VINEYARD HEALTHCARE ASSOC. (NPI# 1194949073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194949073 |
| Entity Type | Organization |
| Organization Name | VINEYARD HEALTHCARE ASSOC. |
| Other Organization Name | PREVENTIVE MEDICINE ASSOC. INC. |
| Practice Address |
455 State Rd Ste 13 Vineyard Haven MA 02568-5621 |
| Mailing Address |
59 Temple Pl Ste 662 Boston MA 02111-1307 |
| Practice Telephone | 5086933900 |
| Practice Fax Number | 5086930444 |
| Mailing Telephone | 6174472146 |
| Mailing Fax Number | 6172591627 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS CHERYL A CHURCH (OFFICE MANAGER) |
| Authorized Official Telephone | 6174472146 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| preventive medicine assoc. inc. | Other Name - Individual/Organization |
| Street Address |
455 STATE RD STE 13 |
| City | VINEYARD HAVEN |
| State | MA |
| Zip Code | 02568-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841843646 | Garrett Orazem, Dmd | Dentist | 31 Beach Rd Unit A202, Vineyard Haven, MA 02568 | 2019-07-20 |
| 1053886192 | Abby Ann Newbold Patterson | Social Worker | 119 Center St, Vineyard Haven, MA 02568 | 2018-10-04 |
| 1326551516 | Jodie Anne Treloar | Acupuncturist | 24 Andrews Road, Vineyard Haven, MA 02568 | 2017-11-09 |
| 1518399864 | Martha's Vineyard Endodontics, P.C. | Dentist | 79 Beach Road, Suite C11, Vineyard Haven, MA 02568 | 2013-08-08 |
| 1659679520 | Jayne Ellen Beitman | Counselor | 111edgartown Raod, Martha's Vineyard Community Services, Vineyard Haven, MA 02568 | 2011-03-02 |
| 1871805846 | Janice Baer | Social Worker | 65 Edgartown/vineyard Haven Road, Oak Bluffs, MA 02568 | 2010-07-07 |
| 1053646638 | David Alan Perzanowski | Pharmacist | 117 Beach Rd, Vineyard Haven, MA 02568 | 2009-10-15 |
| 1306077169 | Amanda Harmony Saltzberg | Counselor | 4 Church Street, Vineyard Haven, MA 02568 | 2009-07-28 |
| 1851535728 | Island Dentistry,p.c. | Dentist | 23 Airport Road, Vineyard Haven, MA 02568 | 2009-04-23 |
| 1699915652 | Marjorie H. Lau | Acupuncturist | 58 Briarwood Lane, Vineyard, MA 02568 | 2009-03-03 |
| Find all providers in zip 02568 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578062758 | Robynne Brown | Family Medicine | 59 Coddington St Ste 103, Quincy, MA 02169-4510 | 2018-02-02 |
| 1528353612 | Preventive Medicine Associates | Family Medicine | 154 Lynnway, Suite 1c, Lynn, MA 01902-3479 | 2011-06-16 |
| 1659679793 | Preventive Medicine Associates | Family Medicine | 2201 Washington St, Suite 302, Roxbury, MA 02119-3212 | 2011-03-13 |
| 1568760601 | Preventive Medicine Associates | Family Medicine | 501b Washington St, Dorchester Center, MA 02124-2014 | 2011-03-13 |
| 1962705251 | Preventive Medicine Associates | Family Medicine | 9 Henshaw St, Brighton, MA 02135-2905 | 2010-12-08 |
| 1326350976 | Preventive Medicine Associates | Family Medicine | 360 Coggeshall St, New Bedford, MA 02746-1923 | 2010-07-12 |
| 1689900565 | Preventive Medicine Associates | Family Medicine | 322 Gifford St, Falmouth, MA 02540 | 2009-10-27 |
| 1962641159 | Preventive Medicine Associates | Family Medicine | 63 Winthrop St, # C1, C2, Taunton, MA 02780-6218 | 2009-02-11 |
| 1356507511 | Preventive Medicine Associates | Family Medicine | 98 Suffolk St, Holyoke, MA 01040-4458 | 2008-08-06 |
| 1063585370 | John M F Costa | Family Medicine | 42 Lands End Way, Swansea, MA 02777-2910 | 2006-11-16 |
| Find all providers with the same taxonomy | ||||
| City | VINEYARD HAVEN |
| Zip Code | 02568 |
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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.