Shayne Poulin (NPI# 1184915407, PAC ID# 5496987729) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
Nation Provider ID (NPI) | 1184915407 |
PAC ID by PECOS | 5496987729 |
Professional Enrollment ID | I20141021001746 |
Full Name | Shayne Poulin |
Organization Legal Name | SOUTH BOSTON COMMUNITY HEALTH CENTER INC |
Address |
409 W Broadway Boston MA 02127-2245 |
Phone Number | 6172697520 |
Gender | F |
Medical School | UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE |
Graduation Year | 2011 |
Primary Specialty | FAMILY PRACTICE |
Group Practice PAC ID | 2062487291 |
Number of Group Practice Members | 45 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
220031 | BOSTON MEDICAL CENTER CORPORATION- |
Address | Phone | Organization |
---|---|---|
409 W Broadway, Boston, MA 02127-2245 | 6172697520 | SOUTH BOSTON COMMUNITY HEALTH CENTER INC |
Organization Legal Name | SOUTH BOSTON COMMUNITY HEALTH CENTER INC |
Physicians | 42 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lidya Helen Wlasiuk | Family Medicine | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Devon T Farmer | Physician Assistant | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Pamela J Cattel | Internal Medicine | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Susannah Rowe | Ophthalmology | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Jeffrey K Ho | Optometry | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Charles T Williams | Family Medicine | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Uri Avissar | Gastroenterology | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Megan Chapman | Nurse Practitioner | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Christina Lam | Dermatology | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Laura N Goldman | Family Medicine | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Street Address |
409 W BROADWAY |
City | BOSTON |
State | MA |
Zip | 02127-2245 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lidya Helen Wlasiuk | Family Medicine | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Devon T Farmer | Physician Assistant | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Pamela J Cattel | Internal Medicine | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Susannah Rowe | Ophthalmology | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Jeffrey K Ho | Optometry | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Charles T Williams | Family Medicine | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Uri Avissar | Gastroenterology | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Megan Chapman | Nurse Practitioner | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Christina Lam | Dermatology | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Laura N Goldman | Family Medicine | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Millard T Hennessee | Podiatry | 654 E Broadway, Boston, MA 02127-1502 | |
Taline Farra | Optometry | Wink Eyecare, Inc. | 647 E Broadway, South Boston, MA 02127-1503 |
Justine Beauchamp | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 386 W Broadway, Fl 1, South Boston, MA 02127-2215 |
Kerry Fogarty | Physical Therapy | Bay State Physical Therapy of Randolph Inc | 386 W Broadway, Fl 1, South Boston, MA 02127-2215 |
Kelly Anne Maloy | Nurse Practitioner | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Thomas C Hines | Family Medicine | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Emmy Graber | Dermatology | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Jaime Skrekas | Nurse Practitioner | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Sheilah A Bernard | Cardiovascular Disease (cardiology) | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
David E Negron | Podiatry | South Boston Community Health Center Inc | 409 W Broadway, Boston, MA 02127-2245 |
Find all physicians in zip 02127 |
City | BOSTON |
Zip Code | 02127 |
Specialty | FAMILY PRACTICE |
City + Specialty | BOSTON + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Shayne Poulin.
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.