ANDREA M. BODINE, M.D., P.C. (NPI# 1790988491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790988491 |
| Entity Type | Organization |
| Organization Name | ANDREA M. BODINE, M.D., P.C. |
| Practice Address |
740 Williams St Pittsfield MA 01201-7463 |
| Practice Telephone | 4134422226 |
| Practice Fax Number | 4134421314 |
| Mailing Telephone | 4134422226 |
| Mailing Fax Number | 4134421314 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-07-11 |
| Authorized Official Name | ANDREA M. BODINE (PRESIDENT) |
| Authorized Official Telephone | 4134422226 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 75787 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9706437 | 05 | |
| MA | BLUE CROSS BLUE SHIELD | M17692 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ANDREA M. BODINE, M.D., P.C. | 740 Williams Street, Pittsfield, MA 01201 |
| Street Address |
740 WILLIAMS ST |
| City | PITTSFIELD |
| State | MA |
| Zip Code | 01201-7463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396747556 | Marcin Marek Zygawski | Specialist | 740 Williams St, Suite #3, Pittsfield, MA 01201-7463 | 2005-06-01 |
| 1023562881 | Williston Mortenson | Physical Therapist | 740 Williams St, Ste 1, Pittsfield, MA 01201-7463 | 2016-08-10 |
| 1619336500 | Pioneer Valley Orthotics & Prosthetics, Inc. | Prosthetic/Orthotic Supplier | 740 Williams St, Pittsfield, MA 01201-7463 | 2016-02-19 |
| 1740658079 | Amanda Roberts | Physical Therapist | 740 Williams St, Pittsfield, MA 01201-7463 | 2015-09-03 |
| 1932453545 | Elizabeth Joppru | Physical Therapist | 740 Williams St, Ste 1, Pittsfield, MA 01201-7463 | 2012-11-05 |
| 1235395856 | Preventive Medicine Associates | Family Medicine | 740 Williams St, Suite 10, Pittsfield, MA 01201-7463 | 2008-08-03 |
| 1518135839 | Andrea J Vallon | Occupational Therapist | 740 Williams St, Pittsfield, MA 01201-7463 | 2008-02-20 |
| 1659555340 | Joy Marie Milani | Physical Therapist | 740 Williams St, Pittsfield, MA 01201-7463 | 2007-12-18 |
| 1174729313 | Physical Therapy Associates of Schenectady, P.C. | Physical Therapist | 740 Williams St, Pittsfield, MA 01201-7463 | 2007-06-25 |
| 1255546677 | Danielle M Driscoll | Physical Therapist | 740 Williams St, Pittsfield, MA 01201-7463 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292326 | Dominic Boudini | Social Worker | Berkshire Medical Center Jones IIi, 777 North Street, Pittsfield, MA 01201 | 2018-10-25 |
| 1770066433 | Michelle P Racicot | Physical Therapy Assistant | 144 Brighton Ave, Pittsfield, MA 01201 | 2018-09-10 |
| 1659853927 | Janis W. Zimbler | Social Worker | 49 Kenilworth Street, Pittsfield, MA 01201 | 2018-09-04 |
| 1528545225 | Claudia L Coplan | Social Worker | 262 Appleton Avenue, Pittsfield, MA 01201 | 2018-07-25 |
| 1255852083 | Vandana Sethi | Dentist | Chp Neighborhood Dental Center, 510 North Street, Suite 1, Pittsfield, MA 01201 | 2017-07-01 |
| 1770011819 | Vladimir Nazarov | Dentist | 690 Merrill Road, Pittsfield, MA 01201 | 2017-06-02 |
| 1215462254 | Anqi Hu | Dentist | 788 South Street, Pittsfield, Ma 01201, Pittsfield, MA 01201 | 2017-04-27 |
| 1942759162 | Community Health Programs, Inc | Clinic/Center | 510 North St., Pittsfield, MA 01201 | 2016-09-29 |
| 1366990590 | Daniel Pinsky I | Counselor | 877 South Street, Clinical Support Options Suite 200, Pittsfiled, MA 01201 | 2016-09-16 |
| 1275086746 | Berkshire Medical Center, Inc | Substance Abuse Rehabilitation Facility | 48 Kent Ave, Pittsfield, MA 01201 | 2016-08-01 |
| Find all providers in zip 01201 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013468248 | Angela Jackson | Specialist | 110 E St, Pittsfield, ME 04967-5106 | 2016-10-24 |
| 1821435066 | Sopheap Nhim | Specialist | 28 National St, Pittsfield, MA 01201 | 2013-05-29 |
| 1194090522 | Pain Medicine & Rehabilitation Associates, P.C. | Specialist | 294 1st St, Pittsfield, MA 01201-4751 | 2012-03-19 |
| 1164713087 | Lana P Stevens | Specialist | 406 W Housatonic St, Pittsfield, MA 01201-6647 | 2011-04-26 |
| 1205899945 | John R Kearns | Specialist | 56 Charles St, Pittsfield, MA 01201-3302 | 2006-04-11 |
| 1265401822 | Stephen R St Clair | Specialist | 41 Wahconah St, Pittsfield, MA 01201-2627 | 2006-03-16 |
| 1992775035 | Daniel S Kusick | Specialist | 188 East St, Suite 102, Pittsfield, MA 01201-4102 | 2006-01-23 |
| 1194705459 | Pittsfield Cardiology, PC | Specialist | 188 East Street Suite 102, Pittsfield, MA 01201-4102 | 2006-01-20 |
| 1962486886 | Lisa Das | Specialist | 631b North St, Gastroenterology of The Berkshires, Pittsfield, MA 01201-4102 | 2005-12-05 |
| 1396747556 | Marcin Marek Zygawski | Specialist | 740 Williams St, Suite #3, Pittsfield, MA 01201-7463 | 2005-06-01 |
| Find all providers in PITTSFIELD | ||||
| City | PITTSFIELD |
| Zip Code | 01201 |
Please comment or provide details below to improve the information on ANDREA M. BODINE, M.D., P.C..
| 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.