BRETT S STECKER (NPI# 1114097599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114097599 |
| Entity Type | Individual |
| Full Name | BRETT S STECKER |
| Credential | DO |
| Practice Address |
675 Paramount Dr Ste 203 Raynham MA 02767-5416 |
| Practice Telephone | 5088800012 |
| Practice Fax Number | 5088800256 |
| Mailing Telephone | 5088800012 |
| Mailing Fax Number | 5088800256 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2017-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 215705 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 215705 | 01 |
| MA | AETNA | 318796 | 01 |
| MA | 2097010 | 05 | |
| MA | HARVARD PILGRIM | 713631 | 01 |
| MA | BCBS | J25682 | 01 |
| MA | CIGNA | 3796020 | 01 |
| MA | BMC | 000000024762 | 01 |
| Street Address |
675 PARAMOUNT DR STE 203 |
| City | RAYNHAM |
| State | MA |
| Zip Code | 02767-5416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091024 | Patricia I. Kussman | Physical Therapist | 675 Paramount Dr, Suite 103, Raynham, MA 02767-5416 | 2005-08-24 |
| 1104292101 | Kohli Plastic Surgery PC | Clinic/Center | 675 Paramount Dr, Suite 304, Raynham, MA 02767-5416 | 2015-08-13 |
| 1629459474 | Tristan Medical, PC | Clinic/Center | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 | 2015-06-17 |
| 1063829620 | Catherine Green | Physician Assistant | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 | 2014-07-16 |
| 1134536055 | Jacquelyn Elise Pennie | Physician Assistant | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 | 2014-07-14 |
| 1396152187 | Brendan Ryan | Physician Assistant | 675 Paramount Dr, 203, Raynham, MA 02767-5416 | 2014-07-14 |
| 1881009009 | Deanna Nicole Packard | Physician Assistant | 675 Paramount Dr, Suite 205, Raynham, MA 02767-5416 | 2014-06-26 |
| 1144644857 | Orthopedic Care Physician Network LLC | Orthopaedic Surgery | 675 Paramount Dr, Suite 205, Raynham, MA 02767-5416 | 2014-02-17 |
| 1225381783 | Maseo Tran | Physician Assistant | 675 Paramount Dr, Suite 203, Raynham, MA 02767-5416 | 2012-10-22 |
| 1821340811 | Bethany Lynn Akins | Physical Therapist | 675 Paramount Dr, Suite 103, Raynham, MA 02767-5416 | 2012-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265044069 | Heather Dubose | Social Worker | 329 King Philip Street, Raynham, MA 02767 | 2020-08-21 |
| 1801115654 | Wanda L Meyer | Registered Nurse | 257 Prospect Hill St., Raynham, MA 02767 | 2010-05-19 |
| 1033386099 | Choice Dental Inc | Dentist | 606 North Main Streeet, Raynham, MA 02767 | 2008-05-09 |
| 1639378482 | Laura Eddy | Counselor | 90 New State Highway Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-07-12 |
| 1861617524 | Charlene A Remillard | Social Worker | 90 New State Highway, Raynham, MA 02767 | 2007-04-16 |
| 1437287166 | Sandra Diaz | Psychologist | 90 New State Hwy, Rte 44, Dcs Mental Health, Inc., Raynham, MA 02767 | 2007-03-02 |
| 1629115688 | Luis Moncada | Dentist | 500 Raynham Street West, Raynham, MA 02767 | 2007-01-31 |
| 1942300371 | Cvs Pharmacy Inc | Pharmacy | 252 Broadway, Raynham, MA 02767 | 2006-09-25 |
| 1912004524 | Mrudula Patel | Family Medicine | 302 Broadway Ste 8, Hines Dermatology Associates, Raynham, MA 02767 | 2006-09-19 |
| 1447271374 | Mary Ann Garcia Dds PC | Dentist | 166 Paramount Dr, Raynham, MA 02767 | 2006-07-23 |
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| 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 |
|---|---|---|---|---|
| 1912004524 | Mrudula Patel | Family Medicine | 302 Broadway Ste 8, Hines Dermatology Associates, Raynham, MA 02767 | 2006-09-19 |
| 1245344423 | Cheng-chieh Chuang | Family Medicine | 416 Broadway, Raynham, MA 02767-1737 | 2006-08-18 |
| 1932183423 | Bruce P Kaplan | Family Medicine | 1215 Broadway, Raynham, MA 02767-1942 | 2005-11-30 |
| 1750689840 | George Vardoulias | Family Medicine | 1215 Broadway, Raynham, MA 02767-1942 | 2011-03-14 |
| 1669600482 | Rachel Tagoe | Family Medicine | 1215 Broadway, Raynham, MA 02767-1942 | 2009-07-01 |
| 1275731853 | Divjot Kaur Sooch | Family Medicine | 1470 New State Hwy, Raynham, MA 02767-5420 | 2007-07-05 |
| 1508840166 | Ruth Barnert | Family Medicine | 1215 Broadway, Raynham, MA 02767-1942 | 2005-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966806 | Eliana Decastro Cuellar | Family Medicine | 1030 President Ave Ste 1001, Fall River, MA 02720-5923 | 2020-09-12 |
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1588290324 | Lighthouse Primary Care PC | Family Medicine | 315 Main St Ste 101, North Reading, MA 01864-1326 | 2020-03-12 |
| 1730714106 | Berkshire Whole Health PC | Family Medicine | 8 Pine St, Stockbridge, MA 01262-9706 | 2020-03-06 |
| 1578100889 | Kelly Ramappa | Family Medicine | 96 Temple St, West Newton, MA 02465-2307 | 2019-12-05 |
| 1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
| 1154962942 | Molly Rose Lodigiani | Family Medicine | 275 Cypress St Apt 105, Brookline, MA 02445-6774 | 2019-10-02 |
| 1699316539 | Luisa Alejandra Centeno Silva | Family Medicine | 4785 Washington St # 2, West Roxbury, MA 02132-2113 | 2019-10-02 |
| 1609427962 | Jessica Blanchard | Family Medicine | 100 Leominster Rd, Sterling, MA 01564-2156 | 2019-09-26 |
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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.