WINCHESTER PHYSICIAN ASSOCIATES (NPI# 1790112670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790112670 |
| Entity Type | Organization |
| Organization Name | WINCHESTER PHYSICIAN ASSOCIATES |
| Other Organization Name | MEDFORD FAMILY CARE |
| Practice Address |
92 High St Suite Dh4 Medford MA 02155-3850 |
| Mailing Address |
Po Box 760 Winchester MA 01890-4260 |
| Practice Telephone | 7813060200 |
| Practice Fax Number | 7813060264 |
| Mailing Telephone | 7817567273 |
| Mailing Fax Number | 7817210725 |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |
| Authorized Official Name | MS. EILEEN WILLS (BILLING MANAGER) |
| Authorized Official Telephone | 7817567273 |
| Is Organization Subpart | Y |
| Parent Organization Name | WINCHESTER PHYSICIAN ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medford Family Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053393603 | Winchester Physician Associates | Internal Medicine | 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 | 2005-11-18 |
| 1093797706 | Winchester Physician Associates | Pediatrics | 29 Massachusetts Ave, Arlington, MA 02474-8602 | 2005-11-17 |
| 1013318955 | Winchester Physician Associates | Emergency Medicine | 41 Highland Ave, Winchester, MA 01890-1446 | 2014-09-10 |
| 1760813273 | Winchester Physician Associates | Family Medicine | 11 Shore Rd, Winchester, MA 01890-2821 | 2013-12-09 |
| 1265861298 | Winchester Physician Associates | Internal Medicine | 955 Main St, Suite 301, Winchester, MA 01890-1961 | 2013-11-12 |
| 1538598560 | Winchester Physician Associates | Internal Medicine | 23 Warren Ave, Suite 100, Woburn, MA 01801-7906 | 2013-11-12 |
| 1700215738 | Winchester Physician Associates | Obstetrics & Gynecology | 77 Swanton St, Suite 2, Winchester, MA 01890-2039 | 2013-11-12 |
| 1497184311 | Winchester Physician Associates | Family Medicine | 259 Swanton St, Suite A, Winchester, MA 01890-4301 | 2013-11-02 |
| 1750719415 | Winchester Physician Associates | Obstetrics & Gynecology | 955 Main St, Suite # 208, Winchester, MA 01890-1961 | 2013-10-16 |
| 1336577097 | Winchester Physician Associates | Internal Medicine | 620 Washington St, Winchester, MA 01890-1328 | 2013-10-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | WINCHESTER PHYSICIAN ASSOCIATES, INC. | 41 Highland Ave., Winchester, MA 01890 |
| Street Address |
92 HIGH ST SUITE DH4 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-3850 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669462867 | Elizabeth Keating-cohen | Psychologist | 92 High St, Suite Dh-7, Medford, MA 02155-3850 | 2005-10-27 |
| 1477115855 | Leza M. Sarrouf, Licsw, LLC | Social Worker | 92 High St, Medford, MA 02155-3850 | 2019-07-05 |
| 1679013569 | Dr. Richard A Short Dmd, Dr. Ronni Ann Schnell Dmd | Dentist | 92 High St, Suite Dh 11-12, Medford, MA 02155-3850 | 2017-02-27 |
| 1538614367 | Boston Laser Eye Institute- Winchester LLC | Optometrist | 92 High St, Unit T31, Medford, MA 02155-3850 | 2016-08-22 |
| 1558717249 | Boston Laser Medford LLC | Optometrist | 92 High St, Unit T31, Medford, MA 02155-3850 | 2016-05-11 |
| 1972939890 | Brain Care Specialists PC | Psychiatry & Neurology | 92 High St, 4th Floor, Medford, MA 02155 | 2013-09-24 |
| 1700142601 | Psychological Associates | Social Worker | 92 High St, Dh7, Medford, MA 02155-3850 | 2012-04-04 |
| 1932345220 | Mystic Valley Chiropractic Office, P.C. | Chiropractor | 92 High St, Suite 41, Medford, MA 02155-3850 | 2008-12-17 |
| 1720252083 | Timothy Francis Mccarthy | Counselor | 92 High St, Medford, MA 02155-3850 | 2008-04-17 |
| 1861665390 | Armory Dental Implant & Oral Surgery | Clinic/Center | 92 High St, Dh26, Medford, MA 02155-3850 | 2008-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847332 | Jasmine Barnhart | Family Medicine | 1935 Canyon Ave, Medford, OR 97504-2128 | 2020-10-03 |
| 1831742667 | Mallory Marie Morton | Family Medicine | 429 Main St # 3, Medford, MA 02155-6571 | 2019-07-21 |
| 1841619418 | Andrew Thomas Gomez | Family Medicine | 131 Rte 70 W, Ste 100, Medford, NJ 08055 | 2014-04-10 |
| 1992140313 | Stephanie Guido | Family Medicine | 128 Route 70 Ste Aandb, Medford, NJ 08055-2371 | 2013-04-30 |
| 1316214281 | Carl Russell Griesser | Family Medicine | 555 Black Oak Drive, Suite 100, Medford Medical Clinic, Medford, OR 97504 | 2011-11-21 |
| 1649591223 | Wesley T Ramoso | Family Medicine | 3225 Hillcrest Park Dr, Medford, OR 97504-7657 | 2010-06-17 |
| 1891945812 | Amy Holmes Medical Services Plc | Family Medicine | 102 E Cherokee, Medford, OK 73759-1210 | 2008-09-26 |
| 1972793370 | Sowmya Reddy Thadisina | Family Medicine | 101 Main St Ste 214, Medford, MA 02155-4530 | 2007-07-31 |
| 1689890667 | James K Robinson II | Family Medicine | W5238 Jolly Ave, Medford, WI 54451-9303 | 2007-04-18 |
| 1316160658 | Island Medical of Medford, LLP | Family Medicine | 1647 Route 112, Medford, NY 11763-3635 | 2007-04-11 |
| Find all providers in MEDFORD | ||||
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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.