GOOD SAMARITAN MEDICAL PRACTICE CORP (NPI# 1285625137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285625137 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN MEDICAL PRACTICE CORP |
| Practice Address |
235 N Pearl St Good Samaritan Medical Center Brockton MA 02301-1794 |
| Mailing Address |
77 Warren St Provider Enrollment Brighton MA 02135-3601 |
| Practice Telephone | 6175625482 |
| Practice Fax Number | 6175625415 |
| Mailing Telephone | 6175625482 |
| Mailing Fax Number | 6175625415 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JOHN J HOLIVER (DIRECTOR) |
| Authorized Official Telephone | 6175625482 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9779213 | 05 |
| Street Address |
235 N PEARL ST GOOD SAMARITAN MEDICAL CENTER |
| City | BROCKTON |
| State | MA |
| Zip Code | 02301-1794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275527020 | Mark S Dichter | Internal Medicine | 235 N Pearl St, Brockton, MA 02301-1794 | 2005-09-08 |
| 1811523913 | Paige Graham | Physician Assistant | 235 N Pearl St, Brockton, MA 02301-1794 | 2020-03-20 |
| 1477109627 | Nathaniel Minh Dang | Nurse Practitioner | 235 N Pearl St, Brockton, MA 02301-1794 | 2019-08-14 |
| 1457811846 | Joliane Charlotin | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2019-03-21 |
| 1437614229 | Julia Louis | Advanced Practice Midwife | 235 N Pearl St, Brockton, MA 02301-1700 | 2019-02-05 |
| 1124502497 | Guy A Fleuette | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-09-21 |
| 1114408275 | Jacqueline Gail Donahue | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-08-27 |
| 1326529652 | Christie E. Culbert | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-08-24 |
| 1316425770 | Karyn Smart-strobert | Social Worker | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-07-29 |
| 1982101192 | Eva Gougian | Physician Assistant | 235 N Pearl St, Brockton, MA 02301-1794 | 2018-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
| 1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
| 1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
| 1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
| 1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
| 1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
| 1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
| 1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
| Find all providers in zip 02301 | ||||
| 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 |
|---|---|---|---|---|
| 1740561547 | Rahshando Gunn | Specialist | 22 Westland St, #39, Brockton, MA 02301-1762 | 2011-09-07 |
| 1649505058 | Ilene Ellen Fabisch | Specialist | 664 Pearl St, Brockton, MA 02301-4527 | 2009-10-03 |
| 1710156914 | Susanne Lane | Specialist | 471 Prospect St, Brockton, MA 02301-2534 | 2008-02-21 |
| 1013116987 | Richard Jason Butler | Specialist | 790 W Chestnut St, Brockton, MA 02301-5513 | 2007-07-12 |
| 1730178260 | Orthopaedic Specialists Inc | Specialist | 730 Centre St, Brockton, MA 02302-3312 | 2005-10-18 |
| 1578125811 | Patricia Jean Ahearn.burnett | Specialist | 801 Pleasant St, Brockton, MA 02301-3052 | 2019-07-08 |
| 1174185417 | Hannah Elizabeth Parker | Specialist | 801 Pleasant St, Brockton, MA 02301-3052 | 2019-07-08 |
| 1922669621 | Nicole Marie Orlando | Specialist | 801 Pleasant St, Brockton, MA 02301-3052 | 2019-06-24 |
| 1861987463 | Jeannette Verissimo | Specialist | 801 Pleasant St, Brockton, MA 02301-3052 | 2018-06-26 |
| 1760974802 | Kaitlyn Anne Grafton | Specialist | 801 Pleasant St, Brockton, MA 02301-3052 | 2018-06-05 |
| Find all providers in BROCKTON | ||||
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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.