NEELAM M. THACKER, M.D.


Address: 101 Main St, #210, Medford, MA 02155-4540
Phone: 7813968100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
MA TYPE 1 NPI # 1790832822 01

Office Location

Street Address 101 MAIN ST
#210
City MEDFORD
State MA
Zip Code 02155-4540

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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]

Providers in the same taxonomy and city

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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Competitor

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City MEDFORD
Zip Code 02155

Improve Information

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Dataset Information

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.

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