ROSENGARD CLINIC (NPI# 1801935325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801935325 |
| Entity Type | Organization |
| Organization Name | ROSENGARD CLINIC |
| Practice Address |
380 W Broadway South Boston MA 02127-2215 |
| Mailing Address |
Po Box 61137 Longmeadow MA 01116-6137 |
| Practice Telephone | 6172681500 |
| Practice Fax Number | 6172698558 |
| Mailing Telephone | 4132147435 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID E ROSENGARD (PRESIDENT) |
| Authorized Official Telephone | 6172681500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 20854 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9740325 | 05 |
| Street Address |
380 W BROADWAY |
| City | SOUTH BOSTON |
| State | MA |
| Zip Code | 02127-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370629 | Peaceful Healing Soul Counseling Center, LLC | Counselor | Online Therapy, Boston, MA 02127 | 2020-09-15 |
| 1568964914 | Phuong Luu | Nurse Practitioner | 606 E Fourth St, Unit 204, Boston, MA 02127 | 2018-03-01 |
| 1700304367 | Kelsey L Donovan | Physician Assistant | 431 E 3rd Street Apt 2, Boston, MA 02127 | 2017-09-05 |
| 1255873733 | Janet Villafane | Social Worker | 23 Mcdonough Way, 691, Boston, MA 02127 | 2016-11-15 |
| 1083088470 | Katie Ryan | Counselor | 8 Rev Burke Street #151, South Boston, MA 02127 | 2015-11-23 |
| 1184005514 | Keith A Lombard | Counselor | 1226a Columbia Rd., South Boston, MA 02127 | 2015-06-11 |
| 1609213917 | Nicole Ashley Vandermay | Student in an Organized Health Care Education/Training Program | 9 Woodward St, Apt. 3, Boston, MA 02127 | 2013-05-28 |
| 1922359777 | Elizabeth Raggi | Counselor | 49 L Street, South Boston, MA 02127 | 2012-09-19 |
| 1205181021 | Massachusetts General Hospital | General Acute Care Hospital | 256 West Sixth Street Apt 2, South Boston, MA 02127 | 2012-07-18 |
| 1154602126 | Madeline F Brisotti | Counselor | 8 Reverend Burke Steet, South Boston, MA 02127 | 2011-09-06 |
| Find all providers in zip 02127 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326178922 | Calvin C Ross | Internal Medicine | 585 E Broadway, South Boston, MA 02127-4404 | 2007-03-06 |
| 1881759512 | Sujata S Welankiwar | Internal Medicine | 302 W Broadway, South Boston, MA 02127 | 2006-12-22 |
| 1770551889 | Broderick Daryl King | Internal Medicine | 101 Aubreys Loop, South Boston, VA 24592-5056 | 2006-03-14 |
| 1023081841 | Pamela Cattel | Internal Medicine | 409 W Broadway, South Boston, MA 02127-2245 | 2006-02-10 |
| 1225030091 | Richard W Davis | Internal Medicine | 1627 Seymour Dr, South Boston, VA 24592-3428 | 2005-08-11 |
| 1063412179 | Roger W Browne | Internal Medicine | 2100 Wilborn Ave, South Boston, VA 24592-1628 | 2005-07-29 |
| 1770581324 | Leovigil D Pambid | Internal Medicine | 1129 N Main St, South Boston, VA 24592-2557 | 2005-07-08 |
| 1245237932 | Sherry Lene Hall | Internal Medicine | 2202-a Beechmont Road, South Boston, VA 24592-2547 | 2005-07-07 |
| 1760832372 | Devmith Chinthaka Gajadeera | Internal Medicine | 101 Aubreys Loop, South Boston, VA 24592-5054 | 2016-06-14 |
| 1770719460 | Sarah Aiko Sloan | Internal Medicine | 409 W Broadway, Adult Medicine, South Boston, MA 02127-2245 | 2009-06-08 |
| Find all providers in SOUTH BOSTON | ||||
| City | SOUTH BOSTON |
| Zip Code | 02127 |
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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.