TRAILSIDE HEALTH LLC (NPI# 1497175459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497175459 |
| Entity Type | Organization |
| Organization Name | TRAILSIDE HEALTH LLC |
| Practice Address |
111 Bridge St Shelburne Falls MA 01370-1142 |
| Practice Telephone | 4136256240 |
| Practice Fax Number | 4136256290 |
| Mailing Telephone | 4136256240 |
| Mailing Fax Number | 4136256290 |
| Enumeration Date | 2014-04-17 |
| Last Update Date | 2014-04-17 |
| Authorized Official Name | STEFAN A. TOPOLSKI (CEO) |
| Authorized Official Telephone | 4136256240 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
1030561 | MA | Behavioral Health & Social Service Providers |
| N | 363L00000X | Nurse Practitioner | 213928 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 209410 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
111 BRIDGE ST |
| City | SHELBURNE FALLS |
| State | MA |
| Zip Code | 01370-1142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154690105 | Craig Latham | Psychologist | 291 Patten Rd, Shelburne Falls, MA 01370 | 2011-12-20 |
| 1235207952 | West County Physicians PC | Family Medicine | 25 Heath Stage Terrace, Shelburne Falls, MA 01370 | 2006-12-01 |
| 1184703472 | Anna Carolyn Foster | Nurse Practitioner | 10 Grove Street, Shelburne Falls, MA 01370 | 2006-11-06 |
| 1780782052 | Jeanne Marie Lightfoot | Social Worker | 5 State Street, Shelburne Falls, MA 01370 | 2006-09-20 |
| 1639384423 | Joan Alexander Bianchi | Counselor | 5 State Street, Office #3, Shelburne Falls, MA 01370 | 2007-05-14 |
| 1902942618 | William Patrick Ryan | Psychologist | 5 State Street, Shelburne, MA 01370 | 2007-01-29 |
| 1992884282 | Robert James Miller | Family Medicine | 10 Grove Street, Shelburne Falls, MA 01370 | 2006-11-06 |
| 1003820416 | James M Collins | Dentist | 12 Main St, Shelburne Falls, MA 01370 | 2006-07-28 |
| 1437437787 | Richard Charles Hendrick | Social Worker | 48 Crittenden Hill Rd, Shelburne Falls, MA 01370-0455 | 2011-08-03 |
| 1144666330 | Marissa Potter | Doula | 32 Sears St, Shelburne Falls, MA 01370-1009 | 2013-05-15 |
| Find all providers in zip 01370 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235207952 | West County Physicians PC | Family Medicine | 25 Heath Stage Terrace, Shelburne Falls, MA 01370 | 2006-12-01 |
| 1518984087 | Stefan A. Topolski | Family Medicine | 1105 Mohawk Trl, Shelburne Falls, MA 01370-9609 | 2006-07-17 |
| 1578565297 | Richard S Warner | Family Medicine | 191 Lower St, Shelburne Falls, MA 01370-9402 | 2005-08-12 |
| 1770708984 | Caring In Community, Inc. | Family Medicine | 1105 Mohawk Trl, Shelburne Falls, MA 01370-9609 | 2007-04-14 |
| 1992884282 | Robert James Miller | Family Medicine | 10 Grove Street, Shelburne Falls, MA 01370 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966806 | Eliana Decastro Cuellar | Family Medicine | 1030 President Ave Ste 1001, Fall River, MA 02720-5923 | 2020-09-12 |
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1588290324 | Lighthouse Primary Care PC | Family Medicine | 315 Main St Ste 101, North Reading, MA 01864-1326 | 2020-03-12 |
| 1730714106 | Berkshire Whole Health PC | Family Medicine | 8 Pine St, Stockbridge, MA 01262-9706 | 2020-03-06 |
| 1578100889 | Kelly Ramappa | Family Medicine | 96 Temple St, West Newton, MA 02465-2307 | 2019-12-05 |
| 1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
| 1154962942 | Molly Rose Lodigiani | Family Medicine | 275 Cypress St Apt 105, Brookline, MA 02445-6774 | 2019-10-02 |
| 1699316539 | Luisa Alejandra Centeno Silva | Family Medicine | 4785 Washington St # 2, West Roxbury, MA 02132-2113 | 2019-10-02 |
| 1609427962 | Jessica Blanchard | Family Medicine | 100 Leominster Rd, Sterling, MA 01564-2156 | 2019-09-26 |
| Find all providers with the same taxonomy | ||||
| City | SHELBURNE FALLS |
| Zip Code | 01370 |
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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.