WILLOW STREET FAMILY PRACTICE INC (NPI# 1619034410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619034410 |
| Entity Type | Organization |
| Organization Name | WILLOW STREET FAMILY PRACTICE INC |
| Other Organization Name | PATTON PARK MEDICAL CENTER |
| Practice Address |
42 Asbury St South Hamilton MA 01982-1808 |
| Practice Telephone | 9784684101 |
| Mailing Telephone | 9784684101 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2015-07-29 |
| Authorized Official Name | BRUCE W SMITH (OWNER) |
| Authorized Official Telephone | 9784684101 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 70411 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS GROUP PROVIDER NUMBE | M18879 | 01 |
| MA | 9738240 | 05 |
| Other Name | Type Code |
|---|---|
| Patton Park Medical Center | Doing Business As Name - Organization |
| Street Address |
42 ASBURY ST |
| City | SOUTH HAMILTON |
| State | MA |
| Zip Code | 01982-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346395894 | Emtar Health Care Inc | Family Medicine | 42 Asbury St, South Hamilton, MA 01982-1808 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187613 | Nancy Schneider-pruett | Clinical Neuropsychologist | The Neuropsychology Service, 100 Cummings Center, Beverly, MA 01982 | 2020-06-04 |
| 1063542686 | Sandra Dunbar Yearley | Social Worker | 5 Elm Street, Suite 6, Danvers, MA 01982 | 2007-03-06 |
| 1477639706 | Hugh M Taylor | Family Medicine | 15 Railroad Avenue, South Hamilton, MA 01982 | 2006-10-30 |
| 1982789764 | Cheryl Ruth Azlin | Psychologist | 203 Willow Street, Ste 1e, South Hamilton, MA 01982 | 2006-10-27 |
| 1952492100 | Nancy L West | Counselor | 205 B Willow Street, South Hamilton, MA 01982 | 2006-09-27 |
| 1306946736 | Cvs Pharmacy Inc | Pharmacy | 15 Walnut Rd Hamilton Plz Sc, South Hamilton, MA 01982 | 2006-09-25 |
| 1386651073 | Michael A Edwards | Family Medicine | 40-42 Asbury St, South Hamilton, MA 01982 | 2006-08-02 |
| 1154343028 | Laura Anne Vorrias | Dentist | 61 Railroad Ave, South Hamilton, MA 01982 | 2006-07-23 |
| 1245351923 | Samuel C Foster | Dentist | 78 Willow St, So Hamilton, MA 01982 | 2007-04-02 |
| 1083786438 | Sarah Anne Braucher | Social Worker | 205 Willow St, Suite 1b, So Hamilton, MA 01982 | 2006-11-14 |
| Find all providers in zip 01982 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477639706 | Hugh M Taylor | Family Medicine | 15 Railroad Avenue, South Hamilton, MA 01982 | 2006-10-30 |
| 1639285562 | Andrew S Lenhardt | Family Medicine | 205 Willow St, South Hamilton, MA 01982-2255 | 2006-08-22 |
| 1386651073 | Michael A Edwards | Family Medicine | 40-42 Asbury St, South Hamilton, MA 01982 | 2006-08-02 |
| 1174574198 | Laurence Gordon | Family Medicine | 15 Railroad Ave, South Hamilton, MA 01982-2218 | 2006-05-15 |
| 1063733731 | Laura S Eurich | Family Medicine | 205 Willow St, South Hamilton, MA 01982-2255 | 2010-06-17 |
| 1558522946 | Hayley Moak-blest | Family Medicine | 205 Willow St, South Hamilton, MA 01982-2255 | 2008-06-19 |
| 1689729865 | Family Medicine Associates LLC | Family Medicine | 15 Railroad Ave, South Hamilton, MA 01982-2218 | 2007-01-25 |
| 1346395894 | Emtar Health Care Inc | Family Medicine | 42 Asbury St, South Hamilton, MA 01982-1808 | 2007-01-24 |
| 1134218704 | William J Medwid | Family Medicine | 15 Railroad Ave, South Hamilton, MA 01982-2218 | 2006-10-12 |
| 1316048861 | Janice E Crognale | Family Medicine | 205 Willow St, Lahey Health Primary Care, Hamilton-wenham, South Hamilton, MA 01982-2255 | 2006-09-26 |
| Find all providers in SOUTH HAMILTON | ||||
| City | SOUTH HAMILTON |
| Zip Code | 01982 |
Please comment or provide details below to improve the information on WILLOW STREET FAMILY PRACTICE INC.
| 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.