MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C. (NPI# 1093219438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093219438 |
| Entity Type | Organization |
| Organization Name | MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C. |
| Other Organization Name | MEDEXPRESS - WATERS CORP MILFORD |
| Practice Address |
34 Maple St Milford MA 01757-3604 |
| Mailing Address |
1001 Consol Energy Dr Canonsburg PA 15317-6506 |
| Practice Telephone | 5084822315 |
| Practice Fax Number | 5084822988 |
| Mailing Telephone | 3042252500 |
| Mailing Fax Number | 7247431133 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | BRETT GALL (DIRECTOR PAYOR CONTRACTING) |
| Authorized Official Telephone | 3042252500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MedExpress - Waters Corp Milford | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578099404 | Medexpress Primary Care Massachusetts, P.C. | Family Medicine | 578 Huntington Ave Fl 2, Boston, MA 02115-5902 | 2017-05-11 |
| 1407409659 | Medexpress Primary Care Massachusetts, P.C. | Family Medicine | 25 Research Dr, Westborough, MA 01581-3680 | 2019-07-17 |
| Street Address |
34 MAPLE ST |
| City | MILFORD |
| State | MA |
| Zip Code | 01757-3604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326686825 | Lisa Marie Villa | Physical Therapist | 37 Birch Street, Milford, MA 01757 | 2019-12-16 |
| 1689217739 | Aleosa Assurance Healthcare LLC | In Home Supportive Care | 199 Main St # 4, Milford, MA 01757 | 2019-10-22 |
| 1578028494 | Point of Healing Acupuncture LLC | Acupuncturist | 114 Water Street, Building 1, Milford, MA 01757 | 2019-02-05 |
| 1205354701 | Cristina Alexandra Cruz | Psychologist | 10 Asylum Street, Milford, MA 01757 | 2017-09-05 |
| 1316460694 | Kayla Supple | Behavioral Analyst | 7 Caroline Drive, Milford, MA 01757 | 2017-07-19 |
| 1487176111 | Kelsey Elizabeth Meleady | Developmental Therapist | 421 Fortune Boulevard, Milford, MA 01757 | 2017-07-14 |
| 1376065748 | Roberta Marie Mcleod | Developmental Therapist | 321 Fortune Boulevard, Milford, MA 01757 | 2017-07-07 |
| 1124442884 | Cornerstone At Milford | Assisted Living Facility | 11 Birch St., Milford, MA 01757 | 2014-02-14 |
| 1861835126 | Haylie Nichele Fuhrmann | Social Worker | 32 Hamilton St, Milford, MA 01757 | 2013-04-16 |
| 1558602680 | Lauren Kate Stasiukiewicz | Developmental Therapist | 321 Forture Blvd, Milford, MA 01757 | 2013-03-14 |
| Find all providers in zip 01757 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770946600 | Sidney Edward Croul | General Practice | 247 Bay Ave, Milford, DE 19963-4909 | 2016-03-29 |
| 1730313255 | Andrew Dennis Mcbride | General Practice | 82 New Haven Ave, Milford, CT 06460-4827 | 2009-05-12 |
| 1427126465 | Milford Medical Care Center PC | General Practice | 889 Bridgeport Ave, Milford, CT 06460 | 2006-11-30 |
| 1275500332 | Robert H Reineck | General Practice | 1188 State Route 131, Milford, OH 45150 | 2006-03-07 |
| 1790775542 | Anthony David Puopolo | General Practice | 5 Water St, Milford, MA 01757-4105 | 2005-10-24 |
| 1154571370 | David C. Randolph | General Practice | 5724 Signal Hill Ct, Milford, OH 45150-1483 | 2008-09-24 |
| 1477742062 | Jae Jin Kim | General Practice | 889 Bridgeport Ave, Milford Walk-in Medical Care Center, Milford, CT 06460-3139 | 2007-10-18 |
| 1508880451 | Dolar Zumkhawala | General Practice | 935 State Route 28, Milford, OH 45150-1911 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588289656 | Kissinger Hyppolite Fils | General Practice | 2 Marie St, Worcester, MA 01604-2358 | 2020-06-14 |
| 1437629458 | Integrated Wound Care Massachusetts Pllc | General Practice | 750 Woburn St, Wilmington, MA 01887-3480 | 2018-12-03 |
| 1669950853 | Patriot Urgent Care Professionals, PC | General Practice | 154 Great Road, Bedford, MA 01730 | 2018-07-31 |
| 1518445709 | Patriot Urgent Care Professionals, PC | General Practice | 90 Middlesex Turnpike, Burlington, MA 01803 | 2018-07-31 |
| 1760960959 | Patriot Urgent Care Professionals, PC | General Practice | 1030 Main Street, Unit 2, Waltham, MA 02451 | 2018-07-31 |
| 1629588389 | Ethan Gershon | General Practice | 375 Hunnewell St, Needham, MA 02494-1340 | 2017-10-09 |
| 1841739489 | Landmark Medical of Massachusetts Pllc | General Practice | 1400 Computer Dr, Westborough, MA 01581-1760 | 2017-02-15 |
| 1881059665 | Optimal Professional Health Services PC | General Practice | 1418 Providence Hwy, Suite N, Norwood, MA 02062-4655 | 2015-12-22 |
| 1134503865 | Abdulaziz Saleh Alfadhel | General Practice | 55 Station Lndg, Apt 507, Medford, MA 02155-5007 | 2015-07-13 |
| 1508290040 | Richard Lerner | General Practice | 2 Central St, Framingham, MA 01701-4163 | 2013-09-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C..
| 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.