BERKSHIRE HAND TO SHOULDER CENTER LLC (NPI# 1871032904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871032904 |
| Entity Type | Organization |
| Organization Name | BERKSHIRE HAND TO SHOULDER CENTER LLC |
| Practice Address |
55 Pittsfield Rd Suite 12b Lenox MA 01240-2123 |
| Practice Telephone | 4133441770 |
| Mailing Telephone | 4133441770 |
| Enumeration Date | 2017-02-22 |
| Last Update Date | 2017-06-06 |
| Authorized Official Name | MICHAEL PHILIP NANCOLLAS (OWNER) |
| Authorized Official Telephone | 3155593506 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
553596 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
257785 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
55 PITTSFIELD RD SUITE 12B |
| City | LENOX |
| State | MA |
| Zip Code | 01240-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649256900 | Richard M Berlin | Psychiatry & Neurology | 55 Pittsfield Rd, Suite 6a, Lenox, MA 01240-2123 | 2005-12-19 |
| 1831676709 | Calla Rae Delsignore | Nurse Practitioner | 55 Pittsfield Rd, Lenox, MA 01240-2123 | 2018-07-24 |
| 1720510951 | Eileen Bote | Dietitian, Registered | 55 Pittsfield Rd, Suite 9, Lenox, MA 01240-2123 | 2017-03-28 |
| 1104202118 | Biji Manoj Vengalil | Nurse Practitioner | 55 Pittsfield Rd, Lenox, MA 01240 | 2015-08-03 |
| 1780069765 | Santamarina Aesthetic and Plastic Surgery LLC | Clinic/Center | 55 Pittsfield Rd, Building 12c, Lenox, MA 01240-2123 | 2015-07-20 |
| 1235547563 | Kim Charlotta Bladh-silverstein | Nurse Practitioner | 55 Pittsfield Rd, Lenox, MA 01240 | 2014-07-30 |
| 1417397803 | Terra Lampiasi | Internal Medicine | 55 Pittsfield Rd, Lenox, MA 01240 | 2013-06-28 |
| 1558585638 | Th E Sports Medicine Store LLC | Durable Medical Equipment & Medical Supplies | 55 Pittsfield Rd, Bldg #8b, Lenox, MA 01240-2122 | 2007-04-12 |
| 1427188093 | Brian Scott Dundas | Psychiatry & Neurology | 55 Pittsfield Rd, Suite 6b, Lenox, MA 01240-2123 | 2007-03-06 |
| 1518043652 | Elizabeth W Boham | Family Medicine | 55 Pittsfield Rd, Suite 9, Lenox, MA 01240-2123 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811431943 | Dr. Glass Lenox Psychiatry, LLC | Clinic/Center | 69 Church Street, Suite 6, Lenox, MA 01240 | 2016-12-08 |
| 1558713065 | Nada Esa | Internal Medicine | 26 Old Stockbridge Rd, P.o 43, Lenox, MA 01240 | 2016-07-08 |
| 1962701367 | Ens Health Care of The Berkshires LLC | In Home Supportive Care | 31a Church Street, Lenox, MA 01240 | 2011-03-24 |
| 1164603718 | Kelly A Clady-giramma | Acupuncturist | Acupuncture Dept., Canyon Ranch, 165 Kemble St., Lenox, MA 01240 | 2007-11-23 |
| 1871707687 | Janet Amadon Richardson | Licensed Practical Nurse | 449 Pittsfield Rd, Premier Home Health, Lenox, MA 01240 | 2007-05-10 |
| 1528111762 | John Allen Miner | Psychiatry & Neurology | 25 Housatonic St, Lenox, MA 01240 | 2007-01-19 |
| 1972692150 | Georgia Bettina Martin | Family Medicine | 55 Pittsfield Rd Ste 12d, Lenox, MA 01240 | 2006-10-12 |
| 1558474338 | Jean R Brown | Social Worker | 25 Housatonic Street, Lenox, MA 01240 | 2006-08-16 |
| 1760902068 | Saarika M Nair | Internal Medicine | 725 North Street, Pittsfield, MA 01240 | 2017-06-27 |
| 1992234397 | Michelle Dasilva | Occupational Therapy Assistant | 40 Sunset Ave, Lenox, MA 01240 | 2017-06-08 |
| Find all providers in zip 01240 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528585296 | Orthopaedic Hand Associates-mah LLC | Orthopaedic Surgery | 22 Mill St Ste 302, Arlington, MA 02476-4744 | 2017-08-24 |
| 1760909444 | Orthopaedic Hand Associates - Nashoba LLC | Orthopaedic Surgery | 198 Groton Rd Ste 1, Ayer, MA 01432-1177 | 2017-08-24 |
| 1386754794 | Daniel C Gottlieb | Orthopaedic Surgery | 99 Pond Ave Apt 415, Brookline, MA 02445-7117 | 2006-08-30 |
| 1134168123 | Richard G Eaton | Orthopaedic Surgery | 22 Barberry Ln, Box 635, Brewster, MA 02631-1353 | 2006-06-05 |
| 1649227349 | Howard A Lipton | Orthopaedic Surgery | 50 Pershing Rd, Needham, MA 02494-1029 | 2006-05-28 |
| 1356397541 | Debra A Mulley | Orthopaedic Surgery | 1493 Cambridge Street., Cambridge Health Alliance, Cambridge, MA 02139 | 2006-05-26 |
| 1922062389 | Bruce I Wintman | Orthopaedic Surgery | 3550 Main Street, Suite 204, Springfield, MA 01107-1086 | 2006-04-13 |
| 1649270810 | Sang-gil Lee | Orthopaedic Surgery | 1 Hawthorne Pl, Suite 105, Boston, MA 02114-2333 | 2005-07-28 |
| 1720557507 | Orthopedics New England 3, LLC | Orthopaedic Surgery | 313 Speen St, Natick, MA 01760-1538 | 2018-11-21 |
| 1629595236 | Orthopaedic Hand Associates - Emerson LLC | Orthopaedic Surgery | 14 Research Pl, N Chelmsford, MA 01863-2412 | 2017-08-24 |
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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.