Shruti S Pathak (NPI# 1124301304, PAC ID# 9931321908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1124301304 |
| PAC ID by PECOS | 9931321908 |
| Professional Enrollment ID | I20141106000463 |
| Full Name | Shruti S Pathak |
| Organization Legal Name | BROCKTON NEIGHBORHOOD HEALTH CENTER |
| Address |
63 Main St Brockton MA 02301-4042 |
| Phone Number | 5085596699 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3870491699 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220111 | GOOD SAMARITAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 63 Main St, Brockton, MA 02301-4042 | 5085596699 | BROCKTON NEIGHBORHOOD HEALTH CENTER |
| Organization Legal Name | BROCKTON NEIGHBORHOOD HEALTH CENTER |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Santiccioli | Nurse Practitioner | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Ariadne Stephanie Scott | Internal Medicine | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Parnika P Saxena | Psychiatry | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Michelle T Hoffman | Certified Nurse Midwife (cnm) | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Korin J Dayton | Nurse Practitioner | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Sasikala Sannapareddy | Family Medicine | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Anika T Moore | Obstetrics/gynecology | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Francesca M Villanueva | Nurse Practitioner | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Syed H Muqqadus | Internal Medicine | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Sunny R Chavan | Family Medicine | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Street Address |
63 MAIN ST |
| City | BROCKTON |
| State | MA |
| Zip | 02301-4042 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Santiccioli | Nurse Practitioner | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Ariadne Stephanie Scott | Internal Medicine | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Parnika P Saxena | Psychiatry | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Michelle T Hoffman | Certified Nurse Midwife (cnm) | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Korin J Dayton | Nurse Practitioner | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Sasikala Sannapareddy | Family Medicine | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Anika T Moore | Obstetrics/gynecology | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Francesca M Villanueva | Nurse Practitioner | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Syed H Muqqadus | Internal Medicine | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Sunny R Chavan | Family Medicine | Brockton Neighborhood Health Center | 63 Main St, Brockton, MA 02301-4042 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andris Jason Zauls | Radiation Oncology | Steward Good Samaritan Radiation Oncology Center, Inc. | 818 Oak St, Good Samaritan Radiation Oncology Center, Brockton, MA 02301-1107 |
| Jan Amorello | Nurse Practitioner | Steward Good Samaritan Radiation Oncology Center, Inc. | 818 Oak St, Good Samaritan Radiation Oncology Center, Brockton, MA 02301-1107 |
| Zwi Hoch | Obstetrics/gynecology | 830 Oak St, Suite 102w, Brockton, MA 02301-1168 | |
| Richard P Junghans | Hematology/oncology | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Jennifer Frangos | Oral Surgery | Oral and Maxillofacial Surgery Inc | 830 Oak St, Suite 101w, Brockton, MA 02301-1168 |
| Barry M Arkin | Cardiovascular Disease (cardiology) | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Diane M Paggioli | Medical Oncology | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Scott M Bortman | Internal Medicine | Steward Medical Group Inc | 830 Oak St, Brockton, MA 02301-1168 |
| Richard J Catrambone | Oral Surgery | Oral and Maxillofacial Surgery Inc | 830 Oak St, Suite 101w, Brockton, MA 02301-1168 |
| Valentina Moirangthem | Hematology/oncology | Steward Medical Group Inc | 830 Oak St, Suite 105w, Brockton, MA 02301-1168 |
| Find all physicians in zip 02301 | |||
| City | BROCKTON |
| Zip Code | 02301 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BROCKTON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shruti S Pathak.
| 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.