PARTNERS COMMUNITY PHYSICIANS ORGANIZATION INC (NPI# 1548638265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548638265 |
| Entity Type | Organization |
| Organization Name | PARTNERS COMMUNITY PHYSICIANS ORGANIZATION INC |
| Practice Address |
137 Main St Medford MA 02155-4522 |
| Mailing Address |
800 Boylston St Boston MA 02199-1900 |
| Practice Telephone | 7813954909 |
| Practice Fax Number | 7813955081 |
| Mailing Telephone | 7814333600 |
| Mailing Fax Number | 7814333767 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2019-05-22 |
| Authorized Official Name | MR. DAVID P. CONNOLLY (VICE PRESIDENT OF FINANCE) |
| Authorized Official Telephone | 7814333709 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 170 Governors Ave, Medford, MA 021551643 | 7813954909 | 7813955081 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174545875 | Partners Community Physicians Organization Inc | Internal Medicine | 80 Beharrell St, Concord, MA 01742-1739 | 2006-07-24 |
| 1265094122 | Partners Community Physicians Organization Inc | Internal Medicine | 28 State St Ste 2860, Boston, MA 02109-1789 | 2019-07-01 |
| 1891356374 | Partners Community Physicians Organization Inc | Internal Medicine | 50 Rowe St Ste 600, Melrose, MA 02176-3201 | 2019-06-25 |
| 1497216279 | Partners Community Physicians Organization Inc | Family Medicine | 133 Littleton Rd Ste 202, Westford, MA 01886-3198 | 2019-03-26 |
| 1144707332 | Partners Community Physicians Organization Inc | Family Medicine | 100 Brigham Way, Westwood, MA 02090 | 2018-07-20 |
| 1659790905 | Partners Community Physicians Organization Inc | Clinical Medical Laboratory | 1 Parkway, Haverhill, MA 01830-6278 | 2014-04-15 |
| 1891112637 | Partners Community Physicians Organization Inc | Internal Medicine | 1 Parkway, Haverhill, MA 01830 | 2014-03-18 |
| Street Address |
137 MAIN ST |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376517532 | David Samenuk | Internal Medicine | 137 Main St, Medford, MA 02155 | 2006-02-15 |
| 1295097251 | Elinor M Milder | Family Medicine | 137 Main St, Suite 100, Medford, MA 02155 | 2012-06-14 |
| 1932361920 | Rebecca Faith Tharaud | Family Medicine | 137 Main St, Medford, MA 02155 | 2008-06-30 |
| 1104084227 | Sarah W Morrison | Family Medicine | 137 Main St, Medford, MA 02155 | 2008-05-27 |
| 1932328069 | James Scott Bath | Family Medicine | 137 Main St, Medford, MA 02155 | 2007-04-25 |
| 1215031240 | Leanne Lee | Family Medicine | 137 Main St, Medford, MA 02155 | 2006-09-11 |
| 1124093224 | Mystic Cardiology Associates Inc | Internal Medicine | 137 Main St, Medford, MA 02155-4522 | 2006-02-22 |
| 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 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 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 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1669511945 | Minor Edwin Matthews | Internal Medicine | 271 Island Pointe Dr, Medford, OR 97504-9453 | 2007-02-05 |
| 1922010719 | Inderjit Katyal | Internal Medicine | 74 Southaven Ave, Medford, NY 11763-3746 | 2006-08-12 |
| 1386609238 | Michael J Zema | Internal Medicine | 844 Golf Ln, Medford, NY 11763-1203 | 2006-04-20 |
| 1376517532 | David Samenuk | Internal Medicine | 137 Main St, Medford, MA 02155 | 2006-02-15 |
| 1922095199 | Joel A Tobias | Internal Medicine | 520 Medical Center Dr, Suite 200, Medford, OR 97504-4314 | 2005-10-04 |
| 1487650586 | Christopher E Cannon | Internal Medicine | 1698 E. Mcandrews Rd, Suite 300, Medford, OR 97504-5590 | 2005-06-23 |
| 1457649626 | Keval K Patel | Internal Medicine | 520 Medical Center Dr Ste 200, Medford, OR 97504-4314 | 2011-07-21 |
| 1033444781 | Southern Oregon Cardiology LLC | Internal Medicine | 520 Medical Center Dr, Ste 200, Medford, OR 97504-4314 | 2009-10-14 |
| 1043337439 | Melike Arslan | Internal Medicine | 1698 E Mcandrews Rd, Suite 300, Medford, OR 97504-5589 | 2007-03-23 |
| 1023165925 | Donald L Bowser | Internal Medicine | 520 Medical Center Dr, Suite 100, Medford, OR 97504-4334 | 2007-01-04 |
| 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.