WEST BOYLSTON FAMILY MEDICINE PC (NPI# 1659510329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659510329 |
| Entity Type | Organization |
| Organization Name | WEST BOYLSTON FAMILY MEDICINE PC |
| Practice Address |
259 Main St. Rutland MA 01543-0367 |
| Mailing Address |
Po Box 367 Rutland MA 01543-0367 |
| Practice Telephone | 5088867865 |
| Mailing Telephone | 5088867865 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |
| Authorized Official Name | DR. ROBERT B. SHEPHERD SR. (PRESIDENT) |
| Authorized Official Telephone | 5088867865 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 73159 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
259 MAIN ST. |
| City | RUTLAND |
| State | MA |
| Zip Code | 01543-0367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053896936 | Judith Audette | Social Worker | 84 Irish Ln, Rutland, MA 01543 | 2018-09-26 |
| 1073051975 | Teach Us | Behavioral Analyst | 21 Charnock Hill Rd, Rutland, MA 01543 | 2017-02-10 |
| 1447590930 | Rose Santucci | Nurse's Aide | 63 Ridge St, Rutland, MA 01543 | 2013-02-21 |
| 1205052313 | Devereux Foundation Massachusetts | Psychiatric Residential Treatment Facility | 60 Miles Rd, Rutland, MA 01543 | 2007-04-17 |
| 1356477210 | Colleen G. Tunney | Counselor | 60 Miles Road, Devereux, Rutland, MA 01543 | 2007-02-26 |
| 1184950594 | David H. Tuttle | Pharmacist | 18 Maple Ave., Rutland, MA 01543-0233 | 2009-10-20 |
| 1457530792 | Rutland Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 18 Maple Ave, Rutland, MA 01543-0233 | 2007-11-02 |
| 1013083641 | Theresa E Taylor | Counselor | 191 Barre Paxton Rd, Rutland, MA 01543-1239 | 2006-11-27 |
| 1689239220 | Courtney Bennet | Assistant Behavior Analyst | 191 Barre Paxton Rd, Rutland, MA 01543-1239 | 2019-05-09 |
| 1730744277 | Rachel Mccormick | Behavior Technician | 191 Barre Paxton Rd, Rutland, MA 01543-1239 | 2019-05-09 |
| Find all providers in zip 01543 | ||||
| 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 |
|---|---|---|---|---|
| 1225400237 | Community Health Centers of The Rutland Region, Inc. | Family Medicine | 71 Allen Pond, Suite 403, Rutland, VT 05701-4570 | 2015-10-29 |
| 1205073012 | Rutland Family Health Center | Family Medicine | 54 Maple Ave, Suite B, Rutland, MA 01543-1527 | 2009-01-15 |
| 1588719462 | Raffia Qutab | Family Medicine | 54b Maple Ave, Rutland, MA 01543-1527 | 2007-01-24 |
| 1790858637 | Chris Robert Cornelius | Family Medicine | 19 Spellman Ter, Rutland, VT 05701-4123 | 2006-11-16 |
| 1124672340 | Sally J Beayon | Family Medicine | 8 Commons St, Rutland, VT 05701-4651 | 2019-07-25 |
| 1497271886 | Bruce D Bullock, Md PC | Family Medicine | 8 Commons St, Rutland, VT 05701-4651 | 2017-08-17 |
| 1801258611 | Tanner Duane Mathias | Family Medicine | 160 Allen St, Rutland, VT 05701 | 2016-03-22 |
| 1851774632 | James Flannery | Family Medicine | 160 Allen St, Rutland, VT 05701 | 2015-06-30 |
| 1831524230 | Elizabeth Richard | Family Medicine | 215 Stratton Rd, Rutland, VT 05701-4621 | 2013-09-05 |
| 1811276868 | Convenient Medical Care | Family Medicine | 25 N Main St, Rutland, VT 05701-3246 | 2011-08-09 |
| Find all providers in RUTLAND | ||||
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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.