MICHELLE E MEDEIROS (NPI# 1659604320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659604320 |
| Entity Type | Individual |
| Full Name | MICHELLE E MEDEIROS |
| Other Name | MICHELLE E MONGEAU |
| Credential | NP |
| Practice Address |
45 Resnik Rd Plymouth MA 02360-4844 |
| Practice Telephone | 5087460754 |
| Practice Fax Number | 5087477867 |
| Mailing Telephone | 5087460754 |
| Mailing Fax Number | 5087477867 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2013-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
279163 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760993489 | Michelle Kraft Medeiros | Occupational Therapy Assistant | 2530 Ridgetop Way, Valrico, FL 33594-4223 | 2017-10-20 |
| 1922555184 | Michelle Medeiros | Psychologist | 2225 E Bayshore Rd Ste 200, Palo Alto, CA 94303-3220 | 2016-09-06 |
| Street Address |
45 RESNIK RD |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205829793 | Philip Joseph Molloy Iv | Internal Medicine | 45 Resnik Rd, Suite 203, Plymouth, MA 02360 | 2005-08-30 |
| 1518476498 | Ryan Patrick Brogan | Nurse Practitioner | 45 Resnik Rd, Plymouth, MA 02360-4844 | 2017-09-24 |
| 1225582406 | Apex Cardiology, PC | Internal Medicine | 45 Resnik Rd, Suite 202, Plymouth, MA 02360-4844 | 2016-08-05 |
| 1023477148 | Julie E Scally | Physical Therapist | 45 Resnik Rd, Ste 104a, Plymouth, MA 02360-4844 | 2016-02-17 |
| 1770916751 | Erin Elizabeth Coakley | Nurse Practitioner | 45 Resnik Rd, Suite 303, Plymouth, MA 02360-4844 | 2013-08-14 |
| 1922440940 | Laura May Mazzeo | Nurse Practitioner | 45 Resnik Rd, Plymouth, MA 02360-4844 | 2013-07-18 |
| 1922447093 | Katherine Reyad | Nurse Practitioner | 45 Resnik Rd, Suite 202, Plymouth, MA 02360-4844 | 2013-06-21 |
| 1265878987 | Casey C O'boyle | Nurse Practitioner | 45 Resnik Rd, Suite 202, Plymouth, MA 02360-4844 | 2013-05-21 |
| 1518200153 | Emily Steele | Nurse Practitioner | 45 Resnik Rd, Suite 202, Plymouth, MA 02360-4844 | 2013-04-02 |
| 1548521701 | Resnik Medical Associates PC | Internal Medicine | 45 Resnik Rd, Plymouth, MA 02360-4844 | 2012-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821593138 | Kathleen Marie Smith | Nurse Practitioner | 44456 Brookside Rd, Plymouth, MI 48170-3848 | 2018-03-28 |
| 1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
| 1285879387 | Karen V Hebshie-bishop | Nurse Practitioner | 47 Obery St Ste 1a, Plymouth, MA 02360-2230 | 2008-12-04 |
| 1205896511 | Polly A Nesset | Nurse Practitioner | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2006-03-23 |
| 1568431583 | Anna Joyce Kennel | Nurse Practitioner | 2505 Oak Rd, Plymouth, IN 46563-9757 | 2006-03-14 |
| 1912360223 | Dina Khaled | Nurse Practitioner | 15700 37th Ave N Ste 300, Plymouth, MN 55446-3661 | 2016-04-04 |
| 1629444690 | Haven Home Physicians, PC | Nurse Practitioner | 408 S Main St, Plymouth, MI 48170-1709 | 2015-08-13 |
| 1942637434 | Barbara Greenwell | Nurse Practitioner | 101 Boulder Point Dr Ste 1, Plymouth, NH 03264-3170 | 2013-09-30 |
| 1811320997 | Katharine Schmid | Nurse Practitioner | 116 Court St, Plymouth, MA 02360-8710 | 2013-08-13 |
| 1265878987 | Casey C O'boyle | Nurse Practitioner | 45 Resnik Rd, Suite 202, Plymouth, MA 02360-4844 | 2013-05-21 |
| Find all providers in PLYMOUTH | ||||
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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.