DR. JOHN MICHAEL TUMOLO


Address: 100 South St, Suite 104, Southbridge, MA 01550-4051
Phone: 5087650636

DR. JOHN MICHAEL TUMOLO (NPI# 1720089063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720089063
Entity Type Individual
Full Name DR. JOHN MICHAEL TUMOLO
Credential M.D.
Practice Address 100 South St
Suite 104
Southbridge
MA 01550-4051
Practice Telephone 5087650636
Practice Fax Number 5087644219
Mailing Telephone 5087650636
Mailing Fax Number 5087644219
Enumeration Date 2005-08-09
Last Update Date 2011-02-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
50918 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 6176801 05

Office Location

Street Address 100 SOUTH ST
SUITE 104
City SOUTHBRIDGE
State MA
Zip Code 01550-4051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093316473 Julianne Brechtl Counselor 100 South St, Southbridge, MA 01550-4051 2020-11-03
1164029971 Teesha Marie Carrasquillo Social Worker 100 South St, Southbridge, MA 01550-4051 2020-10-05
1851927347 Brittany Moreau Dietitian, Registered 100 South St, Southbridge, MA 01550-4051 2020-03-17
1548892326 Kally Ann Petka Nurse Practitioner 100 South St, Southbridge, MA 01550-4051 2020-02-10
1497309694 Laurette E Mcdonald Registered Nurse 100 South St, Southbridge, MA 01550-4051 2019-07-26
1033775697 Cydney Weiner Physician Assistant 100 South St, Southbridge, MA 01550-4051 2019-05-18
1245896281 Heather Lynn Bingham Counselor 100 South St, Southbridge, MA 01550-4051 2019-05-15
1982165056 Imaging Consultants Inc Clinic/Center 100 South St, Southbridge, MA 01550-4051 2019-03-29
1609345099 Alyssa Rose Mitchell Physician Assistant 100 South St, Southbridge, MA 01550-4051 2018-11-15
1134604291 Michaela White Dietitian, Registered 100 South St, Southbridge, MA 01550-4051 2018-09-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033726765 Nathanael Lopez Counselor 328 Main St Apt #1, Southbridge, MA 01550 2020-09-27
1356969497 Sarah Anne Mcnulty Registered Nurse Harrington Hospital, 100 South Street, Southbridge, MA 01550 2020-07-06
1699316406 Adrienne Ellen Soucy Developmental Therapist Kennedy Donovan Center, 486 Worcester St., Southbridge, MA 01550 2019-10-02
1184101610 Charles D Fraser Nurse Practitioner 657 Worcester St Apt 204, Southbridge, MA 01550 2018-07-26
1689160954 Christine Ann Surrette Nurse Practitioner 11 Sandersdale Rd, Southbridge, MA 01550 2018-07-10
1528560075 Danielle Torre Aspinwall Physician Assistant 100 South Street Suite 208, Southbridge, MA 01550 2018-03-01
1215455829 New Beginnings of Southbridge Marriage & Family Therapist 146 Ashland Ave Suite B, Southbridge, MA 01550 2017-09-03
1902323835 Shannon Paisley Counselor 328 Main St. #1, Southbridge, NY 01550 2017-08-22
1811300023 Mary Dayotas Counselor 176 Main St., Southbridge, MA 01550 2014-06-05
1962752121 You Inc Community/Behavioral Health 238 Main Street, Southbridge, MA 01550 2012-09-14
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396919478 The Dr. Kenny Clinic, P.C. Internal Medicine 256 Hamilton St, Southbridge, MA 01550 2008-04-18
1790952695 Nicole Marie Lynn Fillipon Internal Medicine 79 Sayles St, Southbridge, MA 01550-1729 2008-05-11
1750393971 Kenny D Hasija Internal Medicine 256 Hamilton St, Southbridge, MA 01550-1816 2006-08-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396356556 Lifestyle Medical and Cardiovascular Associates PC Internal Medicine 300 Boylston St Ste 201, Chestnut Hill, MA 02467-1978 2020-08-12
1083186498 Cape Cardiology Md PC Internal Medicine 125 Underpass Rd, Brewster, MA 02631-1810 2018-12-24
1558868141 Reading Cardiology Assoc. 2 PC Internal Medicine 21 Main St Ste 2, North Reading, MA 01864-5001 2018-04-10
1447768510 Vhs Acquisition Subsidiary Number 7 Inc Internal Medicine 20 Washington Sq Fl 2, Worcester, MA 01604-4013 2018-01-11
1386165470 Malik Bilal Ahmed Internal Medicine 800 Washington Street Mailbox #315, Boston, MA 02111 2017-06-29
1114370269 Carol Lynn Goldstein Internal Medicine 19 Sengekontacket Rd, Edgartown, MA 02539-7829 2016-07-13
1760867667 Chi Hong Chau Internal Medicine 400 Brookline Ave Apt 15a, Boston, MA 02215-5406 2015-07-21
1972916039 Adam T Phillips Internal Medicine 185 Pilgrim Rd Fl Baker4, Boston, MA 02215 2014-06-06
1811315831 Newburyport Cardiovascular Associates, LLC Internal Medicine 7 Henry Graf Jr. Road, Newburyport, MA 01950 2014-04-07
1760809818 Subhasree Panchangam Internal Medicine 830 Harrison Ave Bldg 3500, Boston, MA 02118-2905 2014-03-26
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Competitor

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City SOUTHBRIDGE
Zip Code 01550

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Dataset Information

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.

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