SANDWICH PEDIATRICS (NPI# 1497960215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497960215 |
| Entity Type | Organization |
| Organization Name | SANDWICH PEDIATRICS |
| Practice Address |
449 Route 130 Sandwich MA 02563-2339 |
| Practice Telephone | 5088888430 |
| Practice Fax Number | 5088886673 |
| Mailing Telephone | 5088888430 |
| Mailing Fax Number | 5088886673 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARIANNE SARAH KOENIG (OWNER) |
| Authorized Official Telephone | 5088888430 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
50001 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9766006 | 05 | |
| MA | BLUE CROSS BLUE SHIELD | SAM15113 | 01 |
| Street Address |
449 ROUTE 130 |
| City | SANDWICH |
| State | MA |
| Zip Code | 02563-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619930559 | Marianne Sarah Koenig | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2006-04-11 |
| 1821346693 | The Sandwich Center, Inc. | Psychologist | 449 Route 130, Sandwich, MA 02563-2339 | 2012-08-27 |
| 1902949704 | Ackland Sports Medicine, Inc. | Orthopaedic Surgery | 449 Route 130, Suite 8, Sandwich, MA 02563-2339 | 2007-02-14 |
| 1770651796 | Frances L Nenna | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2006-11-30 |
| 1578642575 | Aimee Doctoroff | Registered Nurse | 449 Route 130, Sandwich, MA 02563 | 2006-11-02 |
| 1710087838 | Marie Jellinek | Registered Nurse | 449 Route 130, Sandwich, MA 02563 | 2006-09-25 |
| 1205865797 | David M Callahan | Psychologist | 449 Route 130, Suite 12, Sandwich, MA 02563 | 2006-06-30 |
| 1841256658 | Michael K. Ackland, Md | Orthopaedic Surgery | 449 Route 130, Ste 8, Sandwich, MA 02563 | 2006-04-21 |
| 1730144635 | Theodore Jellinek | Psychiatry & Neurology | 449 Route 130, Sandwich, MA 02563 | 2006-04-20 |
| 1376506188 | Torrey Toltin | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2006-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447897194 | Home Instead Senior Care | Home Health | 125 Route 6a, Sandwich, MA 02563 | 2019-12-02 |
| 1063993459 | Abir Zaineh | Behavioral Analyst | 449 Rte. 6a., Sandwich, MA 02563 | 2018-08-24 |
| 1538653316 | Joanne Macleod | Physical Therapy Assistant | 3 Viburnum Circle, Sandwich, MA 02563 | 2018-06-15 |
| 1912413402 | Jessica Clark Adams | Behavioral Analyst | 449 Rt. 6a, Sandwich, MA 02563 | 2017-12-19 |
| 1902318082 | Jigarkumar Patel | Pharmacist | 65 Tupper Rd, Sandwich, MA 02563 | 2017-10-30 |
| 1720403223 | Thomas Loughman | Physical Therapist | 18 Route 6a Building 2, Sandwich, MA 02563 | 2014-02-20 |
| 1649529454 | Tara M Nelson | Dietitian, Registered | 68 Tupper Road Suite 6, Sandwich, MA 02563 | 2012-09-07 |
| 1871720151 | Center for Orthopedic Rehabilitation Inc | Physical Therapist | 315 Cotuit Rd. Unit 1, Sandwich, MA 02563 | 2009-06-15 |
| 1255511697 | Acupuncture Services of Randolph,, Inc. | Acupuncturist | 171 Route 6a, Old Kings. Highway, Sandwich, MA 02563 | 2007-11-13 |
| 1063622694 | Kyriaki Antonia Fitzgerald | Psychologist | 90 Rte 6a, Suite 4c, Sandwich, MA 02563 | 2007-05-23 |
| Find all providers in zip 02563 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619930559 | Marianne Sarah Koenig | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2006-04-11 |
| 1376506188 | Torrey Toltin | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033359898 | Bharati Reejhsinghani Md | Pediatrics | 754 Chestnut St, Springfield, MA 01107-1614 | 2009-03-05 |
| 1437301900 | Vaibhav Goyal | Pediatrics | 874 Purchase Street, Greater New Bedford Community Health, New Bedford, MA 02740 | 2008-10-16 |
| 1649455973 | Robert J. Giordano Md PC | Pediatrics | 100 South St Ste 205, Southbridge, MA 01550-4051 | 2008-01-06 |
| 1407979560 | Bharati Nandlal Reejhsinghani | Pediatrics | 754 Chestnut Street, Springfield, MA 01107 | 2007-04-06 |
| 1609903582 | Harris C Faigel | Pediatrics | 55 Kensington Cir, Chestnut Hill, MA 02467-2675 | 2007-02-27 |
| 1871667303 | Brian J. Dempsey Md | Pediatrics | 758 East St, Pittsfield, MA 01201-5326 | 2006-11-17 |
| 1295757268 | Mark Vonnegut | Pediatrics | 21 Totman Street #2, Quincy, MA 02169 | 2006-07-25 |
| 1356390215 | Richard John Kerbel | Pediatrics | 548 Mount Auburn St, Watertown, MA 02472-4122 | 2006-05-09 |
| 1487602884 | Paula K Braverman | Pediatrics | 50 Wason Avenue, Springfield, MA 01107-1274 | 2006-05-05 |
| 1487616116 | Toby Nathan | Pediatrics | 41 North Rd, Suite 202, Bedford, MA 01730-1037 | 2006-04-06 |
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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.