SOUTHERN NEW ENGLAND PRIMARY CARE (NPI# 1619069572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619069572 |
| Entity Type | Organization |
| Organization Name | SOUTHERN NEW ENGLAND PRIMARY CARE |
| Other Organization Name | AGAWAM PRIMARY CARE |
| Practice Address |
2 S Bridge Dr Suite 2d Agawam MA 01001-2000 |
| Mailing Address |
Po Box 489 East Longmeadow MA 01028-0489 |
| Practice Telephone | 4137865222 |
| Practice Fax Number | 4137865225 |
| Mailing Telephone | 4135259445 |
| Mailing Fax Number | 4135259406 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRANK STIRLACCI (OWNER PHYSICIAN) |
| Authorized Official Telephone | 4137860880 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MA223079 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS OF MASSACHUSET | M19251 | 01 |
| Other Name | Type Code |
|---|---|
| AGAWAM PRIMARY CARE | Doing Business As Name - Organization |
| Street Address |
2 S BRIDGE DR SUITE 2D |
| City | AGAWAM |
| State | MA |
| Zip Code | 01001-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245210798 | Geraldine A. Kasulinous | Nurse Practitioner | 2 S Bridge Dr, Suite 2, Agawam, MA 01001-2015 | 2006-01-19 |
| 1851656193 | Maryann E. Paleologopoulos Licsw, Inc | Social Worker | 2 S Bridge Dr, Suite 1b, Agawam, MA 01001-2015 | 2012-07-12 |
| 1689707812 | Baroco Corporation | Clinic/Center | 2 S Bridge Dr, Suite 11, Agawam, MA 01001-2000 | 2007-03-14 |
| 1700947215 | Rebecca Ann Lee | Counselor | 2 S Bridge Dr, Unit 2, Agawam, MA 01001-2015 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154940393 | Bryan Christopher Forbes | Pharmacist | 287 Springfield Street, Cvs Pharmacy, Agawam, MA 01001 | 2020-04-08 |
| 1497235568 | Nancy Carley | Physical Therapist | 1200 Suffield Street, Agawam, MA 01001 | 2018-08-18 |
| 1568813293 | Cornerstone Kids Dentistry | Dentist | 332 Suffield Sreet, Agawam, MA 01001 | 2016-06-23 |
| 1881001881 | Friends 4 Life LLC | Home Health | 650 Suffield Street, Agawam, MA 01001 | 2014-07-22 |
| 1306065792 | Alfred Louis Caron | Speech-Language Pathologist | Tender Loving Care, 67 Hunt St Suite 102, Agawam, MA 01001 | 2007-04-24 |
| 1497870935 | Maureen Clare Reynolds | Physical Therapy Assistant | 62 Cooper St, Agawam, MA 01001 | 2007-03-21 |
| 1700958857 | Agawam Medical Supply Corp | Prosthetic/Orthotic Supplier | 56 Abrams Drive, Agawam, MA 01001 | 2006-11-14 |
| 1356389167 | Michael Stephen Haynes | Podiatrist | 200 Silver St., Suite 215, Agawam, MA 01001 | 2006-06-03 |
| 1952369175 | Sharon Anne Macmillan | Obstetrics & Gynecology | 200 Silver Street, Suite 214, Agawam, MA 01001 | 2006-05-04 |
| 1275593758 | Internal Medicine PC | Internal Medicine | 377 Walnut Street Extension, Agawam, MA 01001 | 2006-03-27 |
| Find all providers in zip 01001 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1275593758 | Internal Medicine PC | Internal Medicine | 377 Walnut Street Extension, Agawam, MA 01001 | 2006-03-27 |
| 1104438480 | Post Acute Specialists of Massachusetts Pllc | Internal Medicine | 61 Cooper St, Agawam, MA 01001-2149 | 2020-08-19 |
| 1447350772 | Christina Hayfron-benjamin | Internal Medicine | 230 Main St, Agawam, MA 01001-1838 | 2006-09-25 |
| 1801817325 | James Paul Gallagher | Internal Medicine | 61 Cooper St, Agawam, MA 01001-2149 | 2006-07-21 |
| 1053379248 | Charles Scott Weston | Internal Medicine | 230 Main St, Agawam, MA 01001-1838 | 2006-05-04 |
| 1912965468 | Irene N Cody | Internal Medicine | 230 Main St, Agawam, MA 01001-1838 | 2006-05-03 |
| 1437117462 | Daniel W. Weiswasser | Internal Medicine | 230 Main St, Agawam, MA 01001-1838 | 2006-05-01 |
| 1326001629 | Matthew J. Kane | Internal Medicine | 230 Main St, Agawam, MA 01001-1838 | 2006-04-08 |
| 1932190295 | Jessica Anchor-samuels | Internal Medicine | 230 Main St, Agawam, MA 01001-1838 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780370 | Helena Santos-martins, Md, PC | Internal Medicine | 100 Cummings Ctr Ste 106-q, Beverly, MA 01915-6115 | 2020-11-02 |
| 1194332759 | Pembroke Medical Associates Inc | Internal Medicine | 15 Old West Elm St, Pembroke, MA 02359-1731 | 2020-09-28 |
| 1649886235 | Elizabeth Muhia | Internal Medicine | 19 Crown St Apt 15, Worcester, MA 01609-2097 | 2020-09-18 |
| 1265042832 | Rinat Nuriev | Internal Medicine | 530 Western Ave Apt 404, Boston, MA 02135-1036 | 2020-08-07 |
| 1619586427 | Mc Zaslow LLC | Internal Medicine | 955 Main St Ste 302, Winchester, MA 01890-4303 | 2020-07-28 |
| 1073121489 | Commonwealth Medical Practice LLC | Internal Medicine | 505 Nashua Rd Ste 8, Dracut, MA 01826-1929 | 2020-07-21 |
| 1598382483 | Ksa Wellness, Inc. | Internal Medicine | 340 Wood Rd Ste 206, Braintree, MA 02184-2401 | 2020-06-26 |
| 1821614892 | Lyndia Personnat | Internal Medicine | 123 Summer St Ste 200, Worcester, MA 01608-1216 | 2020-06-24 |
| 1063038487 | Brian Vogel | Internal Medicine | 17a Park Ave, Winchester, MA 01890-2008 | 2020-06-22 |
| 1356970941 | Care Coordinates Inc | Internal Medicine | 136 Laconia St, Lexington, MA 02420-2252 | 2020-04-06 |
| Find all providers with the same taxonomy | ||||
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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.