ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC (NPI# 1861501835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861501835 |
| Entity Type | Organization |
| Organization Name | ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC |
| Practice Address |
1 Pearl St St 1200 Brockton MA 02301-2864 |
| Mailing Address |
1 Pearl St St 1800 Brockton MA 02301-2864 |
| Practice Telephone | 5085883174 |
| Practice Fax Number | 5085883179 |
| Mailing Telephone | 5085883174 |
| Mailing Fax Number | 5085883179 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-03-05 |
| Authorized Official Name | MARCIA M ISSA (OFFICE MANAGER) |
| Authorized Official Telephone | 5085883174 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
63138 | MA | Ambulatory Health Care Facilities |
| Street Address |
1 PEARL ST ST 1200 |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-2864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376535534 | Laurie L. Han | Internal Medicine | 1 Pearl St, Suite 1300, Brockton, MA 02301-2864 | 2005-08-15 |
| 1245730589 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 1 Pearl St, Brockton, MA 02301-2864 | 2018-02-13 |
| 1619480670 | Deborah Anne Poche' | Nurse Practitioner | 1 Pearl St, Brockton, MA 02301-2864 | 2017-11-13 |
| 1629434592 | Daniel Joy | Physical Therapist | 1 Pearl St, Ste 1700, Brockton, MA 02301-2864 | 2016-01-07 |
| 1316323553 | Sara Ashley Scialdone | Registered Nurse | 1 Pearl St, Suite 2100, Brockton, MA 02301-2864 | 2015-08-10 |
| 1962881078 | Steward Medical Group, Inc | Clinic/Center | 1 Pearl St, Suite 1800, Brockton, MA 02301-2864 | 2015-05-21 |
| 1164815700 | Jenna Carchedi | Physical Therapist | 1 Pearl St, Suit 1700, Brockton, MA 02301-2864 | 2015-03-06 |
| 1508257478 | Chelsea K. Champlin | Physician Assistant | 1 Pearl St, Suite 2000, Brockton, MA 02301-2864 | 2015-02-12 |
| 1992127369 | Agnieszka Buniowska | Internal Medicine | 1 Pearl St, Suite 2100, Brockton, MA 02301-2864 | 2014-01-20 |
| 1588096655 | Shawna Mae Bucchere | Physician Assistant | 1 Pearl St, Suite 2100, Brockton, MA 02301-2864 | 2013-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962881078 | Steward Medical Group, Inc | Clinic/Center | 1 Pearl St, Suite 1800, Brockton, MA 02301-2864 | 2015-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149365 | Medford Surgery Center, LLC | Clinic/Center | 170 Governors Ave Ste 100, Medford, MA 02155-1643 | 2020-03-18 |
| 1629603162 | Natick Surgery Center, LLC | Clinic/Center | 313 Speen St Ste 200, Natick, MA 01760-1538 | 2020-03-05 |
| 1679115166 | Prima Care, PC | Clinic/Center | 277 Pleasant St Ste 240, Fall River, MA 02721-3005 | 2019-10-16 |
| 1194275230 | West Suburban Eye Surgery Center LLC | Clinic/Center | 321 Billerica Rd, Chelmsford, MA 01824-4169 | 2016-10-13 |
| 1548591761 | New England Pain Associates. PC | Clinic/Center | 851 Main St Unit 16, Weymouth, MA 02190-1612 | 2010-01-28 |
| 1598096273 | New England Pain Associates, PC | Clinic/Center | 340 Wood Road, Suite 204, Braintree, MA 02184 | 2010-01-20 |
| 1598096257 | New England Pain Assocites, PC | Clinic/Center | 340 Wood Road, Suite 204, Braintree, MA 02184 | 2010-01-20 |
| 1073843694 | New England Pain Associates, PC | Clinic/Center | 10 Converse Place 4th Floor, Winchester, MA 01890 | 2010-01-04 |
| 1477655801 | Cataract and Laser Center Associates PC | Clinic/Center | 1 Berkshire Sq, Suite 110, Adams, MA 01220-1300 | 2006-09-05 |
| 1730113325 | Dha Endoscopy LLC | Clinic/Center | 91 Montvale Ave Ste 103, Stoneham, MA 02180-3649 | 2006-07-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on ENDOSCOPY CENTER OF SOUTHEAST MASSACHUSETTS LLC.
| 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.