DR. DOMINIC L. DEMELLO (NPI# 1245439033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245439033 |
| Entity Type | Individual |
| Full Name | DR. DOMINIC L. DEMELLO |
| Credential | M.D. |
| Practice Address |
2150 Main Street Springfield MA 01104 |
| Practice Telephone | 4137395676 |
| Practice Fax Number | 4137392278 |
| Mailing Telephone | 4137395676 |
| Mailing Fax Number | 4137392278 |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2010-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | NONE | CT | Allopathic & Osteopathic Physicians |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
245958 | MA | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
047080 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
2150 MAIN STREET |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295714657 | Catherine M Hegarty | Internal Medicine | 2150 Main Street, Springfield, MA 01104 | 2006-01-13 |
| 1730567611 | Alana C. Rebollo | Physician Assistant | 2150 Main Street, Springfield, MA 01104 | 2015-05-12 |
| 1669662870 | Nada S Nasser | Internal Medicine | 2150 Main Street, Springfield, MA 01104 | 2007-07-25 |
| 1154335354 | Tina Marie Tkaczek | Nurse Practitioner | 2150 Main Street, Springfield, MA 01104 | 2006-07-27 |
| 1952324576 | Laurie Z. Naughton | Physician Assistant | 2150 Main Street, Springfield, MA 01104 | 2006-07-25 |
| 1952370249 | Miguel A. Rodriguez | Internal Medicine | 2150 Main Street, Springfield, MA 01104 | 2006-03-17 |
| 1013983691 | Eva Karacsonyi | Internal Medicine | 2150 Main Street, Springfield, MA 01104 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1487096996 | Dilpreet Kaur Singh | Internal Medicine | 3377 Main Street, Springfield, MA 01107-1111 | 2013-07-25 |
| 1215296215 | Beenish Nazir Hafiz | Internal Medicine | 751 N Rutledge St Ste 2300, Springfield, IL 62702-4968 | 2012-05-10 |
| 1548325723 | Mujeeb Ranginwala, Md | Internal Medicine | 2029 E High St, Springfield, OH 45505-1315 | 2006-12-27 |
| 1205840345 | Mujeeb A Ranginwala | Internal Medicine | 1929 E High St, Springfield, OH 45505-1227 | 2006-07-27 |
| 1972546786 | Stephen D Armstrong | Internal Medicine | 3555 S National, Springfield, MO 65807 | 2006-06-13 |
| 1609854769 | David Gregory True | Internal Medicine | 4350 S National Ave Ste C100, Springfield, MO 65810-2658 | 2006-01-08 |
| 1942297254 | Robert G Gray | Internal Medicine | 3377 Main St, Springfield, MA 01107-1111 | 2005-10-03 |
| 1902448426 | 417 Rheumatology LLC | Internal Medicine | 4350 S National Ave Ste C100, Springfield, MO 65810-2658 | 2019-10-16 |
| 1407218571 | Anthony John Nicolas | Internal Medicine | Baystate Medical Center 759 Chestnut St, Springfield, MA 01199-0001 | 2016-03-28 |
| 1518251370 | Dane H Dougherty | Internal Medicine | 1007 Harlow Rd, Springfield, OR 97477-7124 | 2011-06-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
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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.