ODALYS MACHIN CROTEAU


Address: 374 Elm St, Gardner, MA 01440-3926
Phone: 9786303400

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).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
50 Leominster Rd, Sterling, MA 015642146 9784335082 9784225081

Office Location

Street Address 374 ELM ST
City GARDNER
State MA
Zip Code 01440-3926

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043281116 James R. Tierney Internal Medicine 374 Elm St, Gardner, MA 01440-3926 2006-01-27

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RP1001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Pulmonary Disease

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902891435 Joseph W Walek Internal Medicine 242 Green St, Gardner, MA 01440-1336 2005-09-12

Providers in the same taxonomy and state

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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Competitor

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City GARDNER
Zip Code 01440

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Dataset Information

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.

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