MR. PATRICK JAMES MANDERS (NPI# 1033726716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033726716 |
Entity Type | Individual |
Full Name | MR. PATRICK JAMES MANDERS |
Practice Address |
52 Porter St Apt 1 Somerville MA 02143-2318 |
Practice Telephone | 8604719498 |
Mailing Telephone | 8604719498 |
Enumeration Date | 2020-09-28 |
Last Update Date | 2020-09-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156F00000X | Technician/Technologist | Eye and Vision Services Providers |
Street Address |
52 PORTER ST APT 1 |
City | SOMERVILLE |
State | MA |
Zip Code | 02143-2318 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245843598 | Sidney Marie Joines | Counselor | New Washington St, Somerville, MA 02143 | 2020-08-26 |
1487295887 | Tejasvini Goud Jangam | Dentist | 14 Mcgrath Highway Twin City Plaza, Somerville, MA 02143 | 2019-10-07 |
1265900658 | Latoya Lewis | Massage Therapist | 343 Medford Street Suite 4b, Somerville, MA 02143 | 2018-11-05 |
1982181053 | Robert Lafollette | Social Worker | 61 Inner Belt Rd, Somerville, MA 02143 | 2018-07-23 |
1013405471 | Roseli De Fatima Schimanski | Acupuncturist | 10 Clark St #3, Somerville, MA 02143 | 2018-05-01 |
1255840070 | Maggie Kinser | Counselor | 366 Somerville Avenue, Somerville, MA 02143 | 2017-09-25 |
1497273742 | Isabelle Hackett | Social Worker | 17 Inner Belt Rd, Somerville, MA 02143 | 2017-09-07 |
1952824666 | Manuel Cantu | Counselor | 17 Inner Belt Road, Somerville, MA 02143 | 2017-07-25 |
1649710963 | Shakemia Shaw | Licensed Practical Nurse | 230 Highland Avenue, Somerville, MA 02143 | 2017-03-06 |
1245600501 | Libby Vilner | Social Worker | 12 Tyler St., Somerville, MA 02143 | 2015-09-30 |
Find all providers in zip 02143 |
Taxonomy Code | 156F00000X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
A broad category grouping different kinds of technologists and technicians. See individual definitions. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669097689 | William Gundersen | Technician/Technologist | 64 Rowena Rd, Newton Center, MA 02459-2440 | 2020-06-15 |
1750346771 | Empire Vision Center Inc | Technician/Technologist | 700 Boston Rd, Billerica, MA 01821-5316 | 2006-04-20 |
1215915491 | Teresa Marshall-bradbury | Technician/Technologist | 100 Grove St Ste B-8, Worcester, MA 01605-2627 | 2006-01-06 |
1396353256 | Emma K Iwan | Technician/Technologist | 225 Cedar Hill St Ste 200, Marlborough, MA 01752-5900 | 2020-07-16 |
1619436003 | Stefani Bonetti | Technician/Technologist | 109 Oak St Ste 103, Newton, MA 02464-1493 | 2019-03-15 |
1821569047 | Sarah Thibodeau | Technician/Technologist | 21 Highland Ave Ste 16, Newburyport, MA 01950-3873 | 2018-12-16 |
1255807863 | Nerijus Rackauskas | Technician/Technologist | 800 Washington St, Boston, MA 02111-1552 | 2018-10-22 |
1205316965 | Samuel Anthony Davis Jr. | Technician/Technologist | 150 South Huntington Avenue, Jamaica Plain, MA 02130 | 2018-08-21 |
1912118423 | Robin Seth Odentz | Technician/Technologist | 1964 Boston Rd, Wilbraham, MA 01095-1055 | 2007-05-25 |
1194940965 | Alice Mazzaferro | Technician/Technologist | 299 Carew St, Suite201, Springfield, MA 01104-2301 | 2007-04-16 |
Find all providers with the same taxonomy |
City | SOMERVILLE |
Zip Code | 02143 |
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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.