PRIMARY CARE PEDIATRICS (NPI# 1700203767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700203767 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE PEDIATRICS |
| Practice Address |
25 Walnut St Suite 102 Wellesley MA 02481-2152 |
| Mailing Address |
1555 Commonwealth Ave Newton MA 02465-2800 |
| Practice Telephone | 6179773057 |
| Practice Fax Number | 6174675318 |
| Mailing Telephone | 9789440337 |
| Mailing Fax Number | 9783628954 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |
| Authorized Official Name | TERRY AMIRTO (BILLING MANAGER) |
| Authorized Official Telephone | 9789440337 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 32752 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9782044 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588969539 | Primary Care Pediatrics | Pediatrics | 2380 N 400 E, Suite C, North Logan, UT 84341-1756 | 2011-01-24 |
| 1548306723 | Primary Care Pediatrics | Exclusive Provider Organization | 700 Mount Hope Ave, Ste 640, Bangor, ME 04401-5691 | 2007-01-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PRIMARY CARE PEDIATRICS, PLLC | 1555 Commonwealth Ave., W. Newton, MA 02465 |
| Street Address |
25 WALNUT ST SUITE 102 |
| City | WELLESLEY |
| State | MA |
| Zip Code | 02481-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366477499 | Stephen Patrick Mcdermott | Psychiatry & Neurology | 25 Walnut St, Ste 200, Wellesley, MA 02481 | 2006-07-11 |
| 1104211044 | Mark Markarian, Md, LLC | Plastic Surgery | 25 Walnut St, Suite 400, Wellesley, MA 02481-2152 | 2015-03-30 |
| 1174647192 | Mark Khajag Markarian | Surgery | 25 Walnut St, Suite 400, Wellesley, MA 02481-2152 | 2007-03-16 |
| 1891828323 | Donna Marie Weber | Speech-Language Pathologist | 25 Walnut St, Suite 203, Wellesley, MA 02481-2152 | 2007-03-13 |
| 1689718009 | Robert C Javer | Dentist | 25 Walnut St, Wellesley, MA 02481-2152 | 2007-02-18 |
| 1396823910 | Elizabeth Harrington Humphreys | Pediatrics | 25 Walnut St, Ste 102, Wellesley, MA 02481 | 2006-11-01 |
| 1811092000 | Rimawi Pediatrics PC | Pediatrics | 25 Walnut St, Ste 102, Wellesley, MA 02481 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1922651215 | Steffanie Accorsi | Behavior Technician | 110 Cedar St, Suite 10, Wellesley, MA 02481 | 2019-07-17 |
| 1023673977 | Alka Swarup | Occupational Therapist | 10 Hunnewell Street, Wellesley Hls, MA 02481 | 2019-05-07 |
| 1740779511 | Marianne Brandon | Psychologist | Marianne Brandon Phd, 25 Walnut St #202, Wellesley Hills, MA 02481 | 2018-05-07 |
| 1558722686 | Robin Cook-nobles | Psychologist | 106 Central Street, The Stone Center Wellesley College, Wellesley, MA 02481 | 2016-03-17 |
| 1851760169 | Samantha Eve Jordan | Student in an Organized Health Care Education/Training Program | 30 Washington Street Suite 300, Wellesley, MA 02481 | 2015-09-16 |
| 1942677224 | Sandra Schwartz | Physical Therapist | Summit Orthopedic Therapy, 40 Washington Street, Wellesly, MA 02481 | 2015-08-21 |
| 1053710467 | Train Boston Physical Therapy, Inc. | Exclusive Provider Organization | 34 Washington Street, Wellesley, MA 02481 | 2014-08-21 |
| 1124458344 | Allison Arrigg | Counselor | 11 Chapel Place, Human Relations Service, Wellesley Hills, MA 02481 | 2013-11-25 |
| 1932531472 | Abigail Gorman Daunis | Physical Therapist | 34 Washington St., Wellesley, MA 02481 | 2013-08-07 |
| Find all providers in zip 02481 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770073264 | Heather O. Davidson, Md, LLC | Pediatrics | 240 Bristol Rd, Wellesley, MA 02481-2613 | 2018-05-10 |
| 1063534139 | Lloyd D Tarlin | Pediatrics | 40 Seaver St, Wellesley, MA 02481-6724 | 2007-04-06 |
| 1326275819 | Taylor H Monica | Pediatrics | 230 Worcester St, Harvard Vanguard Medical Associates, Wellesley, MA 02481-5420 | 2009-06-11 |
| 1184883548 | Patricia M Peters | Pediatrics | 230 Worcester St, Wellesley, MA 02481-5420 | 2008-06-02 |
| 1326256728 | Shani Kumarasena Md PC | Pediatrics | 332 Washington St, Suite 260, Wellesley, MA 02481-6219 | 2007-05-18 |
| 1396823910 | Elizabeth Harrington Humphreys | Pediatrics | 25 Walnut St, Ste 102, Wellesley, MA 02481 | 2006-11-01 |
| 1689688681 | Andreea C Cazacu | Pediatrics | 230 Worcester St, Wellesley, MA 02481-5420 | 2006-07-28 |
| 1245284793 | Darshini Kumarasena | Pediatrics | 332 Washington St, Suite 260, Wellesley, MA 02481-6219 | 2006-05-20 |
| 1134195787 | Jameila Y Haddawi | Pediatrics | 230 Worcester St, Wellesley, MA 02481-5420 | 2006-02-24 |
| 1962473280 | Kelliann Hess | Pediatrics | 230 Worcester St, Wellesley, MA 02481-5420 | 2006-01-27 |
| Find all providers in WELLESLEY | ||||
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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.