TAK MEDICAL GROUP, PC (NPI# 1700293396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700293396 |
| Entity Type | Organization |
| Organization Name | TAK MEDICAL GROUP, PC |
| Other Organization Name | TMG PRIMARY CARE |
| Practice Address |
47 Ashby State Rd Fitchburg MA 01420-2038 |
| Mailing Address |
48 Nelson St Leominster MA 01453-2134 |
| Practice Telephone | 9783450303 |
| Practice Fax Number | 9783453529 |
| Mailing Telephone | 9787284455 |
| Mailing Fax Number | 9787518546 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | DR. PAYAM AGHASSI (PRESIDENT - OWNER) |
| Authorized Official Telephone | 9787284455 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| TMG Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588074769 | Tak Medical Group, PC | Family Medicine | 120 Highland St, Townsend, MA 01469-1128 | 2014-04-28 |
| Street Address |
47 ASHBY STATE RD |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497746267 | Neal Edward Armstrong | Podiatrist | 47 Ashby State Rd, Lower Level, Fitchburg, MA 01420-2038 | 2005-11-02 |
| 1871996413 | Tricia Ann Rapp | Nurse Practitioner | 47 Ashby State Rd, Fitchburg, MA 01420-2038 | 2014-09-26 |
| 1003137217 | Hannah M. Coates | Family Medicine | 47 Ashby State Rd, Fitchburg, MA 01420-2038 | 2010-06-22 |
| 1982895025 | Armstrong Podiatry Associates, P.C. | Podiatrist | 47 Ashby State Rd, Lower Level, Fitchburg, MA 01420-2038 | 2007-08-05 |
| 1366645319 | Piamarie Ballarin-feldman M.d., P.C. | Family Medicine | 47 Ashby State Rd, Suite 102, Fitchburg, MA 01420-2038 | 2007-06-07 |
| 1649473612 | Robert A Babineau Jr Md PC | Family Medicine | 47 Ashby State Rd, Suite 103, Fitchburg, MA 01420-2038 | 2007-06-07 |
| 1881896421 | Michelle G Gasbarro | Family Medicine | 47 Ashby State Rd, Fitchburg, MA 01420-2038 | 2007-06-05 |
| 1972542967 | Robert A Babineau Jr. | Family Medicine | 47 Ashby State Rd, Fitchburg, MA 01420 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| 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 |
|---|---|---|---|---|
| 1932333937 | Iris Sullivan M.d., PC | Family Medicine | 64 Whalon St, Fitchburg, MA 01420-7138 | 2009-05-06 |
| 1073734901 | Deepthi Pandraju | Family Medicine | 155 Franklin Road, Fitchburg, MA 01420 | 2007-05-01 |
| 1750412797 | Paul E Cochrane | Family Medicine | 29 Hillside Rd, Fitchburg, MA 01420-2007 | 2007-03-09 |
| 1447367578 | David M Deci | Family Medicine | 5717 Margate St, Fitchburg, WI 53711-6426 | 2006-08-24 |
| 1447218474 | Kathleen A. Sweeney | Family Medicine | 326 Nichols Road, Fitchburg, MA 01420 | 2006-05-01 |
| 1841257714 | James E Fluet | Family Medicine | 155 Franklin Rd, Fitchburg, MA 01420-5140 | 2006-04-26 |
| 1780640961 | Iris Sullivan | Family Medicine | 64 Whalon Street, Fitchburg, MA 01420 | 2006-04-25 |
| 1225092950 | James H Shropshire | Family Medicine | 2690 Research Park Dr, Suite 240, Fitchburg, WI 53711-4921 | 2006-04-12 |
| 1821058025 | Piamarie Ballarin-feldman | Family Medicine | 47 Ashby State Road, Tmg Primary Care Suite 102, Fitchburg, MA 01420 | 2006-03-23 |
| 1811956964 | Farhat B Malik | Family Medicine | 5679 Polworth St, Fitchburg, WI 53711-5487 | 2006-03-18 |
| Find all providers in FITCHBURG | ||||
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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.