DR. JOHN RICHARD PETTINATO (NPI# 1730277914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730277914 |
| Entity Type | Individual |
| Full Name | DR. JOHN RICHARD PETTINATO |
| Credential | D.O. |
| Practice Address |
46 Obery St Plymouth MA 02360-2237 |
| Practice Telephone | 5082105920 |
| Practice Fax Number | 5087328935 |
| Mailing Telephone | 5082105920 |
| Mailing Fax Number | 5087328935 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
152555 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30221273 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215387568 | John Pettinato | Social Worker | 521 W 239th St, Bronx, NY 10463-1205 | 2016-06-17 |
| Street Address |
46 OBERY ST |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619975208 | Louise Racine Bastarache | Midwife | 46 Obery St, Plymouth, MA 02360-2237 | 2005-07-08 |
| 1568013944 | William Daniel Abbate | Counselor | 46 Obery St, Plymouth, MA 02360-2237 | 2019-09-26 |
| 1528610615 | Catherine E Cherry | Advanced Practice Midwife | 46 Obery St, Plymouth, MA 02360 | 2019-07-10 |
| 1407314503 | Brittany E Ross | Advanced Practice Midwife | 46 Obery St, Plymouth, MA 02360-2237 | 2019-03-07 |
| 1679037204 | Mackenzie Kate Miller | Midwife | 46 Obery St, Plymouth, MA 02360-2237 | 2019-01-28 |
| 1609311372 | Courtney Kimball | Social Worker | 46 Obery St, Plymouth, MA 02360-2237 | 2017-01-04 |
| 1326422726 | Elizabeth Kitue | Advanced Practice Midwife | 46 Obery St, Plymouth, MA 02360-2130 | 2015-07-15 |
| 1003192097 | Jennifer Robinette Conniff | Social Worker | 46 Obery St, Plymouth, MA 02360-2237 | 2011-10-23 |
| 1104114792 | Caitlin Julia Marchenko | Nurse Practitioner | 46 Obery St, Dept of Neurology and Neurosurgery, Plymouth, MA 02360-2130 | 2011-07-15 |
| 1083948384 | Madhu Siddeswarappa | Transplant Surgery | 46 Obery St, Plymouth, MA 02360-2237 | 2009-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609344555 | Rosalind Mandelbaum | Psychiatry & Neurology | 45 Resnik Rd Ste 205, Plymouth, MA 02360-7223 | 2018-11-08 |
| 1205020740 | Lee I Corwin Md PC | Psychiatry & Neurology | 45 Resnik Rd, Suite 207, Plymouth, MA 02360-4844 | 2007-08-28 |
| 1396803052 | Francis Paul Grenn | Psychiatry & Neurology | 110 Long Pond Road, 206, Plymouth, MA 02360 | 2006-12-05 |
| 1063516326 | Lee I Corwin | Psychiatry & Neurology | 45 Resnik Rd, Suite 207, Plymouth, MA 02360 | 2006-09-08 |
| 1982680740 | Donald Scott Marks | Psychiatry & Neurology | 45 Resnik Rd, Suite 205, Plymouth, MA 02360-4844 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336626324 | Mary Jane Lim Fat | Psychiatry & Neurology | 450 Brookline Ave Dept Dana2, Boston, MA 02215-5418 | 2018-07-23 |
| 1336668326 | Western Mass Neurology PC | Psychiatry & Neurology | 175 Carew St Ste 140, Springfield, MA 01104-2389 | 2017-09-12 |
| 1417475336 | Hampshire Neurology LLC | Psychiatry & Neurology | 234 Russell St Ste 206, Hadley, MA 01035-3534 | 2017-08-30 |
| 1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
| 1821538497 | Santiago Arroyo | Psychiatry & Neurology | 28 Constitution Rd, Charlestown, MA 02129-2008 | 2017-03-02 |
| 1801256094 | Lincoln S Darla X | Psychiatry & Neurology | 260 Tremont Street 2nd Floor, Tufts Medical Center, Biewend Building, Boston, MA 02111 | 2016-03-01 |
| 1871975144 | Yadira Flores Montanez | Psychiatry & Neurology | 1 Brookline Pl Ste 406, Brookline, MA 02445-7296 | 2015-06-23 |
| 1104207901 | Aditi Ahlawat | Psychiatry & Neurology | 1280 W Central St Ste 102, Franklin, MA 02038-3110 | 2015-06-17 |
| 1558755835 | Grigoriy I Labun | Psychiatry & Neurology | 23 Peach Tree Ln, Newton, MA 02459-3123 | 2015-03-24 |
| 1407261605 | Lee Sullivan | Psychiatry & Neurology | 15 Parkman St # 720, Boston, MA 02114 | 2014-06-25 |
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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.