STEWARD MEDICAL GROUP, INC (NPI# 1780937326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780937326 |
| Entity Type | Organization |
| Organization Name | STEWARD MEDICAL GROUP, INC |
| Other Organization Name | SMG HAWTHORNE PT/OT |
| Practice Address |
535 Faunce Corner Rd Dartmouth MA 02747-1242 |
| Practice Telephone | 5089963991 |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2012-10-19 |
| Authorized Official Name | MICHAEL CALLUM (CEO) |
| Authorized Official Telephone | 6174194702 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| SMG Hawthorne PT/OT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255600300 | Steward Medical Group, Inc | Internal Medicine | 500 Boylston St, Boston, MA 02116-3740 | 2011-12-19 |
| 1972073716 | Steward Medical Group, Inc | Radiology | 250 N Wickham Rd, Melbourne, FL 32935-8625 | 2018-12-04 |
| 1134697923 | Steward Medical Group, Inc | Durable Medical Equipment & Medical Supplies | 531 Faunce Corner Rd, North Dartmouth, MA 02747-1242 | 2018-11-09 |
| 1043711914 | Steward Medical Group, Inc | Nurse Anesthetist, Certified Registered | 795 Middle St, Fall River, MA 02721-1733 | 2018-02-26 |
| 1962881078 | Steward Medical Group, Inc | Clinic/Center | 1 Pearl St, Suite 1800, Brockton, MA 02301-2864 | 2015-05-21 |
| 1821349317 | Steward Medical Group, Inc | Internal Medicine | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2012-09-25 |
| 1336496405 | Steward Medical Group, Inc | Physical Medicine & Rehabilitation | 500 Boylston St, Boston, MA 02116-3740 | 2012-08-08 |
| 1013220151 | Steward Medical Group, Inc | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-07-19 |
| 1356654495 | Steward Medical Group, Inc | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-07-19 |
| 1629398219 | Steward Medical Group, Inc | Specialist | 77 Warren St, Brighton, MA 02135-3601 | 2010-06-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STEWARD MEDICAL GROUP, INC. | 28 Liberty St., New York, Ny 10005 |
| Massachusetts Corporations | STEWARD MEDICAL GROUP, INC. | 500 Boylston St., Boston, MA 02116 |
| Street Address |
535 FAUNCE CORNER RD |
| City | DARTMOUTH |
| State | MA |
| Zip Code | 02747-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528062858 | Robert Wade Conroy | Psychiatry & Neurology | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2005-05-31 |
| 1215596945 | Stephanie Noble | Audiologist | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2019-06-06 |
| 1437668241 | Joymon K Sebastian | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2017-09-25 |
| 1275918286 | Kathryn Fallavollita | Physician Assistant | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2015-07-21 |
| 1861883571 | Optomeyes Health PC | Optometrist | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2015-02-17 |
| 1982002028 | Michelle Kallevik | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-12-05 |
| 1275934382 | Erica Lopes Cabral | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-09-08 |
| 1174930382 | Leanne Borden | Physician Assistant | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2014-07-21 |
| 1699187575 | Rachel Hoffmann | Dermatology | 535 Faunce Corner Rd, Dartmouth, MA 02747 | 2014-05-27 |
| 1568891620 | Erica Michelle Ahaesy | Nurse Practitioner | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2013-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619432531 | Michelle Mulvey-sylvia | Nurse Practitioner | 237 State Road, Dartmouth, MA 02747 | 2019-02-05 |
| 1679078232 | Andrew Paul Macedo | Emergency Medical Technician, Basic | 80 Alpha Street, Dartmouth, MA 02747 | 2018-03-27 |
| 1255712378 | Courtney Mota Trevino | Optometrist | 83b Faunce Corner Rd, North Dartmouth, MA 02747 | 2015-06-15 |
| 1215323852 | Kara J. Kopaczewski | Family Medicine | 49 State Rd Pequot Bldg, Ste 204, North Dartmouth, MA 02747 | 2015-04-10 |
| 1427465368 | Glicksman-gomes, LLC | Dentist | 49 State Road Nauset Bldg., Dartmouth, MA 02747 | 2014-07-11 |
| 1033544846 | Blackstone Behavioral Health Services | Psychologist | 145k Faunce Corner Rd., North Dartmouth, MA 02747 | 2013-09-11 |
| 1477999894 | Christina Nicolau | Counselor | 145k Faunce Corner Road, North Dartmouth, MA 02747 | 2013-05-13 |
| 1770823882 | Wendy Stacy | Behavioral Analyst | 145 Fauce Corner Rd., N. Dartmouth, MA 02747 | 2013-02-26 |
| 1952653131 | Eye Health Associates Inc | Optometrist | 51 State Road, Dartmouth, MA 02747 | 2012-10-11 |
| 1265782866 | Helpful Hands, Inc | Home Health | 106a State Rd, N Dartmouth, MA 02747 | 2012-09-12 |
| Find all providers in zip 02747 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205292141 | Ruth Allery Doran | Occupational Therapist | 57 Horseneck Rd., Dartmouth, MA 02748 | 2016-01-07 |
| 1275855397 | Sara Lynn Munger | Occupational Therapist | 908 Division Rd, Dartmouth, MA 02748-1045 | 2010-02-16 |
| 1891914610 | Tara Ann Boukheir | Occupational Therapist | 33 Gulf Hill Dr, Dartmouth, MA 02748-1522 | 2007-04-24 |
| 1225181977 | Margaret Alden Roderick | Occupational Therapist | 1 Posa Place, Dartmouth, MA 02747 | 2007-01-18 |
| 1760892251 | Emily Gray | Occupational Therapist | 1 Posa Pl, Dartmouth, MA 02747-2511 | 2014-05-06 |
| 1518202456 | Susan Cadieux | Occupational Therapist | 1 Posa Pl, Dartmouth, MA 02747-2511 | 2012-12-04 |
| 1174877740 | Maryanne Hirschy | Occupational Therapist | 1 Posa Pl, Dartmouth, MA 02747-2511 | 2012-11-05 |
| 1790050136 | Joshua N Reis | Occupational Therapist | 535 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2012-03-19 |
| 1326323312 | Teresa Jeanne Landgraf | Occupational Therapist | 1 Posa Pl, Dartmouth, MA 02747-2511 | 2011-10-21 |
| 1063793610 | Kimberly Green | Occupational Therapist | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2011-09-08 |
| Find all providers in DARTMOUTH | ||||
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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.