ONE MEDICAL GROUP, INC. (NPI# 1700377256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700377256 |
Entity Type | Organization |
Organization Name | ONE MEDICAL GROUP, INC. |
Other Organization Name | ONE MEDICAL |
Practice Address |
355 Main St Cambridge MA 02142-1062 |
Mailing Address |
130 Sutter St Fl 2 San Francisco CA 94104-4009 |
Practice Telephone | 6175751300 |
Practice Fax Number | 6175751301 |
Mailing Telephone | 4156586791 |
Mailing Fax Number | 4155200904 |
Enumeration Date | 2018-05-21 |
Last Update Date | 2018-05-21 |
Authorized Official Name | REBECCA DECICCO (CREDENTIALING MANAGER) |
Authorized Official Telephone | 4156586791 |
Is Organization Subpart | Y |
Parent Organization Name | ONE MEDICAL GROUP, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | MA | Allopathic & Osteopathic Physicians | |
N | 225200000X | Physical Therapy Assistant | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
Y | 207R00000X | Internal Medicine | MA | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
One Medical | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316578750 | One Medical Group, Inc. | Internal Medicine | 1600 Seaport Blvd, Redwood City, CA 94063-5563 | 2020-02-03 |
1528580115 | One Medical Group, Inc. | Family Medicine | 2037 Landings Dr, Mountain View, CA 94043-0825 | 2017-07-14 |
1922470392 | One Medical Group, Inc. | Internal Medicine | 3615 Jack Northrop Ave., Suite 100, Hawthorne, CA 90250 | 2015-10-26 |
1417382102 | One Medical Group, Inc. | Internal Medicine | 1 Embarcadero Ctr Ste 1900, San Francisco, CA 94111-3723 | 2013-09-12 |
1720610728 | One Medical Group, Inc. | Internal Medicine | 1674 N Shoreline Blvd, Mountain View, CA 94043-1374 | 2020-02-07 |
1376189837 | One Medical Group, Inc. | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2019-11-20 |
1487213781 | One Medical Group, Inc. | Internal Medicine | 1100 Grundy Ln, San Bruno, CA 94066-3065 | 2019-06-10 |
1891254009 | One Medical Group, Inc. | Internal Medicine | 625 Boren Avenue North, Seattle, WA 98109 | 2019-03-18 |
1902395320 | One Medical Group, Inc. | Internal Medicine | 121 Spear St, San Francisco, CA 94105-1581 | 2018-05-02 |
1275057762 | One Medical Group, Inc. | Internal Medicine | 1170 Bordeaux Dr Bldg 3, Sunnyvale, CA 94089-1209 | 2017-07-27 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | ONE MEDICAL GROUP, INC. | One Embarcadero Center Floor 19, San Francisco, CA 94111 |
Washington State Corporations | ONE MEDICAL GROUP, INC. | 130 Sutter St Fl 2, San Francisco, CA 94104-4009 |
Street Address |
355 MAIN ST |
City | CAMBRIDGE |
State | MA |
Zip Code | 02142-1062 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851890776 | Pramod Soparkar | Dentist | The Forsyth Institute, 245 First St, Cambridge, MA 02142 | 2018-02-06 |
1720445331 | Ahmed Keles | Dentist | 245 First St Cambridge, 17th Floor, Cambridge, MA 02142 | 2016-01-27 |
1366842593 | Alexandra Penney | Dietitian, Registered | 215 First St, Cambridge, MA 02142 | 2014-08-25 |
1871737213 | Carmen R Bozic | Internal Medicine | Biogen Idec Inc., 14 Cambridge Center, Cambridge, MA 02142 | 2009-04-29 |
1326282765 | Tenley E Albright | Surgery | The Collaborative, Four Cambridge Center, Cambridge, MA 02142 | 2009-04-29 |
1467671248 | Frannie Renee Kronenberg | Internal Medicine | 15 Parkman Street, Ima/mgh, Suite 616 Wacc, Boston, MA 02142 | 2007-04-24 |
1992820799 | Mary Ann Asbell | General Practice | Genzyme, 500 Kendall Street, Cambridge, MA 02142 | 2007-03-20 |
1083743967 | Brian L Hamilton | Pediatrics | Merimack Pharmaceuticals, 101 Binney Street, Cambridge, MA 02142 | 2007-03-05 |
1659437481 | Dermot A O'rourke | Psychiatry & Neurology | Mit Clinical Research Center E17-445, 40 Ames Street, Cambridge, MA 02142 | 2006-12-28 |
1235238015 | Sumita Gokhale | Pathology | 9 Cambridge Ctr, Room 449, Whitehead Institute-biomedical Research, Cambridge, MA 02142 | 2006-09-21 |
Find all providers in zip 02142 |
Taxonomy Code | 207R00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386209831 | Alexander Ryan Walker | Internal Medicine | 300 Mount Auburn Street Mount Auburn Hospital, Dept. of Medicine, Cambridge, MA 02138 | 2019-05-09 |
1578952255 | Christian Mewaldt | Internal Medicine | 90 Hancock St Apt 3, Cambridge, MA 02139 | 2015-01-17 |
1922413582 | Stephanie Johanna Mascia | Internal Medicine | 625 Mount Auburn St Ste 104, Cambridge, MA 02138-4518 | 2014-06-23 |
1770920217 | Judy Yee Kwok | Internal Medicine | 163 Gore Street, Cambridge, MA 02149-2420 | 2013-05-23 |
1063857969 | Jia Liu | Internal Medicine | 24 Lilac Ct, Cambridge, MA 02141-1912 | 2013-05-06 |
1891923199 | Nelson Kisob Aweh | Internal Medicine | 255 Garden St, Apt # 7, Cambridge, MA 02138-1256 | 2009-06-24 |
1326275017 | Anthony Andrew Philippakis | Internal Medicine | 53 Ellery St # 2, Cambridge, MA 02138-4230 | 2009-06-19 |
1386871317 | Elaine Hsieh | Internal Medicine | 141 Larch Road, Cambridge, MA 02138-0213 | 2009-06-17 |
1134372618 | Lisa Lynn Vonmoltke | Internal Medicine | 35 Landsdowne St, Cambridge, MA 02139-4232 | 2008-10-29 |
1447427117 | Andrew Marc Schutzbank | Internal Medicine | 240 Norfolk St, Cambridge, MA 02139-1423 | 2008-05-13 |
Find all providers in CAMBRIDGE |
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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.