Alice Han (NPI# 1205289634, PAC ID# 1658650353) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1205289634 |
| PAC ID by PECOS | 1658650353 |
| Professional Enrollment ID | I20161121002422 |
| Full Name | Alice Han |
| Organization Legal Name | DIMOCK COMMUNITY HEALTH CENTER INC |
| Address |
55 Dimock St Roxbury MA 02119-1029 |
| Phone Number | 6174428800 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7012810492 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220086 | BETH ISRAEL DEACONESS MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 55 Dimock St, Roxbury, MA 02119-1029 | 6174428800 | DIMOCK COMMUNITY HEALTH CENTER INC |
| Organization Legal Name | DIMOCK COMMUNITY HEALTH CENTER INC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grace Carver | Nurse Practitioner | Dimock Community Health Center Inc | 45 Dimock St, Roxbury, MA 02119-1208 |
| Bela Bashar | Internal Medicine | Dimock Community Health Center Inc | 45 Dimock St, Roxbury, MA 02119-1208 |
| Rachel Preiss | Nurse Practitioner | Dimock Community Health Center Inc | 45 Dimock St, Roxbury, MA 02119-1208 |
| Claudia Isabel Marquez | Nurse Practitioner | Dimock Community Health Center Inc | 45 Dimock St, Roxbury, MA 02119-1208 |
| Jagriti Upadhyay | Internal Medicine | Dimock Community Health Center Inc | 45 Dimock St, Roxbury, MA 02119-1208 |
| Roshni Gustad Daver | Internal Medicine | Dimock Community Health Center Inc | 45 Dimock St, Roxbury, MA 02119-1208 |
| Kathryn Adele Kochan | Nurse Practitioner | Dimock Community Health Center Inc | 45 Dimock St, Roxbury, MA 02119-1208 |
| Grant Charlton Butler | Nurse Practitioner | Dimock Community Health Center Inc | 45 Dimock St, Roxbury, MA 02119-1208 |
| Ketura'h Renee Edwards | Nurse Practitioner | Dimock Community Health Center Inc | 45 Dimock St, Roxbury, MA 02119-1208 |
| Danielle D Grimm | Nurse Practitioner | Dimock Community Health Center Inc | 45 Dimock St, Roxbury, MA 02119-1208 |
| Street Address |
55 DIMOCK ST |
| City | ROXBURY |
| State | MA |
| Zip | 02119-1029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa J Gruenberg | Obstetrics/gynecology | Dimock Community Health Center Inc | 55 Dimock St, Roxbury, MA 02119-1029 |
| Abby Samantaha Tang | Optometry | Dimock Community Health Center Inc | 55 Dimock St, Roxbury, MA 02119-1029 |
| Nandini Sengupta | Pediatric Medicine | Dimock Community Health Center Inc | 55 Dimock St, Roxbury, MA 02119-1029 |
| Aubrey Dickman | Cardiovascular Disease (cardiology) | Dimock Community Health Center Inc | 55 Dimock St, Roxbury, MA 02119-1029 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas Monteleone | Clinical Social Worker | The Commonwealth of Massachusetts | 76 Amory St, Roxbury, MA 02119-1012 |
| Eileen J Wong | Psychiatry | The Commonwealth of Massachusetts | 76 Amory St, Roxbury, MA 02119-1012 |
| Shunda M Mcgahee | Psychiatry | The Commonwealth of Massachusetts | 76 Amory St, Roxbury, MA 02119-1012 |
| Marisol Segundo | Psychiatry | The Commonwealth of Massachusetts | 76 Amory St, Roxbury, MA 02119-1012 |
| Eileen C Reilly | Psychiatry | The Commonwealth of Massachusetts | 76 Amory St, Roxbury, MA 02119-1012 |
| Elizabeth Barlow Simpson | Psychiatry | The Commonwealth of Massachusetts | 76 Amory St, Roxbury, MA 02119-1012 |
| Andres Strohmeyer | Clinical Social Worker | The Commonwealth of Massachusetts | 76 Amory St, Roxbury, MA 02119-1012 |
| Kacy A Cerasoli Maitland | Clinical Social Worker | The Commonwealth of Massachusetts | 76 Amory St, Roxbury, MA 02119-1012 |
| Carrie G. Daly | Clinical Social Worker | The Commonwealth of Massachusetts | 76 Amory St, Roxbury, MA 02119-1012 |
| Grace Carver | Nurse Practitioner | Dimock Community Health Center Inc | 45 Dimock St, Roxbury, MA 02119-1208 |
| Find all physicians in zip 02119 | |||
| City | ROXBURY |
| Zip Code | 02119 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | ROXBURY + OBSTETRICS/GYNECOLOGY |
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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.