Geoffrey Modest (NPI# 1023002169, PAC ID# 5193757599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1023002169 |
| PAC ID by PECOS | 5193757599 |
| Professional Enrollment ID | I20050907000363 |
| Full Name | Geoffrey Modest |
| Organization Legal Name | UPHAMS CORNER HEALTH COMMITTEE INC |
| Address |
415 Columbia Rd Dorchester MA 02125-2424 |
| Phone Number | 6172878000 |
| Gender | M |
| Credential | MD |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4284645086 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220031 | BOSTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 415 Columbia Rd, Dorchester, MA 02125-2424 | 6172878000 | UPHAMS CORNER HEALTH COMMITTEE INC |
| Organization Legal Name | UPHAMS CORNER HEALTH COMMITTEE INC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elise Marie Henricks | Family Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| June-ho M Kim | Internal Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Grier H Merwin | Family Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Richard C Bird Jr. | Internal Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Eliot Cohen | Optometry | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Alison Tam | Psychiatry | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Maureen M Hanley | Optometry | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Olga L De La Calle | Internal Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Elisabeth J Moths-rebrovic | Family Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Dylan R Jones | Clinical Social Worker | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Street Address |
415 COLUMBIA RD |
| City | DORCHESTER |
| State | MA |
| Zip | 02125-2424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elise Marie Henricks | Family Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| June-ho M Kim | Internal Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Grier H Merwin | Family Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Richard C Bird Jr. | Internal Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Eliot Cohen | Optometry | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Alison Tam | Psychiatry | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Maureen M Hanley | Optometry | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Olga L De La Calle | Internal Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Elisabeth J Moths-rebrovic | Family Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Dylan R Jones | Clinical Social Worker | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin Michael Grin | Internal Medicine | Uphams Corner Health Committee Inc | 415 Columbia Rd, Dorchester, MA 02125-2424 |
| Caitlin Trilla | Nurse Practitioner | Harbor Health Services Inc | 250 Mount Vernon St, Dorchester, MA 02125-3120 |
| Barbara J Gray | Clinical Social Worker | Harbor Health Services Inc | 250 Mount Vernon St, Dorchester, MA 02125-3120 |
| Elly Tsai | Family Medicine | Harbor Health Services Inc | 250 Mount Vernon St, Dorchester, MA 02125-3120 |
| Markia Jones | Nurse Practitioner | Harbor Health Services Inc | 250 Mount Vernon St, Dorchester, MA 02125-3120 |
| John R Roberts | Nurse Practitioner | Harbor Health Services Inc | 250 Mount Vernon St, Dorchester, MA 02125-3120 |
| Yen-linh Nguyen | Optometry | Harbor Health Services Inc | 250 Mount Vernon St, Dorchester, MA 02125-3120 |
| John C Dabrowski | Clinical Social Worker | Harbor Health Services Inc | 250 Mount Vernon St, Dorchester, MA 02125-3120 |
| Patti M Rosenfield | Nurse Practitioner | Harbor Health Services Inc | 250 Mount Vernon St, Dorchester, MA 02125-3120 |
| Lily A Kam | Family Medicine | Harbor Health Services Inc | 250 Mount Vernon St, Dorchester, MA 02125-3120 |
| Find all physicians in zip 02125 | |||
| City | DORCHESTER |
| Zip Code | 02125 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DORCHESTER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Geoffrey Modest.
| 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.