Geoffrey Phaneuf (NPI# 1528577384, PAC ID# 3678839750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1528577384 |
| PAC ID by PECOS | 3678839750 |
| Professional Enrollment ID | I20171106001395 |
| Full Name | Geoffrey Phaneuf |
| Organization Legal Name | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| Address |
63 Winthrop St Suite C1 C2 Taunton MA 02780-6218 |
| Phone Number | 5088803223 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6305744251 |
| Number of Group Practice Members | 198 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 49 Seekonk St, Providence, RI 02906-5176 | 4017267100 | SILVER FERN PRACTICE, LLC |
| 375 Wampanoag Trl, Suite 403, Riverside, RI 02915-2237 | 4012708770 | SILVER FERN PRACTICE, LLC |
| 63 Winthrop St, Suite C1 C2, Taunton, MA 02780-6218 | 5088803223 | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| Organization Legal Name | BAY STATE PHYSICAL THERAPY OF RANDOLPH INC |
| Physicians | 192 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryant Lee | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 220 Ctr St, Unit 16, Pembroke, MA 02359-2656 |
| Meghan Mcphee | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 316 Huntington Ave, Boston, MA 02115-5019 |
| Tenzin Choephel | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 75 Finnell Dr, Weymouth, MA 02188-1110 |
| Steven Regan | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 67 Mechanic St, Foxboro, MA 02035-2012 |
| Peter Michael Mykut | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 445 Central St, Stoughton, MA 02072-1900 |
| Alexandra Gustafson | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1830 Main St, Apt 1, Tewksbury, MA 01876-4712 |
| Keri Donovan | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 133 Highland Ave, Salem, MA 01970-2774 |
| Jared Patrick Winston | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 7 Herring Pond Rd, Plymouth, MA 02360-6903 |
| Meghan Eckel | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 160 N Main St, Carver, MA 02330-1027 |
| Joseph Hoffman | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 1095 Washington St, Attleboro, MA 02703-7944 |
| Street Address |
63 WINTHROP ST SUITE C1 C2 |
| City | TAUNTON |
| State | MA |
| Zip | 02780-6218 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole M Leger | Nurse Practitioner | Steward Medical Group Inc | Smg Mill River Internal Medicine, 1 Washington Street Mill Rver Place Suite A, Taunton, MA 02780 |
| Ann L Potter | Psychiatry | Steward Medical Group Inc | Smg Infectious Disease Associates, 72 Washington Street Suite 2200, Taunton, MA 02780 |
| Daniel J Levin | Anesthesiology | Steward Medical Group Inc | Smg Mill River Internal Medicine, 1 Washington Street Mill Rver Place Suite A, Taunton, MA 02780 |
| Lawrence C Cobrin | Podiatry | Rhode Island Foot Care, Inc | 2005 Bay St, Suite 202, Taunton, MA 02780-1085 |
| Celine Saade | Ophthalmology | Boston University Eye Associates Inc | 2005 Bay St, Suite 206, Taunton, MA 02780-1085 |
| Alicia M Donahue | Optometry | Boston University Eye Associates Inc | 2005 Bay St, Suite 206, Taunton, MA 02780-1085 |
| Lindsey M Mcdaniel | Ophthalmology | Boston University Eye Associates Inc | 2005 Bay St, Suite 206, Taunton, MA 02780-1085 |
| Douglas J Glod | Podiatry | Rhode Island Foot Care, Inc | 2005 Bay St, Suite 202, Taunton, MA 02780-1085 |
| Matthew C Leidl | Ophthalmology | Boston University Eye Associates Inc | 2005 Bay St, Suite 206, Taunton, MA 02780-1085 |
| Glen B Wheeler | Obstetrics/gynecology | 2007 Bay St, Suite 104, Taunton, MA 02780-1086 | |
| Find all physicians in zip 02780 | |||
| City | TAUNTON |
| Zip Code | 02780 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | TAUNTON + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Geoffrey Phaneuf.
| 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.