Fiona Mudge (NPI# 1417933888, PAC ID# 1254512049) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1417933888 |
| PAC ID by PECOS | 1254512049 |
| Professional Enrollment ID | I20110228000404 |
| Full Name | Fiona Mudge |
| Organization Legal Name | SOUTHEASTERN PSYCHIATRIC ASSOC |
| Address |
1093 N Main St Associates PC Randolph MA 02368-2100 |
| Phone Number | 7819637775 |
| Gender | F |
| Medical School | JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY |
| Graduation Year | 1992 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 4486696614 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1093 N Main St, Associates PC, Randolph, MA 02368-2100 | 7819637775 | SOUTHEASTERN PSYCHIATRIC ASSOC |
| Organization Legal Name | SOUTHEASTERN PSYCHIATRIC ASSOC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Sheppard Reece | Nurse Practitioner | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Evelyn L Savitz | Certified Clinical Nurse Specialist (cns) | Southeastern Psychiatric Assoc | 2100 Dorchester Ave, Dorchester, MA 02124-5666 |
| Dean Solomon | Psychiatry | Southeastern Psychiatric Assoc | 2100 Dorchester Ave, Dorchester, MA 02124-5666 |
| Jennifer L Gondelman | Certified Clinical Nurse Specialist (cns) | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Gary M Warstadt | Psychiatry | Southeastern Psychiatric Assoc | 2100 Dorchester Ave, Dorchester, MA 02124-5666 |
| Leonard Marcus | Psychiatry | Southeastern Psychiatric Assoc | 2100 Dorchester Ave, Dorchester, MA 02124-5666 |
| Jessica L Kolczewski | Nurse Practitioner | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Harry Berg | Clinical Social Worker | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Peter J Erines | Psychologist, Clinical | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Street Address |
1093 N MAIN ST ASSOCIATES PC |
| City | RANDOLPH |
| State | MA |
| Zip | 02368-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Sheppard Reece | Nurse Practitioner | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Carmel M Kelly | Family Medicine | Community Physicians Associates Inc | 1093 N Main St, Randolph, MA 02368-2100 |
| Jennifer L Gondelman | Certified Clinical Nurse Specialist (cns) | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Jessica L Kolczewski | Nurse Practitioner | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Harry Berg | Clinical Social Worker | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Peter J Erines | Psychologist, Clinical | Southeastern Psychiatric Assoc | 1093 N Main St, Associates PC, Randolph, MA 02368-2100 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosemary Byrne | Nurse Practitioner | 1395 N Main St, Suite G, Randolph, MA 02368-1768 | |
| Marvin J Hertzel | Optometry | Personal Eyes Inc | 1157 N Main St, Randolph, MA 02368-2135 |
| Herbert E Lyken | Physical Therapy | 1183 N Main St, Randolph, MA 02368-2135 | |
| John J Manganaro | Clinical Social Worker | 85 Walsh St, Randolph, MA 02368-2648 | |
| Marian M Macartney | Physical Therapy | Functional Therapy and Rehab LLC | 123 Chestnut Cir, Randolph, MA 02368-2957 |
| Daniel M Springer | Physical Therapy | Functional Therapy and Rehab LLC | 123 Chestnut Cir, Randolph, MA 02368-2957 |
| Sandip Vyas | Physical Therapy | Functional Therapy and Rehab LLC | 123 Chestnut Cir, Randolph, MA 02368-2957 |
| Falguni Vyas | Physical Therapy | 123 Chestnut Cir, Randolph, MA 02368-2957 | |
| Joel T Chariton | Podiatry | 999 N Main St, Randolph, MA 02368-3072 | |
| Olarewaju J Oladipo | Orthopedic Surgery | 999 N Main St, Randolph, MA 02368-3072 | |
| Find all physicians in zip 02368 | |||
| City | RANDOLPH |
| Zip Code | 02368 |
| Specialty | PSYCHIATRY |
| City + Specialty | RANDOLPH + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.