MELROSE FAMILY FOOT CARE GROUP (NPI# 1679966584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679966584 |
| Entity Type | Organization |
| Organization Name | MELROSE FAMILY FOOT CARE GROUP |
| Practice Address |
533 Franklin St Melrose MA 02176-1742 |
| Mailing Address |
533 Franklin St Melrose MA 02176 |
| Practice Telephone | 7816654625 |
| Practice Fax Number | 7816650090 |
| Mailing Telephone | 7816654625 |
| Mailing Fax Number | 7816650090 |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | DR. STEVEN L SENNEVILLE (PRESIDENT) |
| Authorized Official Telephone | 7816654625 |
| Authorized Official Credential | D.P.M. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
1776 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9774149 | 05 |
| Street Address |
533 FRANKLIN ST |
| City | MELROSE |
| State | MA |
| Zip Code | 02176-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384826 | Edrine Astremont | Registered Nurse | 414 Malden, Massachusetts, NY 02176 | 2020-07-23 |
| 1194203919 | Caroline Bregman | Social Worker | 12 Howard St, Melrose, MA 02176 | 2018-08-02 |
| 1386167682 | Carmen Alicia Fernandez | Community/Behavioral Health | 24 Lynde St, Melrose, MA 02176 | 2017-07-19 |
| 1518316116 | Sheila Kelley | Physical Therapist | 15 Green Street, Melrose, MA 02176 | 2016-06-06 |
| 1083049712 | Randi A Brown | Counselor | 610 A Main Street, Melrose, MA 02176 | 2013-09-12 |
| 1306121488 | Frank Anthony Pennacchio | Pharmacist | 17 Coolidge Road, Melrose, MA 02176 | 2011-10-20 |
| 1245401751 | Meaghan Rudolph | Registered Nurse | 11 Stratford Rd, Melrose, MA 02176 | 2008-03-13 |
| 1104039726 | Judy E Bushee | Custodial Care Facility | The Toole Nursing Home, 92 Franklin Street, Melrose, MA 02176 | 2007-05-08 |
| 1811012776 | Mark Joseph Gianatassio | Dentist | 820 Lynn Fells, Melrose, MA 02176 | 2007-03-20 |
| 1154452993 | City of Melrose | Local Education Agency (LEA) | 360 Lynn Fells Parkway, Melrose, MA 02176 | 2007-03-07 |
| Find all providers in zip 02176 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043746878 | Faezeh Bakhtiari-nejad | Podiatrist | 223 Concord Tpke Unit 219, Cambridge, MA 02140-2338 | 2017-05-11 |
| 1366795023 | Matthew P. Butler, D.p.m. LLC | Podiatrist | 1153 Centre Street, Suite # 5980, Brigham and Women's Faulkner Hospital, Boston, MA 02130 | 2012-10-18 |
| 1518141035 | Richard S. Donela | Podiatrist | 900 State Rd, North Adams, MA 01247-3030 | 2007-12-19 |
| 1962685396 | Cecilia G. Moore Dpm LLC | Podiatrist | 214 Orleans Rd, Suite C, North Chatham, MA 02650-3101 | 2007-12-07 |
| 1932145810 | Mark Paul Sanphy | Podiatrist | 98 Nahant St, Lynn, MA 01902-3315 | 2006-06-21 |
| 1154385078 | Matthew P Butler | Podiatrist | 340 Maple Street, Suite 405, Marlborough, MA 01752 | 2006-04-17 |
| 1083675573 | Susan M Walsh | Podiatrist | 981 Canton Ave, Milton, MA 02186-3621 | 2006-04-01 |
| 1316914971 | Bruce Treadwell Croft | Podiatrist | 795 Main St, Holden, MA 01520-3800 | 2006-03-02 |
| 1255301891 | James Gerard Cataldo | Podiatrist | 14 Manning Ave, Suite 302, Leominster, MA 01453-5768 | 2006-01-25 |
| 1104804640 | Neil J Feldman | Podiatrist | 299 Lincoln St, Suite 202, Worcester, MA 01605-3646 | 2006-01-05 |
| 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.