SOWMYA REDDY THADISINA


Address: 101 Main St Ste 214, Medford, MA 02155-4530
Phone: 7813913885

SOWMYA REDDY THADISINA (NPI# 1972793370) 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) 1972793370
Entity Type Individual
Full Name SOWMYA REDDY THADISINA
Credential MD
Practice Address 101 Main St Ste 214
Medford
MA 02155-4530
Practice Telephone 7813913885
Practice Fax Number 7813916224
Mailing Telephone 7813913885
Mailing Fax Number 7813916224
Enumeration Date 2007-07-31
Last Update Date 2019-12-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 249259 MA Allopathic & Osteopathic Physicians

Office Location

Street Address 101 MAIN ST STE 214
City MEDFORD
State MA
Zip Code 02155-4530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477710515 Kristen J Camara Nurse Practitioner 101 Main St Ste 214, Medford, MA 02155-4530 2008-05-16

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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346847332 Jasmine Barnhart Family Medicine 1935 Canyon Ave, Medford, OR 97504-2128 2020-10-03
1831742667 Mallory Marie Morton Family Medicine 429 Main St # 3, Medford, MA 02155-6571 2019-07-21
1841619418 Andrew Thomas Gomez Family Medicine 131 Rte 70 W, Ste 100, Medford, NJ 08055 2014-04-10
1992140313 Stephanie Guido Family Medicine 128 Route 70 Ste Aandb, Medford, NJ 08055-2371 2013-04-30
1316214281 Carl Russell Griesser Family Medicine 555 Black Oak Drive, Suite 100, Medford Medical Clinic, Medford, OR 97504 2011-11-21
1649591223 Wesley T Ramoso Family Medicine 3225 Hillcrest Park Dr, Medford, OR 97504-7657 2010-06-17
1891945812 Amy Holmes Medical Services Plc Family Medicine 102 E Cherokee, Medford, OK 73759-1210 2008-09-26
1689890667 James K Robinson II Family Medicine W5238 Jolly Ave, Medford, WI 54451-9303 2007-04-18
1316160658 Island Medical of Medford, LLP Family Medicine 1647 Route 112, Medford, NY 11763-3635 2007-04-11
1518088376 Helen Trew Family Medicine 2921 Doctors Park Dr, Medford, OR 97504-8127 2007-04-02
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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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