DR. JAMES MICHAEL MEDEIROS (NPI# 1831486554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831486554 |
| Entity Type | Individual |
| Full Name | DR. JAMES MICHAEL MEDEIROS |
| Credential | D.O. |
| Practice Address |
90 Vandenberg Dr 66 Mds (afmc) Hanscom Afb MA 01731-2104 |
| Practice Telephone | 7812256340 |
| Practice Fax Number | 7812252581 |
| Mailing Telephone | 7812256340 |
| Mailing Fax Number | 7812252581 |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2017-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | OSO16249 | PA | Allopathic & Osteopathic Physicians |
| Street Address |
90 VANDENBERG DR 66 MDS (AFMC) |
| City | HANSCOM AFB |
| State | MA |
| Zip Code | 01731-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194719476 | George Charles Hludzik | Dentist | 90 Vandenberg Dr, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2005-09-01 |
| 1598005225 | John David Gerhauser | Dentist | 90 Vandenberg Dr, Bldg 1900, 66 Mds, Hanscom Afb, MA 01731 | 2013-02-16 |
| 1376816462 | Ryan R Gustafson | Dentist | 90 Vandenberg Dr, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2012-02-20 |
| 1629386172 | Manisa Bulsara | Pharmacist | 90 Vandenberg Dr, 66 Mds, Hanscom Afb, MA 01731-2104 | 2010-09-17 |
| 1538476312 | Timothy Joseph Pappalardo | Social Worker | 90 Vandenberg Dr, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2010-09-01 |
| 1770898751 | Bryan Russell Katz | Dentist | 90 Vandenberg Dr, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2010-08-13 |
| 1124348008 | Brayden Tyler Bennett | Pharmacist | 90 Vandenberg Dr, Hanscom Afb, MA 01731-2104 | 2010-06-02 |
| 1033432034 | Matthew Robert Nicoli | Social Worker | 90 Vandenberg Dr, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2010-03-04 |
| 1154653749 | Sang Ngo | Pharmacist | 90 Vandenberg Dr, Hanscom Afb, MA 01731-2104 | 2010-02-05 |
| 1043549736 | Rito A Orozco Jaramillo | Military Health Care Provider | 90 Vandenberg Dr, 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2009-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386114171 | Aletha Juah Thomas | Nurse's Aide | 1 Freedom Cir, Hanscom Afb, MA 01731 | 2018-12-05 |
| 1730609793 | Christopher M. Congemi | Dentist | 66mds (afmc), 90 Vandenberg Dr, Bldg 1900, Hanscom Afb, MA 01731 | 2017-06-21 |
| 1184011322 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 100 Elgin St, Bldg 1709 B, Hanscom Afb, MA 01731 | 2015-04-24 |
| 1578822912 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | Hanscom Afb, Building 1709, Bedford, MA 01731 | 2012-05-04 |
| 1215099858 | Paul R. Rivest | Psychologist | 66th Mdg Sgoh, Hanscom Afb, MA 01731 | 2006-12-13 |
| 1497837843 | Mara Salis | Social Worker | 2 Eglin St, Hanscom Afb, MA 01731 | 2006-10-19 |
| 1790749398 | Lakshmi Kona | Internal Medicine | 1609 Eglin Street, Hanscon Afb, MA 01731 | 2006-04-12 |
| 1245210715 | Jay Scott Cloutier | Physical Therapist | 66 Mdg/sgo, 90 Vandeberg Ave, Hanscom Afb, MA 01731 | 2006-01-19 |
| 1972589828 | Aron R. Potter | Psychologist | 90 Vandenberg Drive, Bldg 1900 66 Mds (afmc), Hanscom Afb, MA 01731 | 2005-12-21 |
| 1730160938 | Mohammed Fuad | Physician Assistant | 66 Mds (afmc), 90 Vandenberg Dr. Bldg. 1900, Hanscom Afb, MA 01731 | 2005-11-07 |
| Find all providers in zip 01731 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578797908 | Ryan Gray | General Practice | 90 Vandenberg Dr 66 Mds (afmc), Hanscom Afb, MA 01731-2104 | 2009-05-13 |
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| 1588289656 | Kissinger Hyppolite Fils | General Practice | 2 Marie St, Worcester, MA 01604-2358 | 2020-06-14 |
| 1437629458 | Integrated Wound Care Massachusetts Pllc | General Practice | 750 Woburn St, Wilmington, MA 01887-3480 | 2018-12-03 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1629588389 | Ethan Gershon | General Practice | 375 Hunnewell St, Needham, MA 02494-1340 | 2017-10-09 |
| 1841739489 | Landmark Medical of Massachusetts Pllc | General Practice | 1400 Computer Dr, Westborough, MA 01581-1760 | 2017-02-15 |
| 1881059665 | Optimal Professional Health Services PC | General Practice | 1418 Providence Hwy, Suite N, Norwood, MA 02062-4655 | 2015-12-22 |
| 1134503865 | Abdulaziz Saleh Alfadhel | General Practice | 55 Station Lndg, Apt 507, Medford, MA 02155-5007 | 2015-07-13 |
| 1508290040 | Richard Lerner | General Practice | 2 Central St, Framingham, MA 01701-4163 | 2013-09-01 |
| Find all providers with the same taxonomy | ||||
| City | HANSCOM AFB |
| Zip Code | 01731 |
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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.