PRATT MEDICAL GROUP, INC (NPI# 1447525241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447525241 |
| Entity Type | Organization |
| Organization Name | PRATT MEDICAL GROUP, INC |
| Other Organization Name | PRATT MEDICAL GROUP, INC-QUINCY/HYDE PARK ASSOCIATES |
| Practice Address |
1690 Crown Colony Dr Suite 209 Quincy MA 02169-0913 |
| Mailing Address |
800 Washington St Box 1013 Boston MA 02111-1552 |
| Practice Telephone | 6173644380 |
| Mailing Telephone | 6176365000 |
| Enumeration Date | 2012-03-13 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | EDWARD GALLEGOS (DIRECTOR) |
| Authorized Official Telephone | 6176367549 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pratt Medical Group, Inc-Quincy/Hyde Park Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982119566 | Pratt Medical Group, Inc | Pediatrics | 800 Washington St, Boston, MA 02111-1552 | 2017-12-05 |
| 1831539592 | Pratt Medical Group, Inc | Internal Medicine | 85 Worcester Rd, Framingham, MA 01701-5348 | 2013-06-26 |
| 1639485790 | Pratt Medical Group, Inc | General Acute Care Hospital | 800 Washington St, #398, Boston, MA 02111-1552 | 2010-08-27 |
| 1508187642 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-11 |
| 1164743209 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-11 |
| 1336460476 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-11 |
| 1871814913 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-11 |
| 1013237809 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-03 |
| 1104146992 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-03 |
| 1659691442 | Pratt Medical Group, Inc | Internal Medicine | 800 Washington St, Box 1013, Boston, MA 02111-1552 | 2010-06-03 |
| Street Address |
1690 CROWN COLONY DR SUITE 209 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-0913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689151359 | Oscar Gin Lee | Physician Assistant | 1690 Crown Colony Dr, Quincy, MA 02169-0913 | 2018-07-25 |
| 1821535964 | Haili Dunbar | Physician Assistant | 1690 Crown Colony Dr, Quincy, MA 02169-0913 | 2017-01-27 |
| 1306105283 | Shawn Shroff | Internal Medicine | 1690 Crown Colony Dr, Quincy, MA 02169-0913 | 2012-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| 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 |
|---|---|---|---|---|
| 1386999001 | Kristi Michelle Gillette | Internal Medicine | 5011 Oak St, Quincy, IL 62305 | 2012-07-18 |
| 1275819179 | Yan Tan | Internal Medicine | 40 Willard St Ste 103, Quincy, MA 02169 | 2011-10-24 |
| 1891079836 | Yueling Guo Moran | Internal Medicine | 1690 Crown Colony Drive, Quincy, MA 02169 | 2011-10-10 |
| 1740418466 | Alan C Wong | Internal Medicine | 500 Congress St Ste 3a, Quincy, MA 02169-0927 | 2009-07-01 |
| 1225284615 | Michael Van Haute | Internal Medicine | 40 Butler Rd Apt 15, Quincy, MA 02169-2242 | 2008-08-18 |
| 1013102326 | Robert H. Wu. Md, PC. | Internal Medicine | 339 Hancock St, Quincy, MA 02171-2438 | 2007-09-10 |
| 1679774988 | Mary Anne Mckendall | Internal Medicine | One Enterprise Drive, Blue Cross Blue Shield of Massachusetts, Quincy, MA 02171 | 2007-05-31 |
| 1790803294 | Alicja Gupta Mdpc | Internal Medicine | 21 Mayor Thomas J Mcgrath Hwy, Suite 202, Quincy, MA 02169-5351 | 2007-03-26 |
| 1396889085 | Seraphim P Papajiannis | Internal Medicine | 13 Presidents Ln, Quincy, MA 02169-1928 | 2007-02-16 |
| 1336232784 | Hantz C Hercule | Internal Medicine | 809 E Jefferson St, Quincy, FL 32351-2623 | 2006-09-30 |
| Find all providers in QUINCY | ||||
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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.