DVA HEALTHCARE OF MASSACHUSETTS INC (NPI# 1891754883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891754883 |
| Entity Type | Organization |
| Organization Name | DVA HEALTHCARE OF MASSACHUSETTS INC |
| Other Organization Name | WELLINGTON CIRCLE DIALYSIS CENTER |
| Practice Address |
10 Cabot Rd Ste 103b Medford MA 02155-5275 |
| Mailing Address |
5200 Virginia Way L & C Dept Brentwood TN 37027-7569 |
| Practice Telephone | 7813069740 |
| Practice Fax Number | 7813069745 |
| Mailing Telephone | 6153204214 |
| Mailing Fax Number | 8669443352 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2019-10-31 |
| Authorized Official Name | JAMES K. HILGER (CHIEF ACCOUNTING OFFICER) |
| Authorized Official Telephone | 2537334500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
EQ1D | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1311697 | 05 |
| Other Name | Type Code |
|---|---|
| Wellington Circle Dialysis Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356850242 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 267 Shrewsbury St, Worcester, MA 01604-4623 | 2017-09-24 |
| 1811956246 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 31 Mall Rd, Suite 1b, Burlington, MA 01803-4138 | 2006-03-23 |
| 1962461988 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 237-b State Rd, North Dartmouth, MA 02747-2612 | 2006-03-20 |
| 1235198193 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 207 Highland Ave, Ste 205, Salem, MA 01970-1829 | 2006-03-20 |
| 1710946637 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 660 Harrison Ave, Boston, MA 02118-2304 | 2006-03-20 |
| 1124087150 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 322 Washington St, Brookline, MA 02445-6850 | 2006-03-20 |
| 1083673990 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 330 Libbey Industrial Pkwy, Ste 900, Weymouth, MA 02189-3122 | 2006-03-20 |
| 1932168879 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 799 Concord Ave, Cambridge, MA 02138 | 2006-03-20 |
| 1851350714 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 195 Worcester St, Lower Level, Wellesley, MA 02481-5568 | 2006-03-20 |
| 1184683047 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 23 Warren Ave, Woburn, MA 01801-7906 | 2006-03-20 |
| Street Address |
10 CABOT RD STE 103B |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-5275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770912644 | Darci Nelsen | Counselor | 10 Cabot Rd, Medford, MA 02155-5177 | 2013-11-01 |
| 1467798355 | Danielle Leah Isetts | Social Worker | 10 Cabot Rd, Suite 101, Medford, MA 02155-5177 | 2012-12-20 |
| 1467700070 | The Counseling Center for Child Development Inc | Case Management | 10 Cabot Rd, 101, Medford, MA 02155-5177 | 2012-08-29 |
| 1255623062 | Maribeth Ortega | Social Worker | 10 Cabot Rd, Suite 101, Medford, MA 02155-5177 | 2011-05-11 |
| 1942510466 | Melissa Smerling | Social Worker | 10 Cabot Rd, Medford, MA 02155-5177 | 2010-10-18 |
| 1982913190 | Marie Edna Ulysse | Counselor | 10 Cabot Rd, 209, Medford, MA 02155-5177 | 2010-10-05 |
| 1225347248 | Shannon Foley | Social Worker | 10 Cabot Rd, 209, Medford, MA 02155-5177 | 2010-09-27 |
| 1407164825 | Molly Ann Simmons | Counselor | 10 Cabot Rd, Medford, MA 02155-5177 | 2010-09-20 |
| 1336450667 | Martha E Cregan | Counselor | 10 Cabot Rd, Suite 209, Medford, MA 02155-5177 | 2010-07-01 |
| 1225358245 | Eliot Community Service Agency | Health Maintenance Organization | 10 Cabot Rd, Medford, MA 02155-5177 | 2010-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1558511295 | Aspirus Medford Hospital & Clinics, Inc. | Clinic/Center | 111 S Gibson St, Medford, WI 54451 | 2008-09-30 |
| 1447269154 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 305 Mystic Ave, Medford, MA 02155-6313 | 2006-08-05 |
| 1487682134 | Huntington Artificial Kidney Center Ltd | Clinic/Center | 1725 N Ocean Ave, Medford, NY 11763-2649 | 2006-06-30 |
| 1306077680 | Star Dialysis LLC | Clinic/Center | 760 Golf View Dr, Unit 100, Medford, OR 97504-9685 | 2009-08-04 |
| 1265697692 | Davita of New York Inc | Clinic/Center | 1725 N Ocean Ave, Medford, NY 11763-2649 | 2008-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760025217 | Leominster Dialysis LLC | Clinic/Center | 20 Commercial Rd Ste 5, Leominster, MA 01453-3339 | 2019-10-28 |
| 1801448725 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 10 Galaxy Pass Ste A, Sutton, MA 01590-4838 | 2019-07-11 |
| 1023596863 | Ara-holyoke Dialysis LLC | Clinic/Center | 36 Lower Westfield Rd Unit C-153, Holyoke, MA 01040-2749 | 2018-08-03 |
| 1831603638 | Auburn Health LLC | Clinic/Center | 771 Southbridge St Ste 1, Auburn, MA 01501-1345 | 2017-12-01 |
| 1295247955 | Bio-medical Applications of Massachusetts Inc | Clinic/Center | 867 Grafton St Ste 3, Worcester, MA 01604-2052 | 2017-11-02 |
| 1356850242 | Dva Healthcare of Massachusetts Inc | Clinic/Center | 267 Shrewsbury St, Worcester, MA 01604-4623 | 2017-09-24 |
| 1942673819 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 216 Huttleston Ave, Fairhaven, MA 02719-1958 | 2015-11-02 |
| 1134500747 | Bio-medical Applications of Massachusetts, Inc. | Clinic/Center | 75 Newbury St, Danvers, MA 01923-1083 | 2015-06-10 |
| 1588067623 | Nxstage Boston South, LLC | Clinic/Center | 500 Providence Hwy Ste 1, Norwood, MA 02062-4960 | 2014-10-03 |
| 1164840484 | Fresenius Medical Care Cnv Marlborough, LLC | Clinic/Center | 360 Cedar Hill St Ste 3, Marlborough, MA 01752-4175 | 2014-04-03 |
| 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.