CHARLES D MALIS (NPI# 1891766176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891766176 |
| Entity Type | Individual |
| Full Name | CHARLES D MALIS |
| Credential | M.D. |
| Practice Address |
107 Commercial St Mashpee MA 02649 |
| Mailing Address |
56 Winthrop St Unit 1 The Concord Clinic Concord MA 01742-2076 |
| Practice Telephone | 5084777090 |
| Practice Fax Number | 5084773090 |
| Mailing Telephone | 9783692266 |
| Mailing Fax Number | 9783695205 |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 58602 | MA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 58602 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3024741 | 05 |
| Street Address |
107 COMMERCIAL ST |
| City | MASHPEE |
| State | MA |
| Zip Code | 02649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336142504 | Kenneth George Terkelsen | Psychiatry & Neurology | 107 Commercial St, Mashpee, MA 02649-6507 | 2005-05-23 |
| 1689283368 | Alyssa Caggiano | Nurse Practitioner | 107 Commercial St, Mashpee, MA 02649-6507 | 2020-07-28 |
| 1780226258 | Susan Hart | Social Worker | 107 Commercial St, Mashpee, MA 02649-6507 | 2019-10-16 |
| 1336791680 | Emily Elgert | Nurse Practitioner | 107 Commercial St, Mashpee, MA 02649-6507 | 2019-07-16 |
| 1730684275 | Community Health Center of Cape Cod, Inc. | Clinic/Center | 107 Commercial St, Mashpee, MA 02649-6507 | 2018-03-27 |
| 1922501824 | Aaron Maloy | Nurse Practitioner | 107 Commercial St, Mashpee, MA 02649-6507 | 2018-03-16 |
| 1518491919 | Natasha Fonseca Barbosa-fortes | Dentist | 107 Commercial St, Mashpee, MA 02649-6507 | 2017-04-12 |
| 1760933014 | Cheri Lynne Cerrato | Nurse Practitioner | 107 Commercial St, Mashpee, MA 02649-6507 | 2016-10-21 |
| 1588112304 | Erica Urban | Counselor | 107 Commercial St, Mashpee, MA 02649-6507 | 2016-09-21 |
| 1972050029 | Dena Irwin | Dietitian, Registered | 107 Commercial St, Mashpee, MA 02649-6507 | 2016-09-07 |
| 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 | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861428849 | Haldor P. Barnes | Family Medicine | 5 Industrial Drive, Suite 100 Mashpee Family Medicine, Mashpee, MA 02649 | 2006-06-23 |
| 1831169234 | Sandra Bender | Family Medicine | 483 Great Neck Rd S, Mashpee, MA 02649-3707 | 2006-01-26 |
| 1649533795 | Kate Baranck Drumond | Family Medicine | 107 Commercial St, Mashpee, MA 02649-6507 | 2012-06-22 |
| 1992091607 | Michael P Messina | Family Medicine | 107 Commercial St, Mashpee, MA 02649-6507 | 2011-06-21 |
| 1780800888 | Woodbine, PC | Family Medicine | 5 Industrial Dr, Mashpee, MA 02649-3464 | 2007-04-17 |
| 1083735146 | Ronald F Backer | Family Medicine | 107 Commercial St, Mashpee, MA 02649 | 2007-04-03 |
| 1285681973 | Richard J Mosychuk | Family Medicine | 34 Bates Rd, Suite 202, Mashpee, MA 02649-3280 | 2006-05-28 |
| 1417939661 | Kristy Kedian Brown | Family Medicine | 107 Commercial St, Mashpee, MA 02649-6507 | 2005-11-15 |
| 1235110396 | Julia A Craig-muller | Family Medicine | 5 Industrial Dr, Mashpee, MA 02649-3464 | 2005-11-07 |
| 1336120567 | Stephanie Sayles Prior | Family Medicine | 107 Commercial St, Mashpee, MA 02649 | 2005-11-05 |
| Find all providers in MASHPEE | ||||
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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.