COORDINATED PRIMARY CARE (NPI# 1477535813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477535813 |
| Entity Type | Organization |
| Organization Name | COORDINATED PRIMARY CARE |
| Other Organization Name | ONCOLOGY ASSOCIATES |
| Practice Address |
275 Nichols Rd Fitchburg MA 01420 |
| Mailing Address |
60 Hospital Rd Leominster MA 01453 |
| Practice Telephone | 9783435048 |
| Practice Fax Number | 9783435549 |
| Mailing Telephone | 9784664243 |
| Mailing Fax Number | 9784662238 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | PHYLLIS FABELLO (DIRECTOR COORDINATOR PRIMARY CARE) |
| Authorized Official Telephone | 9784664243 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 363L00000X | Nurse Practitioner | M20928 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 977147C | 05 | |
| MA | MEDICARE GROUP | M20928 | 01 |
| Other Name | Type Code |
|---|---|
| Oncology Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669597209 | Coordinated Primary Care | Orthopaedic Surgery | 100 Hospital Rd Ste 3c, Leominster, MA 01453-2253 | 2007-03-20 |
| 1306090527 | Coordinated Primary Care | Family Medicine | 155 Franklin Road, Fitchburg, MA 01420 | 2008-11-14 |
| 1821213455 | Coordinated Primary Care | Internal Medicine | 50 Memorial Dr, Suite 210, Leominster, MA 01453-2238 | 2007-04-17 |
| 1316072283 | Coordinated Primary Care | Internal Medicine | 50 Memorial Dr, Suite 114, Leominster, MA 01453-2238 | 2007-02-22 |
| 1104880673 | Coordinated Primary Care | Psychiatry & Neurology | 50 Memorial Drive, Suite 211, Leominster, MA 01453 | 2006-04-13 |
| Street Address |
275 NICHOLS RD |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581308 | Bruce A Bornstein | Radiology | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2005-07-08 |
| 1932747102 | Alyssa Aguiar | Registered Nurse | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2019-12-18 |
| 1972161735 | Molly Kate Vita | Dietitian, Registered | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2019-06-05 |
| 1265918718 | Katrina M Parkhurst | Nurse Practitioner | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2018-07-18 |
| 1366805707 | Jeannette L Ryan Alkasab | Family Medicine | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2016-04-02 |
| 1508228545 | Cailin Mcdeed | Student in an Organized Health Care Education/Training Program | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2016-03-28 |
| 1619336732 | Mary Ellen Tull | Registered Nurse | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2016-02-17 |
| 1902276991 | Ashley Jackson I | Counselor | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2015-10-02 |
| 1922494756 | Aimee Lynn Ferrante | Nurse Practitioner | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2015-04-08 |
| 1508252362 | Elizabeth Zephir | Physician Assistant | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073577607 | Leann M Derungs | Nurse Practitioner | 2844 Index Rd, Fitchburg, WI 53713-3117 | 2006-04-12 |
| 1750345468 | Linda Szalkucki | Nurse Practitioner | 2724 Jacquelyn Dr, Fitchburg, WI 53711-5245 | 2006-04-12 |
| 1952959686 | Tammy M Murawski | Nurse Practitioner | 5395 E Cheryl Pkwy, Fitchburg, WI 53711-5395 | 2019-08-27 |
| 1932686136 | Alaine Kay Rosenberg | Nurse Practitioner | 2955 Triverton Pike Dr, Fitchburg, WI 53711-5807 | 2018-07-20 |
| 1265918718 | Katrina M Parkhurst | Nurse Practitioner | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2018-07-18 |
| 1013416114 | Despina O'doherty | Nurse Practitioner | 881 Main St, Fitchburg, MA 01420-3057 | 2018-02-05 |
| 1033627336 | Katelyn D Beemon | Nurse Practitioner | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2018-01-21 |
| 1619492899 | Amy Elizabeth Brinza | Nurse Practitioner | 3051 Cahill Main, Fitchburg, WI 53711-7109 | 2017-08-08 |
| 1871996413 | Tricia Ann Rapp | Nurse Practitioner | 47 Ashby State Rd, Fitchburg, MA 01420-2038 | 2014-09-26 |
| 1073878443 | Jennifer L. Larson | Nurse Practitioner | 3034 Fish Hatchery Rd, Fitchburg, WI 53713-3125 | 2012-07-11 |
| Find all providers in FITCHBURG | ||||
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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.