MICHAEL LIGHT II (NPI# 1063837292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063837292 |
| Entity Type | Individual |
| Full Name | MICHAEL LIGHT II |
| Credential | D.O. |
| Practice Address |
3 Village Grn N Plymouth MA 02360-8803 |
| Practice Telephone | 5082242224 |
| Mailing Telephone | 5082242224 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 282933 | MA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 0102204325 | VA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 620 Jhn Paul Jns Cir, Naval Medical Center Portsmouth, Portsmouth, VA 237082197 | 7579533149 | |
| 554 Keily Street, Jacksonville, FL 32212 | (757) 953-7550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477931830 | Michael A. Light | Social Worker | 2612 Nubgaard Rd, Ferndale, WA 98248-9226 | 2015-05-18 |
| 1508863648 | Michael John Light | Psychiatry & Neurology | 1108 Main Street, Shelbyville, KY 40065 | 2005-07-05 |
| 1285168708 | Michael Light | Emergency Medicine | 41 E Post Rd, White Plains, NY 10601-4699 | 2017-04-12 |
| 1376866640 | Michael Light | Licensed Practical Nurse | 2040 Fitzhugh St, Batesville, AR 72501-7409 | 2010-03-01 |
| 1255369534 | Michael J Light | Pediatrics | 1580 Nw 10th Ave, First Floor, Miami, FL 33136-1013 | 2006-06-28 |
| Street Address |
3 VILLAGE GRN N |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-8803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295751543 | Virnaliza Cassidy | Pediatrics | 3 Village Grn N, Suite 321, Plymouth, MA 02360-8803 | 2006-07-13 |
| 1871649160 | Susan Catherine Sullivan | Physician Assistant | 3 Village Grn N, Plymouth, MA 02360 | 2007-01-27 |
| 1528134210 | Thomas Browning | Internal Medicine | 3 Village Grn N, Plymouth, MA 02360-8803 | 2006-11-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| 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 |
|---|---|---|---|---|
| 1164087474 | Ask Wellness, LLC | Internal Medicine | 118 Long Pond Rd Ste 101, Plymouth, MA 02360-2662 | 2019-05-02 |
| 1306183215 | Russell J Tonkin | Internal Medicine | 131 Windy Ln, Plymouth, VT 05056-4416 | 2013-01-11 |
| 1588923734 | Gregory David Hazergian | Internal Medicine | 40720 Ann Arbor Rd E, Plymouth, MI 48170-4447 | 2012-05-09 |
| 1124331426 | Stephen Andrew Antonucci | Internal Medicine | 46347 Academy Dr, Plymouth, MI 48170-3519 | 2010-07-15 |
| 1871738997 | Rabia Bashir Khan | Internal Medicine | 15535 34th Ave N Ste 100, Plymouth, MN 55447-2170 | 2008-12-03 |
| 1427215433 | Brian Richard Miller | Internal Medicine | 4500 Lanewood Ln N, Plymouth, MN 55446-3432 | 2008-05-19 |
| 1184895849 | Mario De Meireles Md Mhsa PC | Internal Medicine | 9260 Fellows Creek Dr, Plymouth, MI 48170-6354 | 2008-03-20 |
| 1225252786 | William S George | Internal Medicine | 50 Bay Shore Dr, Plymouth, MA 02360-2006 | 2007-04-13 |
| 1124110556 | Stephanie L Marglin | Internal Medicine | 10 Cordage Park Cir Ste 201, Plymouth, MA 02360-7318 | 2006-09-30 |
| 1003843202 | Gregory Joseph Robke | Internal Medicine | 45 Resnik Road, Suite 302, Plymouth, MA 02360 | 2006-06-26 |
| Find all providers in PLYMOUTH | ||||
Please comment or provide details below to improve the information on MICHAEL LIGHT II.
| 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.