NEELAM M. THACKER, M.D. (NPI# 1942543764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942543764 |
Entity Type | Organization |
Organization Name | NEELAM M. THACKER, M.D. |
Practice Address |
101 Main St #210 Medford MA 02155-4540 |
Practice Telephone | 7813968100 |
Practice Fax Number | 7813919929 |
Mailing Telephone | 7813968100 |
Enumeration Date | 2013-03-29 |
Last Update Date | 2013-03-29 |
Authorized Official Name | DR. NEELAM M THACKER (M.D.) |
Authorized Official Telephone | 7813968100 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | TYPE 1 NPI # | 1790832822 | 01 |
Street Address |
101 MAIN ST #210 |
City | MEDFORD |
State | MA |
Zip Code | 02155-4540 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902809411 | Raymond S. Murano | Podiatrist | 101 Main St, Ste 207, Medford, MA 02155-4530 | 2005-05-30 |
1063805851 | Diane Coste | Nurse Practitioner | 101 Main St, Suite 110, Medford, MA 02155-4540 | 2015-03-18 |
1801134416 | Jason M. Gilbert, M.d.p.c. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2013-01-17 |
1275878076 | Nicole Marie Hersel | Nurse Practitioner | 101 Main St, Suite 201, Medford, MA 02155-4540 | 2012-12-05 |
1033491766 | H. Gregory Ota, M.d., P.c | Clinic/Center | 101 Main St, Suite 216, Medford, MA 02155-4540 | 2011-09-20 |
1679866156 | Anthony Michael Paolucci | Dentist | 101 Main St, #206, Medford, MA 02155-4540 | 2011-05-17 |
1235434762 | Karen Ann Quigley | Dentist | 101 Main St, Suite 206, Medford, MA 02155-4540 | 2011-01-13 |
1023348935 | Jason M. Gilbert, M.d. P.C. | Ophthalmology | 101 Main St, Suite 208, Medford, MA 02155-4540 | 2009-12-29 |
1215164744 | James Andriotakis | Physical Medicine & Rehabilitation | 101 Main St, Suite 101, Medford, MA 02155-4540 | 2009-06-11 |
1093949778 | Stephanie S Bjork | Obstetrics & Gynecology | 101 Main St, Suite 217, Medford, MA 02155-4540 | 2009-05-08 |
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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 | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033491766 | H. Gregory Ota, M.d., P.c | Clinic/Center | 101 Main St, Suite 216, Medford, MA 02155-4540 | 2011-09-20 |
1104991405 | Northwest Pain Management Inc | Clinic/Center | 897 Royal Ave, Suite C, Medford, OR 97504-6121 | 2006-11-21 |
1134158983 | Cardiovascular Institute of Southern Oregon, LLC | Clinic/Center | 520 Medical Center Dr, Suite 150, Medford, OR 97504-4334 | 2006-07-02 |
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1306400478 | Valentine Eye Group | Clinic/Center | 80 Erdman Way # 205, Leominster, MA 01453-1840 | 2019-04-24 |
1578034641 | Zuhayr Hemady Md Bi PC | Clinic/Center | 1261 Furnace Brook Pkwy Ste 33, Quincy, MA 02169-4762 | 2018-12-16 |
1528448693 | Dr. Susan Rodgin | Clinic/Center | 39 W Plain St, Wayland, MA 01778-4409 | 2015-06-04 |
1205215373 | Mass Medical Group, LLC | Clinic/Center | 200 Central St, Suite #2, Lowell, MA 01852-2201 | 2015-05-22 |
1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
1053740241 | Aesthetic Plastic Surgery of North Shore PC | Clinic/Center | 900 Cummings Ctr Ste 301u, Beverly, MA 01915-6181 | 2013-11-07 |
1518217694 | Sarah M Barnett Md Pllc | Clinic/Center | 119 Drum Hill Rd # 128, Chelmsford, MA 01824-1505 | 2012-09-14 |
1255687166 | James V Kowalski M.d. P.C. | Clinic/Center | 795 W Main St, Hyannis, MA 02601-3424 | 2012-07-29 |
1548564073 | Mind Body Healthlink | Clinic/Center | 26 Castle Rd, Northborough, MA 01532-1249 | 2010-12-23 |
1316184005 | Simon Faynzilbergmd PC | Clinic/Center | 157 Winthrop Rd Unit 2, Brookline, MA 02445-4642 | 2009-01-16 |
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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.