STEWARD MEDICAL GROUP INC. (NPI# 1568991057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568991057 |
| Entity Type | Organization |
| Organization Name | STEWARD MEDICAL GROUP INC. |
| Other Organization Name | STEWARD MEDICAL GROUP - BH GROUP |
| Practice Address |
736 Cambridge St Brighton MA 02135-2907 |
| Mailing Address |
111 Huntington Ave Boston MA 02199-7610 |
| Practice Telephone | 6177893000 |
| Mailing Telephone | 6174194700 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | SANJAY SHETTY (PRESIDENT OF STEWARD MEDICAL GROUP) |
| Authorized Official Telephone | 6174194700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
MA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| STEWARD MEDICAL GROUP - BH Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073054458 | Steward Medical Group Inc. | Clinic/Center | 21 Corporate Dr, Ste. 1, Easton, PA 18045-2664 | 2017-03-17 |
| 1902347438 | Steward Medical Group Inc. | Family Medicine | 7264 Warren Sharon Rd, Brookfield, OH 44403-9691 | 2017-03-16 |
| Street Address |
736 CAMBRIDGE ST |
| City | BRIGHTON |
| State | MA |
| Zip Code | 02135-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649692 | Jennifer Stand | Nurse Practitioner | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-08-11 |
| 1548870231 | Hyung Min Lee | Anesthesiology | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-08-06 |
| 1609484633 | Aju Jose | Internal Medicine | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-15 |
| 1679181622 | Abhay Tyagi | Anesthesiology | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-15 |
| 1154948339 | Alexandra Corrigan | Student in an Organized Health Care Education/Training Program | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-03 |
| 1063039279 | Michael H Froehlich | Surgery | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-03 |
| 1477170694 | Hazim Allos | Internal Medicine | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-03 |
| 1003433442 | Monika Batra | Psychiatry & Neurology | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-01 |
| 1508483959 | Cory Greguske | Anesthesiology | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-07-01 |
| 1740807262 | Belinda Bejtja | Anesthesiology | 736 Cambridge St, Brighton, MA 02135-2907 | 2020-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699392944 | Nur Zeynep Ay | Student in an Organized Health Care Education/Training Program | 736 Cambridge Street St Elizabeths Medical Center, Graduate Medical Education (diane Giacalone), Boston, MA 02135 | 2020-07-02 |
| 1104470673 | Domenique Delucia | Counselor | 77f Warren Street, Brighton, MA 02135 | 2019-08-01 |
| 1831751684 | Meredith Mcghee | Audiologist | 736 Cambridge Street Smc-8, Brighton, MA 02135 | 2019-07-02 |
| 1730645847 | Delphine Alignol | Family Medicine | 330 Mount St, Cambridge, MA 02135 | 2019-02-13 |
| 1124501960 | Ellen Elizabeth Miller | Social Worker | 44 Mt Vernon St, Brighton, MA 02135 | 2018-09-07 |
| 1710466180 | Sharon Pae | Acupuncturist | 135 Chiswick Rd Bsmt, Brighton, MA 02135 | 2018-08-07 |
| 1750877155 | Leonid Sigal | Counselor | 9 South St Apt 2, Brighton, MA 02135 | 2018-07-09 |
| 1689165425 | Brian George Mcguire | Dentist | 24 Sidlaw Rd, Brighton, MA 02135 | 2018-05-29 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1871098962 | Arina Sorokina | Dentist | Charles River Community Health Center, 495 Western Avenue, Allston, MA 02135 | 2018-03-29 |
| Find all providers in zip 02135 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1134178312 | Shields Healthcare of Cambridge, Inc. | Clinic/Center | 385 Western Ave, Brighton, MA 02135-1005 | 2006-05-08 |
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| 1558613026 | Salud Spine Joint and Wellness Center | Clinic/Center | 651 Orchard Street, Suite 202a, New Bedford, MA 02744 | 2012-10-09 |
| 1932455193 | Np House/clinic Calls, LLC | Clinic/Center | 31 Eric Dr, Pittsfield, MA 01201-8324 | 2012-07-25 |
| 1508082710 | Saltz Schulman & Gershengorn Ptr Cardiology Associates | Clinic/Center | 1101 Beacon St Fl 4, Brookline, MA 02446-5587 | 2007-04-17 |
| 1407079759 | North Shore Rehabilitation Associates Inc. | Clinic/Center | 121 Broad Street, Lynn, MA 01901-1629 | 2007-04-11 |
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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.