WALTHAM CHIROPRACTIC PC (NPI# 1689719502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689719502 |
| Entity Type | Organization |
| Organization Name | WALTHAM CHIROPRACTIC PC |
| Other Organization Name | DR JOHN DUFFY |
| Practice Address |
425 River St Waltham MA 02453 |
| Practice Telephone | 7818944270 |
| Practice Fax Number | 7818940461 |
| Mailing Telephone | 7818944270 |
| Mailing Fax Number | 7818940461 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2009-12-21 |
| Authorized Official Name | DR. JOHN CASSIDY DUFFY (DR PRESIDENT) |
| Authorized Official Telephone | 7818944270 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1644 | MA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 79917 | 05 |
| Other Name | Type Code |
|---|---|
| Dr John Duffy | Other Name - Individual/Organization |
| Street Address |
425 RIVER ST |
| City | WALTHAM |
| State | MA |
| Zip Code | 02453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942481627 | John Cassidy Duffy | Chiropractor | 425 River St, Waltham, MA 02453-5479 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595770 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 66 Seyon St, Waltham, MA 02453 | 2020-10-13 |
| 1679040935 | Elsa L. Lichman | Social Worker | 52 Derby Street, Waltham, MA 02453 | 2018-10-25 |
| 1760957468 | Sherry Leigh Miller | Counselor | C/o Children's Charter, 77 Rumford Ave, Waltham, MA 02453 | 2018-10-09 |
| 1639644651 | Leo V Sarkissian | Social Worker | The Arc of Massachusetts, 217 South Street, Waltham, MA 02453 | 2018-10-05 |
| 1629569512 | Abaytum Investments Inc | Home Health | 24 Crescent Street, Suite 104, Waltham, MA 02453 | 2018-05-25 |
| 1225542970 | Mikayla E Culpo | Nurse Practitioner | 9 Hope Ave Fl Bch4, Waltham, MA 02453 | 2017-11-16 |
| 1568975449 | Twyla Atherna Everett | Massage Therapist | 212 Calvary St, Waltham, MA 02453 | 2017-11-14 |
| 1407369382 | Eli Miller | Counselor | 431 River Street, Suite 1, Waltham, MA 02453 | 2017-11-14 |
| 1396263927 | Jill Zaricor | Student in an Organized Health Care Education/Training Program | 77 Rumford Ave C/o Children's Charter, Waltham, MA 02453 | 2017-09-04 |
| 1538683008 | Michael Scaduto | Physical Therapist | 110-1 Clematis Ave, Waltham, MA 02453 | 2017-07-27 |
| Find all providers in zip 02453 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588711766 | Roberta Ann Stack | Chiropractor | 42 Weston St, Suite 1, Waltham, MA 02453-7756 | 2007-01-03 |
| 1043305378 | Donald F Counihan Jr. | Chiropractor | 85 First Avenue, Waltham, MA 02451-1105 | 2006-10-03 |
| 1689782898 | Kendra Carnevale | Chiropractor | 1344 Main St, Waltham, MA 02451-1617 | 2006-08-28 |
| 1285747543 | Kevin Jerome Mulhern | Chiropractor | 88 Maple Street, Suite A, Waltham, MA 02453-4068 | 2006-08-17 |
| 1710990213 | Shelley Reimer | Chiropractor | 282 Moody St, Suite 212, Waltham, MA 02453-5219 | 2006-08-14 |
| 1447237185 | Moody Street Total Health, Inc. | Chiropractor | 515 Moody St, Waltham, MA 02453-0506 | 2005-12-23 |
| 1306827779 | Peter Allen Bogart | Chiropractor | 6 Bow St, Waltham, MA 02452-4807 | 2005-11-10 |
| 1942298534 | Ellen L Wolk | Chiropractor | 751 Main St, Suite 25, Waltham, MA 02451-0620 | 2005-10-09 |
| 1336418979 | Parrish A. Rice, D.c. | Chiropractor | 95 Main St, Waltham, MA 02453-6654 | 2011-12-28 |
| 1851660492 | Janet F. Welch, D.c. | Chiropractor | 95 Main St, Waltham, MA 02453-6654 | 2011-12-28 |
| Find all providers in WALTHAM | ||||
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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.