ODALYS MACHIN CROTEAU (NPI# 1588659361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588659361 |
Entity Type | Individual |
Full Name | ODALYS MACHIN CROTEAU |
Other Name | ODALYS MACHIN |
Credential | MD |
Practice Address |
374 Elm St Gardner MA 01440-3926 |
Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
Practice Telephone | 9786303400 |
Practice Fax Number | 9786303408 |
Mailing Telephone | 8002258885 |
Mailing Fax Number | 5083341977 |
Enumeration Date | 2005-09-16 |
Last Update Date | 2020-11-05 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
159715 | MA | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
159715 | MA | Allopathic & Osteopathic Physicians |
N | 207RS0012X |
Internal Medicine Specialization: Sleep Medicine |
159715 | MA | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
50 Leominster Rd, Sterling, MA 015642146 | 9784335082 | 9784225081 |
Street Address |
374 ELM ST |
City | GARDNER |
State | MA |
Zip Code | 01440-3926 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043281116 | James R. Tierney | Internal Medicine | 374 Elm St, Gardner, MA 01440-3926 | 2006-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
Find all providers in zip 01440 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
---|---|---|---|---|
1902891435 | Joseph W Walek | Internal Medicine | 242 Green St, Gardner, MA 01440-1336 | 2005-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922646140 | General Pulmonary Associates, Inc | Internal Medicine | 46 Obery St Ste 100, Plymouth, MA 02360-2237 | 2019-12-18 |
1457814469 | Sleep Medicine Associates Inc | Internal Medicine | 370 Faunce Corner Rd Fl 2, Dartmouth, MA 02747-1271 | 2019-04-08 |
1598234916 | Pulmcc LLC | Internal Medicine | 22 Agawam Rd, Winchester, MA 01890-3302 | 2018-11-14 |
1124487368 | Aba Somers Md LLC | Internal Medicine | 115 Lincoln St Fl 2, Framingham, MA 01702-6358 | 2016-02-16 |
1235547084 | Mass Lung & Allergy PC | Internal Medicine | 131 Old Rd To 9 Corner, Suite 410, Concord, MA 01742 | 2014-07-24 |
1528488459 | Kate Steinberg | Internal Medicine | 72 E Concord St # R304, Boston, MA 02118 | 2014-04-18 |
1831526193 | Apex Medical Associates LLC | Internal Medicine | 100 Highland St Ste 103, Milton, MA 02186-3801 | 2013-10-02 |
1992145437 | Lahey Clinic, Inc | Internal Medicine | 75 Herrick St., Suite 215, Lahey At Beverly, Beverly, MA 01915 | 2013-06-28 |
1619210846 | Wei He | Internal Medicine | 725 Albany St Fl 9, Boston, MA 02118-2526 | 2013-04-06 |
1528313210 | Assad Oskuei | Internal Medicine | 203 Plymouth Ave, Fall River, MA 02721-4300 | 2012-07-18 |
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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.