PRISCILLA SHUBE (NPI# 1821050006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821050006 |
| Entity Type | Individual |
| Full Name | PRISCILLA SHUBE |
| Credential | M.D. |
| Practice Address |
479 Swansea Mall Dr Swansea MA 02777-4119 |
| Mailing Address |
200 Mill Rd Ste 180 Fairhaven MA 02719-5252 |
| Practice Telephone | 5089731570 |
| Practice Fax Number | 5089731545 |
| Mailing Telephone | 5089732000 |
| Mailing Fax Number | 5089732001 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2020-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 60124 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110046540A | 05 |
| Street Address |
479 SWANSEA MALL DR |
| City | SWANSEA |
| State | MA |
| Zip Code | 02777-4119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093700726 | Joseph Timothy Lifrak | Orthopaedic Surgery | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2005-09-19 |
| 1730659046 | Celeste Moyen | Physical Therapist | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2018-11-29 |
| 1336622091 | Adam Brant Sevensma | Nurse Practitioner | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2018-09-10 |
| 1740782671 | Joseph Greco | Physician Assistant | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2018-03-07 |
| 1629428644 | William R Blair | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2016-06-21 |
| 1346616836 | Olivia Amorin | Physical Therapist | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2015-08-19 |
| 1033503933 | Paul Faria | Physical Therapist | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2015-03-27 |
| 1225421118 | Southcoast Physicians Group, Inc. | Physical Therapist | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2015-03-17 |
| 1407249451 | Sharon Solomon | Physical Therapist | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2015-03-16 |
| 1649531302 | Jessica Huang | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2012-05-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003399205 | Patricia Ann Golden | Social Worker | 377 Bark St, Swansea, MA 02777 | 2018-09-13 |
| 1275933921 | Traci Rigano | Social Worker | 664 Stevens Road, Swansea, MA 02777 | 2014-08-31 |
| 1821419169 | Vivienne Kathryn Joffe | Social Worker | 453 Swansea Mall Dr., Swansea, MA 02777 | 2014-01-03 |
| 1477898047 | One Solution Homecare | Custodial Care Facility | 310 Wilbur Avenue, Suite 7, Swansea, MA 02777 | 2012-12-07 |
| 1093077976 | Samantha Stone | Student in an Organized Health Care Education/Training Program | 463 Swansea Mall Drive, Swansea, MA 02777 | 2012-06-15 |
| 1013209311 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2340 Gar Highway, Swansea, MA 02777 | 2011-05-05 |
| 1538318720 | Templer Dentistry, LLC | Dentist | 1010 G.a.r. Hyghway, Swansea, MA 02777 | 2008-09-12 |
| 1619156767 | Melanie Beth Jette | Counselor | 789 Stevens Rd., Swansea, MA 02777 | 2007-10-25 |
| 1780708206 | Francis M James | Obstetrics & Gynecology | 164 Seaview Ave, Swansea, MA 02777 | 2007-03-19 |
| 1659402899 | Mary Anne Delcupolo Dds PC | Dentist | H2 Swansea Mall, Swansea, MA 02777 | 2007-03-08 |
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| 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 |
|---|---|---|---|---|
| 1164029591 | Lexington Health Inc | Family Medicine | 935 W 2nd St, Swansea, SC 29160-8665 | 2020-10-08 |
| 1629428644 | William R Blair | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2016-06-21 |
| 1629443601 | Pc Associates, LLC | Family Medicine | 3 Park Pl, Swansea, IL 62226-2965 | 2015-12-02 |
| 1649531302 | Jessica Huang | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2012-05-30 |
| 1437259116 | Sarah C. Phillips | Family Medicine | 935 W 2nd St, Swansea, SC 29160-8665 | 2006-09-23 |
| 1760490841 | Henry J Marion | Family Medicine | 935 W 2nd St, Swansea, SC 29160-8665 | 2006-08-04 |
| 1174543409 | Dale Blizzard | Family Medicine | 935 West 2nd Street, Swansea, SC 29160 | 2006-07-20 |
| 1346207842 | Hugh Woolverton IIi | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2006-04-27 |
| 1225099443 | Jeffrey B. Syme | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2006-03-29 |
| 1669432605 | Mark A. Ringiewicz | Family Medicine | 479 Swansea Mall Dr, Swansea, MA 02777-4119 | 2006-03-24 |
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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.