FAMILY PRACTICE OF CHIROPRACTIC, PC (NPI# 1982771978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982771978 |
| Entity Type | Organization |
| Organization Name | FAMILY PRACTICE OF CHIROPRACTIC, PC |
| Practice Address |
112 Mayor Thomas J Mcgrath Hwy Quincy MA 02169-4607 |
| Practice Telephone | 6714724220 |
| Practice Fax Number | 6174722598 |
| Mailing Telephone | 6714724220 |
| Mailing Fax Number | 6174722598 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2016-07-14 |
| Authorized Official Name | DR. GABRIELLE SHARON FREEDMAN (OWNER) |
| Authorized Official Telephone | 6174724220 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | DC1915 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BCBS | Y36387 | 01 |
| MA | TUFTS HEALTH PLAN | 760406 | 01 |
| MA | HARVARD PILGRIM | 352418 | 01 |
| Street Address |
112 MAYOR THOMAS J MCGRATH HWY |
| City | QUINCY |
| State | MA |
| Zip Code | 02169-4607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164797239 | Maura E Ziegler | Specialist | 350 Hancock St, Quincy, MA 02171-2439 | 2012-03-21 |
| 1346510310 | Mountain Physical Therapy | Specialist | 20 Crescent St, B, Quincy, CA 95971-9118 | 2012-01-09 |
| 1962782789 | Beth M Baker | Specialist | 67 Coddington St Ste 103, Quincy, MA 02169-4511 | 2011-08-24 |
| 1295015675 | Carrie Anne Weber | Specialist | 11 D St Se, Quincy, WA 98848-1433 | 2011-08-17 |
| 1043470792 | Cynthia Jo Rosenkoetter | Specialist | 2810 Lind St, Quincy, IL 62301-3507 | 2008-06-16 |
| 1144404104 | Khosro Tigrani | Specialist | 318 Lincoln Hl Nw, Quincy, IL 62301-4496 | 2007-12-26 |
| 1306068275 | Jimmie Dean Copeland Jr. | Specialist | 104 E. Washington Street, Suite E., Quincy, FL 32351 | 2007-05-02 |
| 1730214065 | Reynaldo Pesina | Specialist | 76 Cresent Way, Quincy, CA 95970 | 2007-02-23 |
| 1558496265 | Western Illinois Sports Medicine and Orthopedic Center | Specialist | 927 Broadway St Ste 104, Quincy, IL 62301-2728 | 2007-02-22 |
| 1043363542 | Sands Traveler Pt, Inc. | Specialist | 76 Cresent, Quincy, CA 95971 | 2007-01-19 |
| Find all providers in QUINCY | ||||
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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.