SANDRA GAY BOCK


Address: Vabos 1400 Vfw Pkwy, Occ Health Rm Ga153, West Roxbury, MA 02132
Phone: 6173237700

SANDRA GAY BOCK (NPI# 1972563922) 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) 1972563922
Entity Type Individual
Full Name SANDRA GAY BOCK
Credential PA-C, M.ED.
Practice Address Vabos 1400 Vfw Pkwy
Occ Health Rm Ga153
West Roxbury
MA 02132
Mailing Address 30 Beechnut Rd
Westwood
MA 02090-3302
Practice Telephone 6173237700
Practice Fax Number 8572035583
Mailing Telephone 7817690215
Enumeration Date 2006-03-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA MA PA LIC 14 01

Other Providers SANDRA BOCK

NPI Name Taxonomy Address Enumeration
1447556196 Sandra Lynn Bock Registered Nurse 8483 Trillium Dr, Chagrin Falls, OH 44023-4705 2011-01-28

Office Location

Street Address VABOS 1400 VFW PKWY
OCC HEALTH RM GA153
City WEST ROXBURY
State MA
Zip Code 02132

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992299663 Ashley Monteiro Counselor 15 Elgin St, West Roxbury, MA 02132 2018-06-18
1033639943 Nahed Lakkis Dentist 80 New Haven St, West Roxbury, MA 02132 2017-06-21
1053780692 Yanpeng Ding Optometrist 2034a Centre St, West Roxbury, MA 02132 2015-09-24
1013303437 Alaa Alrababa I Dentist 125 Edgemere Road, 202, West Roxbury, MA 02132 2015-04-13
1023426483 Kearstin F. Thomas D.m.d.,pc Dentist 2075 Centre Street, West Roxbury, MA 02132 2014-07-30
1003226630 Beyond Independent Living LLC Case Management 1208b Vfw Parkway, Suite 301, Boston, MA 02132 2014-05-05
1780920223 Kysa Christie Psychologist 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 2013-01-02
1629324652 Mohamed Al-janabi Dentist 250 Spring St, Apt 18, West Roxbury, MA 02132 2012-07-27
1265704787 Ronda Denise Jones Case Manager/Care Coordinator 2077 Centre Street, West Roxbury, MA 02132 2012-01-30
1306123419 Hung Doan Pharmacist 1065 Truman Highway, Hyde Park, MA 02132 2011-11-03
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306937156 Mary Connolly Physician Assistant 15 Berwick St, West Roxbury, MA 02132-4217 2006-09-27
1952417867 Cheryl Dean Physician Assistant Va Boston Medical Center, 1400 Vfw Parkway, West Roxbury, MA 02132 2006-08-22
1003391087 Andrew Nguyen Physician Assistant 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 2018-09-26
1609358969 Denise Beliveau Physician Assistant 1832 Centre St, West Roxbury, MA 02132-1901 2018-09-04
1659620557 Lane Austin Walkowicz Physician Assistant 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 2012-09-06
1427158914 Linda Bullinga Physician Assistant 1400 Vfw Pkwy, Va Boston Mailcode 112, West Roxbury, MA 02132-4927 2006-09-24
1013028430 Patricia O'hearn Soonthornprapuet Physician Assistant 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 2006-08-31
1538277926 Lauren Elizabeth Bettencourt Physician Assistant 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 2006-08-27
1346286028 Julie Hempton Physician Assistant 1400 Vfw Pkwy Dept Of, West Roxbury, MA 02132-4927 2006-06-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1548869274 David M Correll Physician Assistant 45 Wollaston Ave, Arlington, MA 02476-5836 2020-10-23
1699374660 Sarah Ilana Katz Physician Assistant 11a Laurel St, Salem, MA 01970-4657 2020-10-21
1205435393 Allison Lee Nocon Physician Assistant 289 Beacon St Apt 8, Boston, MA 02116-1263 2020-10-20
1841898384 Chloe Friedman Physician Assistant 62 Patricia Dr, Abington, MA 02351-1081 2020-10-16
1760080378 Jason Lee Physician Assistant 42 Electric Ave, Somerville, MA 02144-1604 2020-10-15
1700484656 Emily Cioffi Physician Assistant 5 Cosma Rd, North Easton, MA 02356-1331 2020-10-13
1407453806 Emily Louis Physician Assistant 174 Groton Rd, North Chelmsford, MA 01863-1205 2020-10-08
1336746775 Lee T Gernon-lakin Physician Assistant 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 2020-10-08
1073110433 Ellen Boyle Physician Assistant 11 Castle Gate Rd, Wayland, MA 01778-4310 2020-10-07
1992302897 Marissa Pond Physician Assistant 95 Concord St, Haverhill, MA 01830-2809 2020-10-04
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Competitor

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City WEST ROXBURY
Zip Code 02132

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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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