HEALTHSTAT ARKANSAS/PACE IND.- CAMBRIDGE (NPI# 1780934349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780934349 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ARKANSAS/PACE IND.- CAMBRIDGE |
| Practice Address |
67 Faulkner St. North Billerica MA 01862 |
| Mailing Address |
4651 Charlotte Park Dr. Suite 300 Charlotte NC 28217 |
| Practice Telephone | 7045296161 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
67 FAULKNER ST. |
| City | NORTH BILLERICA |
| State | MA |
| Zip Code | 01862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760080477 | Palms Pride Inc | Non-emergency Medical Transport (VAN) | 38 Pequot Street, N. Billerica, MA 01862 | 2020-10-14 |
| 1245886258 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | 269 Treble Cove Rd., Billerica, MA 01862 | 2019-08-15 |
| 1093214710 | Berenice Tchandjib Kobu | Nurse Practitioner | 382 Treble Cove Rd, North Billerica, MA 01862 | 2018-02-08 |
| 1538463765 | Richard D Pierce Dmd PC | Dentist | 76 Treble Cove Rd, North Billerica, MA 01862 | 2011-01-03 |
| 1326349150 | New Concepts Dental Group | Dentist | 330 Boston Road, Unit #16, No. Billerica, MA 01862 | 2010-11-10 |
| 1841516655 | Dr. Paul Feverstein | Dentist | 76 Treble Cove Rd., North Billerica, MA 01862 | 2010-04-19 |
| 1346421997 | Mark Gary Hibberd | Internal Medicine | Bristol Meyers Squibb Med. Imaging, 331 Treble Cove Road, N. Billerica, MA 01862 | 2007-11-23 |
| 1548455421 | Kathleen Ann Sacco | Social Worker | 19 Colson Street, North Billerica, MA 01862 | 2007-09-13 |
| 1225139744 | James Hovannes Fantazian | Optometrist | 247 Boston Rd, N Billerica, MA 01862 | 2006-09-26 |
| 1417975889 | Glenn Buenaventura Gutierrez | Internal Medicine | 267 Boston Rd., Suite 20, Billerica, MA 01862 | 2006-07-17 |
| Find all providers in zip 01862 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437494473 | Healthstat On-site Clinic/varian- Newburyport | Preventive Medicine | 4 Stanley Tucker Dr, Newburyport, MA 01950-4039 | 2012-12-03 |
| 1033315114 | Manijeh Berenji | Preventive Medicine | 725 Albany St Ste 4b, Boston, MA 02118-3549 | 2007-06-25 |
| 1164630471 | James Robert Garb | Preventive Medicine | 11 Kingsbury Way, Yarmouth Port, MA 02675-1227 | 2007-05-18 |
| 1326162447 | Paul Anthony Keefe | Preventive Medicine | 29 Eaton Rd, Needham, MA 02492-3303 | 2007-03-16 |
| 1194894154 | Michael Erdil | Preventive Medicine | 5 Mount Royal Ave Ste 50, Marlborough, MA 01752-1921 | 2006-11-06 |
| 1497749618 | Sven Knudsen Ljaamo | Preventive Medicine | 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 | 2005-09-02 |
| 1073090692 | Greater Boston Wellness Primary Care PC | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2018-07-26 |
| 1942756192 | Patthrarawalai Phichalai | Preventive Medicine | 5 Middlesex Ave., Cambridge Health Alliance, Occupational Medicine Clinic, Somerville, MA 02145-1677 | 2016-08-28 |
| 1235514795 | Greater Boston Wellness Physicians | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2015-07-27 |
| 1801131842 | Healthstat On-site Clinic/varian- Gloucester | Preventive Medicine | 35 Dory Rd, Gloucester, MA 01930-2236 | 2012-12-03 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BILLERICA |
| Zip Code | 01862 |
Please comment or provide details below to improve the information on HEALTHSTAT ARKANSAS/PACE IND.- CAMBRIDGE.
| 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.