MARIE T. WALSH CONDON (NPI# 1033301486) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033301486 |
| Entity Type | Individual |
| Full Name | MARIE T. WALSH CONDON |
| Credential | MD |
| Practice Address |
75 Riverside Ave Suite 2 Medford MA 02155 |
| Practice Telephone | 7813060200 |
| Practice Fax Number | 7813060264 |
| Mailing Telephone | 7817567273 |
| Mailing Fax Number | 7817210725 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2020-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 243618 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
75 RIVERSIDE AVE SUITE 2 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053393603 | Winchester Physician Associates | Internal Medicine | 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 | 2005-11-18 |
| 1396243358 | Malorie Bartlett | Registered Nurse | 75 Riverside Ave, Medford, MA 02155-4600 | 2018-01-24 |
| 1588894539 | Janet Nolan | Dietitian, Registered | 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 | 2009-07-23 |
| 1154533842 | Diane M Doucette | Registered Nurse | 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 | 2007-05-04 |
| 1073733804 | Nancy Maddox | Dietitian, Registered | 75 Riverside Ave, Medford, MA 02155-4600 | 2007-04-26 |
| 1194942821 | Dana Sackton | Pediatrics | 75 Riverside Ave, Medford, MA 02155-4600 | 2007-04-20 |
| 1184758245 | Kathleen Anne Butler | Dietitian, Registered | 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 | 2007-03-14 |
| 1861427320 | Clifford Michaelson | Ophthalmology | 75 Riverside Ave, Suite 3, Medford, MA 02155-4600 | 2006-07-12 |
| 1043293731 | Winchester Physician Associates | Pediatrics | 75 Riverside Ave, 2, Medford, MA 02155-4600 | 2005-11-28 |
| 1568445732 | Teresa Mary Zabik | Pediatrics | 75 Riverside Ave, Suite 2, Medford, MA 02155-4600 | 2005-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847332 | Jasmine Barnhart | Family Medicine | 1935 Canyon Ave, Medford, OR 97504-2128 | 2020-10-03 |
| 1831742667 | Mallory Marie Morton | Family Medicine | 429 Main St # 3, Medford, MA 02155-6571 | 2019-07-21 |
| 1841619418 | Andrew Thomas Gomez | Family Medicine | 131 Rte 70 W, Ste 100, Medford, NJ 08055 | 2014-04-10 |
| 1992140313 | Stephanie Guido | Family Medicine | 128 Route 70 Ste Aandb, Medford, NJ 08055-2371 | 2013-04-30 |
| 1316214281 | Carl Russell Griesser | Family Medicine | 555 Black Oak Drive, Suite 100, Medford Medical Clinic, Medford, OR 97504 | 2011-11-21 |
| 1649591223 | Wesley T Ramoso | Family Medicine | 3225 Hillcrest Park Dr, Medford, OR 97504-7657 | 2010-06-17 |
| 1891945812 | Amy Holmes Medical Services Plc | Family Medicine | 102 E Cherokee, Medford, OK 73759-1210 | 2008-09-26 |
| 1972793370 | Sowmya Reddy Thadisina | Family Medicine | 101 Main St Ste 214, Medford, MA 02155-4530 | 2007-07-31 |
| 1689890667 | James K Robinson II | Family Medicine | W5238 Jolly Ave, Medford, WI 54451-9303 | 2007-04-18 |
| 1316160658 | Island Medical of Medford, LLP | Family Medicine | 1647 Route 112, Medford, NY 11763-3635 | 2007-04-11 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.