MYSTICK WOMEN'S HEALTH, INC. (NPI# 1447732573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447732573 |
| Entity Type | Organization |
| Organization Name | MYSTICK WOMEN'S HEALTH, INC. |
| Practice Address |
13 Bradlee Road Medford MA 02155 |
| Practice Telephone | 7813951110 |
| Practice Fax Number | 7813958553 |
| Mailing Telephone | 7813951110 |
| Mailing Fax Number | 7813958553 |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |
| Authorized Official Name | TRICIA BRISBOIS (PRACTICE MANAGER/CFO) |
| Authorized Official Telephone | 7813951110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 60673 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255422630 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Rd, Medford, MA 02155-3110 | 2006-09-28 |
| Street Address |
13 BRADLEE ROAD |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| 1417473554 | Elysee H. Castor | Counselor | 5 High St., Suite 101, Medford, MA 02155 | 2017-08-21 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942697669 | Rebecca Elizabeth Elliott | Obstetrics & Gynecology | 1698 E Mcandrews Rd Ste 350, Medford, OR 97504-5590 | 2015-04-21 |
| 1215340070 | Sylvia Cho | Obstetrics & Gynecology | 101 Main St Ste 101, Medford, MA 02155 | 2014-06-09 |
| 1558688549 | Emily S Steinbis | Obstetrics & Gynecology | 840 Royal Ave Ste 350, Medford, OR 97504-6461 | 2010-04-29 |
| 1447392774 | Associates for Womens Health of Southern Oregon LLC | Obstetrics & Gynecology | 3190 State St Ste 102, Medford, OR 97504-8498 | 2007-02-13 |
| 1497780795 | Lisa Kay Keller | Obstetrics & Gynecology | 940 Royal Avenue, Suite 350, Medford, OR 97504-6194 | 2006-07-12 |
| 1952343873 | Linda M Hopkins | Obstetrics & Gynecology | 2911 Siskiyou Blvd, Medford, OR 97504 | 2006-06-12 |
| 1538133343 | Ellen Marie Guthrie | Obstetrics & Gynecology | 13 Bradlee Rd, Medford, MA 02155 | 2006-02-16 |
| 1154302768 | Margaret Susan Young | Obstetrics & Gynecology | 143 South Gibson Street, Medford, WI 54451-1622 | 2005-11-10 |
| 1689655839 | Matthias G Muenzer | Obstetrics & Gynecology | 101 Main Street, Suite 214, Medford, MA 02155 | 2005-11-07 |
| 1871046680 | Rogue Womens Health | Obstetrics & Gynecology | 2941 Doctors Park Dr, Medford, OR 97504-8127 | 2016-07-28 |
| Find all providers in MEDFORD | ||||
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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.