Andover, MA 01845-5044 | 2018-01-31 |
| 1851835268 | Foot Health Center of Merrimack Valley-wpho PC | Podiatrist | 451 Andover St, Suite 209, North Andover, MA 01845-5044 | 2016-12-05 |
| 1639629546 | Amy Tingley | Speech-Language Pathologist | 451 Andover St, Suite 165, North Andover, MA 01845-5044 | 2016-10-04 |
| 1588117378 | Christine Maripuri | Optometrist | 451 Andover St, North Andover, MA 01845-5044 | 2016-07-27 |
| 1184085045 | Pavilion Medical Home Care & Staffing LLC | Home Health | 451 Andover St, Suite #211a, North Andover, MA 01845-5044 | 2016-03-18 |
| 1033503677 | Caitlin Hall | Speech-Language Pathologist | 451 Andover St, Suite 165, North Andover, MA 01845-5044 | 2015-03-20 |
| 1851721914 | Calhoun Chiropractic P.C. | Chiropractor | 451 Andover St, Suite 100, North Andover, MA 01845-5044 | 2013-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780222091 | Bh Brightview North Andover Opco, LLC | Alzheimer Center (Dementia Center) | 1275 Turnpike Street, North Andover, MA 01845 | 2019-12-17 |
| 1770132052 | Nancy Boshar | Social Worker | 109 Saw Mill Road, North Andover, MA 01845 | 2019-09-09 |
| 1497307854 | Maria Nappa | Nurse Practitioner | 47 High Street, Suite 101, North Andover, MA 01845 | 2019-07-15 |
| 1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
| 1891278040 | Kristen Dee | Counselor | 6 Garnet Circle, North Andover, MA 01845 | 2018-09-13 |
| 1154809770 | Oped Medical, Inc. | Durable Medical Equipment & Medical Supplies | 37 Flagship Drive, North Andover, MA 01845 | 2018-08-06 |
| 1902382658 | Barry Myers | Physical Therapist | 231 Sutton Street, Suite 1c, North Andover, MA 01845 | 2018-07-16 |
| 1174042337 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Lahey Health Primary Care, North Andover, 170 Pleasant St., N. Andover, MA 01845 | 2017-09-19 |
| 1174041792 | Eric Tweedie | Specialist/Technologist | 72 Fernview Ave Apt 2, North Andover, MA 01845 | 2017-09-04 |
| 1043734379 | Hiron Health | Internal Medicine | 820a Turnpike Street, North Andover, MA 01845 | 2017-07-28 |
| Find all providers in zip 01845 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578062758 | Robynne Brown | Family Medicine | 59 Coddington St Ste 103, Quincy, MA 02169-4510 | 2018-02-02 |
| 1528353612 | Preventive Medicine Associates | Family Medicine | 154 Lynnway, Suite 1c, Lynn, MA 01902-3479 | 2011-06-16 |
| 1659679793 | Preventive Medicine Associates | Family Medicine | 2201 Washington St, Suite 302, Roxbury, MA 02119-3212 | 2011-03-13 |
| 1568760601 | Preventive Medicine Associates | Family Medicine | 501b Washington St, Dorchester Center, MA 02124-2014 | 2011-03-13 |
| 1962705251 | Preventive Medicine Associates | Family Medicine | 9 Henshaw St, Brighton, MA 02135-2905 | 2010-12-08 |
| 1326350976 | Preventive Medicine Associates | Family Medicine | 360 Coggeshall St, New Bedford, MA 02746-1923 | 2010-07-12 |
| 1689900565 | Preventive Medicine Associates | Family Medicine | 322 Gifford St, Falmouth, MA 02540 | 2009-10-27 |
| 1962641159 | Preventive Medicine Associates | Family Medicine | 63 Winthrop St, # C1, C2, Taunton, MA 02780-6218 | 2009-02-11 |
| 1356507511 | Preventive Medicine Associates | Family Medicine | 98 Suffolk St, Holyoke, MA 01040-4458 | 2008-08-06 |
| 1194949073 | Vineyard Healthcare Assoc. | Family Medicine | 455 State Rd Ste 13, Vineyard Haven, MA 02568-5621 | 2007-04-12 |
| Find all providers with the same taxonomy | ||||
| City | NORTH ANDOVER |
| Zip Code | 01845 |
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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.