INTEGRA WELLNESS HEALTH. PC (NPI# 1730797226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730797226 |
| Entity Type | Organization |
| Organization Name | INTEGRA WELLNESS HEALTH. PC |
| Practice Address |
1077 Lexington St Ste 203 Waltham MA 02452-7233 |
| Practice Telephone | 7816427934 |
| Practice Fax Number | 7816427824 |
| Mailing Telephone | 7816427934 |
| Mailing Fax Number | 7816437824 |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-07-21 |
| Authorized Official Name | MR. JING LIU (OWNER) |
| Authorized Official Telephone | 7816427934 |
| Authorized Official Credential | ACUPUNCTURIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1077 LEXINGTON ST STE 203 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-7233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710070313 | Mass General West Pharmacy | Clinic/Center | 40 Second Avenue, 4th Floor Pharmacy, Waltham, MA 02154 | 2006-10-02 |
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|---|---|---|---|---|
| 1326654807 | Yarmouth Health Stop, LLC | Clinic/Center | 612 Route 28, West Yarmouth, MA 02673-5062 | 2020-09-19 |
| 1811509490 | Inner Source Family Chiropractic Inc | Clinic/Center | 138 Dodge St, Beverly, MA 01915-1866 | 2020-08-17 |
| 1821626763 | Renewal Integrative Psychotherapies LLC | Clinic/Center | 90 Madison St Ste 502, Worcester, MA 01608-2058 | 2020-03-27 |
| 1477184216 | Wellpoint Healing Center, Inc | Clinic/Center | 175 Derby St Ste 18a, Hingham, MA 02043-4051 | 2020-01-30 |
| 1073078531 | Body Dynamics Nutrition | Clinic/Center | 11 Apex Dr, Marlborough, MA 01752-1858 | 2019-02-08 |
| 1194214742 | Norwood Dental Sleep Medicine LLC | Clinic/Center | 100 Day St, Norwood, MA 02062-2125 | 2018-05-08 |
| 1356843890 | Family Eyecare Solutions LLC | Clinic/Center | 51 Mill St Bldg E, Hanover, MA 02339-1641 | 2018-03-01 |
| 1326587288 | Nicole Marie Kantor | Clinic/Center | 182 Church St Apt 3, Newton, MA 02458-1962 | 2017-02-13 |
| 1043757115 | Neurosportelite North Boston, LLC | Clinic/Center | 78 Olympia Ave, Woburn, MA 01801-2057 | 2017-01-26 |
| 1184168825 | Sunrise Healthcare LLC | Clinic/Center | 37 Minuteman Way, Shrewsbury, MA 01545-2229 | 2016-12-15 |
| 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.