DR. DONALD J. GRANDE (NPI# 1134196686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134196686 |
Entity Type | Individual |
Full Name | DR. DONALD J. GRANDE |
Credential | MD |
Practice Address |
92 Montvale Ave Suite 3000 Stoneham MA 02180-3647 |
Practice Telephone | 7814386350 |
Practice Fax Number | 7813954806 |
Mailing Telephone | 7814386350 |
Mailing Fax Number | 7813954806 |
Enumeration Date | 2006-03-03 |
Last Update Date | 2019-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 37135 | MA | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0164186 | 05 |
Street Address |
92 MONTVALE AVE SUITE 3000 |
City | STONEHAM |
State | MA |
Zip Code | 02180-3647 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215921309 | Denis P Byrne | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2005-09-06 |
1619419199 | Caitlin Leary | Physical Therapist | 92 Montvale Ave, Stoneham, MA 02180 | 2016-11-15 |
1174072557 | Agility Wpho-thp Inc | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2016-09-27 |
1316494230 | Lyle Edward Morgan | Physical Therapy Assistant | 92 Montvale Ave, 1100, Stoneham, MA 02180-3647 | 2016-09-08 |
1588051874 | Commonwealth Pediatrics, LLC | Clinic/Center | 92 Montvale Ave, Stoneham, MA 02180-3647 | 2015-04-24 |
1568865194 | Elizabeth Mcnichol | Dermatology | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3647 | 2014-09-26 |
1710315494 | Michael Bader Md PC | Internal Medicine | 92 Montvale Ave, Suite 3700, Stoneham, MA 02180-3647 | 2013-10-16 |
1720320377 | Dr. Mickey's Orthodontics, L.L.C. | Dentist | 92 Montvale Ave, Suite 4300, Stoneham, MA 02180-3647 | 2013-03-21 |
1114269099 | Jean Wyatt Gee | Nurse Practitioner | 92 Montvale Ave, 4605, Stoneham, MA 02180-3647 | 2013-03-19 |
1093080830 | Kimberly B Tighe | Physician Assistant | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2012-03-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073092839 | Ann M Campbell | Social Worker | 490 William St, Stoneham, MA 02180 | 2018-08-12 |
1669997243 | Melissa Meskell, Lmhc | Clinic/Center | 38 Montvale Avenue Suite 327, Stoneham, MA 02180 | 2017-08-04 |
1033593306 | Melissa Zeitlin | Counselor | 178 North St, Stoneham, MA 02180 | 2015-07-16 |
1053708370 | Michael Stangler | Dentist | 2 Main St Ste 225, Stoneham, MA 02180 | 2015-04-24 |
1699086397 | Kimberly Y Chin | Acupuncturist | 105 Marble Street, Apt 7, Stoneham, MA 02180 | 2010-06-28 |
1538305446 | John Nyaga Njine | Registered Nurse | 5 Glen Rd, Apt 110, Stoneham, MA 02180 | 2008-12-23 |
1427189000 | Stoneham Public Schools | Local Education Agency (LEA) | 149 Franklin St., Stoneham, MA 02180 | 2007-03-08 |
1487715181 | Bernard J Augot, Jr. | Acupuncturist | Acupuncture Health Care Ctr., 370 Main Street, Stoneham, MA 02180 | 2006-12-13 |
1730257684 | Advantage Sports Medicine & Physical Therapy,inc. | Physical Therapist | 245 North Street, Stoneham, MA 02180 | 2006-11-30 |
1851465538 | Town of Stoneham | Public Health or Welfare | 35 Central Street, Stoneham, MA 02180 | 2006-11-17 |
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Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629276894 | Sharon M Fraas | Specialist | 19 Cedar Ave, Stoneham, MA 02180-2420 | 2007-07-10 |
1548213606 | Mystic Valley Dermatology Associates, P.C. | Specialist | 92 Montvale Ave Ste 3000, Stoneham, MA 02180-3658 | 2006-05-18 |
1215921309 | Denis P Byrne | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2005-09-06 |
1174072557 | Agility Wpho-thp Inc | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2016-09-27 |
1205166048 | Orthopedic Surgery, Inc | Specialist | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 | 2009-12-29 |
1912236506 | Cardone Reproductive Medicine & Infertility | Specialist | 2 Main St, Suite 150, Stoneham, MA 02180-3335 | 2009-12-10 |
1447588520 | Robert S. Pastan, Md | Specialist | 3 Woodland Rd, Suite 413, Stoneham, MA 02180-1702 | 2009-11-30 |
1538232350 | Stephen B Jamison | Specialist | 91 Montvale Ave, Stoneham, MA 02180-3623 | 2006-11-17 |
1467429274 | W Zoe D Stitt | Specialist | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3647 | 2006-03-01 |
1104890268 | Peter Ellzey Gee | Specialist | 92 Montvale Ave, Stoneham, Stoneham, MA 02180-3647 | 2006-02-15 |
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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.