KAREN GLAVIN (NPI# 1700868239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700868239 |
| Entity Type | Individual |
| Full Name | KAREN GLAVIN |
| Credential | PA-C |
| Practice Address |
2 Pond Park Rd Suite 102 Hingham MA 02043-4347 |
| Practice Telephone | 7813375555 |
| Practice Fax Number | 7813356047 |
| Mailing Telephone | 7813375555 |
| Mailing Fax Number | 7813356047 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2018-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA9101667 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA4380 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA9101667 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 291073000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659687028 | Karen Glavin | Physical Therapist | 364 Pritham Ave, Greenville, ME 04441 | 2010-08-24 |
| Street Address |
2 POND PARK RD SUITE 102 |
| City | HINGHAM |
| State | MA |
| Zip Code | 02043-4347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508320391 | South Shore Hospital | Clinic/Center | 2 Pond Park Rd, Hingham, MA 02043-4347 | 2019-01-25 |
| 1528594587 | Marguerite Magri | Occupational Therapist | 2 Pond Park Rd, Ste 102, Hingham, MA 02043-4347 | 2017-05-11 |
| 1407393887 | Matthew Mcbride | Physician Assistant | 2 Pond Park Rd, Suite 102, Hingham, MA 02043-4347 | 2017-01-24 |
| 1477938298 | Kimberly Belina | Physician Assistant | 2 Pond Park Rd, Suite 102, Hingham, MA 02043-4347 | 2015-07-22 |
| 1013037753 | Christopher W. Rynne Md PC | Orthopaedic Surgery | 2 Pond Park Rd, Suite 102, Hingham, MA 02043-4309 | 2007-03-29 |
| 1053448498 | John J. Kadzielski | Orthopaedic Surgery | 2 Pond Park Rd, Suite 102, Hingham, MA 02043-4347 | 2007-02-27 |
| 1235223587 | Angelica Francine Duczakowski | Physician Assistant | 2 Pond Park Rd, Ste. 102, Hingham, MA 02043-4309 | 2006-10-03 |
| 1831168798 | Dana M Fanning | Physical Therapist | 2 Pond Park Rd, Suite 102, Hingham, MA 02043-4347 | 2006-03-14 |
| 1649243973 | Christopher W Rynne | Orthopaedic Surgery | 2 Pond Park Rd, Suite 102, Hingham, MA 02043-4309 | 2006-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750171 | Sandra Matthews | Speech-Language Pathologist | Outpatient Rehab - Hobart Grove, 207 Linden Ponds Way, Hingham, MA 02043 | 2019-03-22 |
| 1154805695 | Anne Marie Thompson | Social Worker | 160 Derby Street, #338, Hingham, MA 02043 | 2018-09-20 |
| 1023598794 | Invisible Orthodontics PC | Dentist | One Derby St Suite 2, Hingham, MA 02043 | 2018-08-21 |
| 1528506565 | Regis College | Nursing Care | 97 Hersey Street, Hingham, MA 02043 | 2017-02-10 |
| 1689934523 | Joanna Y. Chang | Physical Therapist | 188 Hms Halsted Dr, Hingham, MA 02043 | 2012-05-25 |
| 1427361336 | Jim Bailey | Counselor | 160 Old Derby St Ste 266, Hingham, MA 02043 | 2010-07-20 |
| 1194968222 | Eileen Mazzulli | Physical Therapist | Linden Ponds Outpatient Rehabilitation Clinic, 205 Linden Ponds Way, Hingham, MA 02043 | 2009-04-20 |
| 1659540664 | Maria Clarinda A Buencamino-francisco | Internal Medicine | 6 Shipyard Dr, Hingham, MA 02043 | 2008-02-23 |
| 1437340999 | Town of Hingham | Clinic/Center | 210 Central Street, Hingham, MA 02043 | 2007-08-08 |
| 1720285018 | South Shore Orthopedics LLC | Specialist | 2 Pond Park, Suite 102, Hingham, MA 02043 | 2007-06-29 |
| Find all providers in zip 02043 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1407393887 | Matthew Mcbride | Physician Assistant | 2 Pond Park Rd, Suite 102, Hingham, MA 02043-4347 | 2017-01-24 |
| 1679873350 | Julie Parker Haviland | Physician Assistant | 2 Pond Park Rd., Ste. 102, Hingham, MA 02043-4309 | 2010-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
| 1912488966 | Caily Chandler Irwin | Physician Assistant | 235 Cypress St Unit 201, Brookline, MA 02445-6776 | 2018-08-28 |
| 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.