WOODBINE, PC (NPI# 1821362294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821362294 |
| Entity Type | Organization |
| Organization Name | WOODBINE, PC |
| Other Organization Name | MASHPEE FAMILY MEDICINE |
| Practice Address |
5 Industrial Dr Suite 100 Mashpee MA 02649-3464 |
| Practice Telephone | 5084774282 |
| Practice Fax Number | 5085396134 |
| Mailing Telephone | 5084774282 |
| Mailing Fax Number | 5085396134 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |
| Authorized Official Name | TEDI C MARSH (BUSINESS MANAGER) |
| Authorized Official Telephone | 5085396188 |
| Authorized Official Credential | CPC, CPP-P |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
51965 | MA | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Mashpee Family Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780800888 | Woodbine, PC | Family Medicine | 5 Industrial Dr, Mashpee, MA 02649-3464 | 2007-04-17 |
| Street Address |
5 INDUSTRIAL DR SUITE 100 |
| City | MASHPEE |
| State | MA |
| Zip Code | 02649-3464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356793335 | Elizabeth M Felter | Physician Assistant | 5 Industrial Dr, Suite 202, Mashpee, MA 02649-3464 | 2016-07-01 |
| 1740651215 | Leann Lynn Swanson | Nurse Practitioner | 5 Industrial Dr, Suite 100, Mashpee, MA 02649-3464 | 2015-10-09 |
| 1366833840 | Craig M. Eldridge | Physician Assistant | 5 Industrial Dr, Suite 202, Mashpee, MA 02649-3465 | 2015-02-05 |
| 1669896825 | Craig Jones, M.d. - Ear, Nose & Throat Surgery, P.C. | Otolaryngology | 5 Industrial Dr, Suite 202, Mashpee, MA 02649-3464 | 2014-02-09 |
| 1194020180 | Alissa A Devito | Nurse Practitioner | 5 Industrial Dr, Suite 107, Mashpee, MA 02649-3464 | 2011-01-21 |
| 1114259843 | Steven J. Garrett, M.d., P.C. | Dermatology | 5 Industrial Dr, Suite 109, Mashpee, MA 02649-3464 | 2010-02-05 |
| 1083899678 | Dianne Wells | Nurse Practitioner | 5 Industrial Dr, Suite 100, Mashpee, MA 02649-3464 | 2008-01-02 |
| 1790987386 | Theodore A Calianos II Md PC | Plastic Surgery | 5 Industrial Dr, Suite 109, Mashpee, MA 02649 | 2007-06-05 |
| 1780800888 | Woodbine, PC | Family Medicine | 5 Industrial Dr, Mashpee, MA 02649-3464 | 2007-04-17 |
| 1871628693 | Jennifer Lynn August | Physician Assistant | 5 Industrial Dr, Mashpee, MA 02649-3464 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457817348 | Emily Hannah Minakin | Physician Assistant | Community Health Center of Cape Cod, 107 Commercial Street, Mashpee, MA 02649 | 2019-02-15 |
| 1790278018 | Westwind Counseling & Wellness, LLC | Counselor | 681 Falmouth Rd Ste A20c, Mashpee, MA 02649 | 2018-06-11 |
| 1790151967 | Katie Justine Wallace | Nurse Practitioner | Mashpee Family Medicine 5 Industrial Drive, Suite 100, Mashpee, MA 02649 | 2015-08-11 |
| 1972847689 | Kara M Blackwell | Licensed Practical Nurse | 12 Pine Grove Circle, Mashpee, MA 02649 | 2012-11-19 |
| 1992001457 | Mashpee Service Unit/indian Health Service | Clinic/Center | 483 Great Neck Road South, Building 002-health Clinic, Mashpee, MA 02649 | 2011-02-01 |
| 1306178066 | Pamela W Brighton | Counselor | Mashpee Common 2 Oak St., Center for Family Therapy, Mashpee, MA 02649 | 2010-02-05 |
| 1063743524 | Shana M Truel | Counselor | 477 Main Street, Mashpee, MA 02649 | 2010-01-22 |
| 1376718197 | Christopher Joseph Salvo | Pediatrics | 107 Commercial St., Mashpee, MA 02649 | 2008-04-23 |
| 1215111489 | Joyce Teir Hosford | Speech-Language Pathologist | 418-88 Quinaquisset Ave., Mashpee, MA 02649 | 2007-12-24 |
| 1225218092 | Emily Davern | Social Worker | 107 Commerical St, Mashpee, MA 02649 | 2007-11-09 |
| Find all providers in zip 02649 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1780246058 | Elaine Skawski Np, LLC | Clinic/Center | 10 Hospital Dr Ste 311, Holyoke, MA 01040-6603 | 2019-07-08 |
| 1306403613 | Compassionate Care Physicians LLC | Clinic/Center | 9 Mill and Main Pl Ste 101, Maynard, MA 01754-2651 | 2019-05-22 |
| 1245721240 | Zaheen Medical Center LLC | Clinic/Center | 231 Sutton St Ste 1a, North Andover, MA 01845-1620 | 2018-05-24 |
| 1982102265 | Jacob Louis Perriello | Clinic/Center | 12 Drew Ave, Weymouth, MA 02189-2226 | 2018-02-01 |
| 1407385834 | Lawrence Health Solutions, LLC | Clinic/Center | 25 Marston St., Suite 105, Lawrence, MA 01841 | 2017-06-08 |
| 1962949925 | Regis College | Clinic/Center | 155 Wheeler Circle, Apt. 273, Stoughton, MA 02072 | 2017-01-27 |
| 1154866234 | Sokharith Mey, Md, Pllc | Clinic/Center | 280 Union St # 402, Lynn, MA 01901-1353 | 2016-12-28 |
| 1558721191 | Harbor Health Services Inc | Clinic/Center | 735 Attucks Lane, Hyannis, MA 02601 | 2016-02-24 |
| 1669830550 | Nirphemy Dambreville-lundy | Clinic/Center | 125 Gas Light Dr, 8, Weymouth, MA 02190-2142 | 2016-02-05 |
| 1891125480 | Western Massachusetts Primary Care PC | Clinic/Center | 405 Armory St, Springfield, MA 01104-2305 | 2013-11-18 |
| Find all providers with the same taxonomy | ||||
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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.