WINCHESTER PHYSICIAN ASSOCIATES (NPI# 1053393603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053393603 |
| Entity Type | Organization |
| Organization Name | WINCHESTER PHYSICIAN ASSOCIATES |
| Other Organization Name | RIVERSIDE HEALTHCARE ASSOCIATES |
| Practice Address |
75 Riverside Ave Suite 3 Medford MA 02155-4600 |
| Mailing Address |
Po Box 760 Winchester MA 01890-4260 |
| Practice Telephone | 7813963701 |
| Practice Fax Number | 7813967716 |
| Mailing Telephone | 7817567273 |
| Mailing Fax Number | 7817567274 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2008-03-20 |
| Authorized Official Name | EILEEN WILLS (BILLING MANAGER) |
| Authorized Official Telephone | 7817567273 |
| Is Organization Subpart | Y |
| Parent Organization Name | WINCHESTER PHYSICIAN ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 76266 | MA | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 54808 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9777229 | 05 |
| Other Name | Type Code |
|---|---|
| Riverside Healthcare Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093797706 | Winchester Physician Associates | Pediatrics | 29 Massachusetts Ave, Arlington, MA 02474-8602 | 2005-11-17 |
| 1013318955 | Winchester Physician Associates | Emergency Medicine | 41 Highland Ave, Winchester, MA 01890-1446 | 2014-09-10 |
| 1760813273 | Winchester Physician Associates | Family Medicine | 11 Shore Rd, Winchester, MA 01890-2821 | 2013-12-09 |
| 1265861298 | Winchester Physician Associates | Internal Medicine | 955 Main St, Suite 301, Winchester, MA 01890-1961 | 2013-11-12 |
| 1538598560 | Winchester Physician Associates | Internal Medicine | 23 Warren Ave, Suite 100, Woburn, MA 01801-7906 | 2013-11-12 |
| 1700215738 | Winchester Physician Associates | Obstetrics & Gynecology | 77 Swanton St, Suite 2, Winchester, MA 01890-2039 | 2013-11-12 |
| 1497184311 | Winchester Physician Associates | Family Medicine | 259 Swanton St, Suite A, Winchester, MA 01890-4301 | 2013-11-02 |
| 1750719415 | Winchester Physician Associates | Obstetrics & Gynecology | 955 Main St, Suite # 208, Winchester, MA 01890-1961 | 2013-10-16 |
| 1336577097 | Winchester Physician Associates | Internal Medicine | 620 Washington St, Winchester, MA 01890-1328 | 2013-10-16 |
| 1790112670 | Winchester Physician Associates | Family Medicine | 92 High St, Suite Dh4, Medford, MA 02155-3850 | 2013-10-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | WINCHESTER PHYSICIAN ASSOCIATES, INC. | 41 Highland Ave., Winchester, MA 01890 |
| Street Address |
75 RIVERSIDE AVE SUITE 3 |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1033301486 | Marie T. Walsh Condon | Family Medicine | 75 Riverside Ave, Suite 2, Medford, MA 02155 | 2007-08-09 |
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932679297 | Southern Oregon Medical Clinic LLC | Internal Medicine | 537 Murphy Rd Ste B, Medford, OR 97504-8187 | 2018-11-29 |
| 1043714876 | Winchester Wound Care Specialists Pllc | Internal Medicine | 75 Riverside Ave Ste 4, Medford, MA 02155-4600 | 2018-03-19 |
| 1124387600 | John Retzlaff | Internal Medicine | 6959 Pineridge Dr, Medford, OR 97504-9234 | 2012-05-03 |
| 1144511643 | John Michael Malleis | Internal Medicine | 2859 State St Ste 102, Medford, OR 97504-8495 | 2011-05-02 |
| 1144543687 | Robert P. Williamson Md, P.C. | Internal Medicine | 43 Forest St, Medford, MA 02155-3128 | 2010-03-11 |
| 1104013572 | Cooper Physician Offices | Internal Medicine | 13 Tomlinson Rd, Medford, NJ 08055 | 2007-10-01 |
| 1629196381 | Robin Miller | Internal Medicine | 760 Golf View Dr, Medford, OR 97504-9685 | 2007-03-27 |
| 1225153042 | Stacey Sperling | Internal Medicine | Tufts University Health Svcs, Medford, MA 02155 | 2007-03-20 |
| 1790841666 | James Glass | Internal Medicine | 103 Old Marlton Pike Ste 111, Medford, NJ 08055-8772 | 2006-12-28 |
| 1235225129 | George Schultz | Internal Medicine | 2900 Doctors Park Dr Ste 200, Medford, OR 97504-8198 | 2006-10-05 |
| 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.