BEACON PRIMARY MEDICINE (NPI# 1336458439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336458439 |
| Entity Type | Organization |
| Organization Name | BEACON PRIMARY MEDICINE |
| Practice Address |
1755 Beacon St Brookline MA 02445-5349 |
| Practice Telephone | 6177941463 |
| Mailing Telephone | 6177941463 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Authorized Official Name | DR. ROBIN STANTON MAYFIELD (PRESIDENT) |
| Authorized Official Telephone | 6177941463 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
78250 | MA | Ambulatory Health Care Facilities |
| Street Address |
1755 BEACON ST |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02445-5349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407895493 | Robert Taylor | General Practice | 1755 Beacon St, Brookline, MA 02445-5349 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316582117 | Isha Gujrathi | Student in an Organized Health Care Education/Training Program | Center for Evidence Based Imaging, 20 Kent Street, Brookline, MA 02445 | 2019-11-15 |
| 1518432673 | Lois Lange | Social Worker | 349 Clark Road, Brookline, MA 02445 | 2018-10-04 |
| 1548775190 | Neurodevelopmental Educational Services, Pllc | Social Worker | 26 Edgehill Road, Brookline, MA 02445 | 2017-12-05 |
| 1942654231 | Elena Carolina Itriago Araujo | Student in an Organized Health Care Education/Training Program | 358 Tappan St, Brookline, MA 02445 | 2016-04-22 |
| 1477920098 | Kayoko Obara, Dmd PC | Clinic/Center | 77 Pond Ave., #103, Brookline, MA 02445 | 2015-08-31 |
| 1700203668 | Sophie-charlotte Hofferberth | Student in an Organized Health Care Education/Training Program | 93 Evans Road, Brookline, MA 02445 | 2014-03-27 |
| 1639503535 | Kieran Evans | Social Worker | 43 Garrison Road, Brookline, MA 02445 | 2013-08-27 |
| 1437412467 | Joel Simons | Psychologist | 1683 Beacon St, Brookline, MA 02445 | 2012-06-25 |
| 1710252861 | Lin Shen | Internal Medicine | 375 Boylston St, Brookline, MA 02445 | 2012-03-21 |
| 1992074645 | Christine Beatriz Arismendi | Counselor | 16 University Road Apartment 1, Brookline, MA 02445 | 2011-12-27 |
| Find all providers in zip 02445 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316599590 | Gracey Holistic Health | Clinic/Center | 320 Washington St Ste 402, Brookline, MA 02445-6873 | 2019-07-09 |
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| 1730797226 | Integra Wellness Health. PC | Clinic/Center | 1077 Lexington St Ste 203, Waltham, MA 02452-7233 | 2020-07-21 |
| 1821626763 | Renewal Integrative Psychotherapies LLC | Clinic/Center | 90 Madison St Ste 502, Worcester, MA 01608-2058 | 2020-03-27 |
| 1477184216 | Wellpoint Healing Center, Inc | Clinic/Center | 175 Derby St Ste 18a, Hingham, MA 02043-4051 | 2020-01-30 |
| 1073078531 | Body Dynamics Nutrition | Clinic/Center | 11 Apex Dr, Marlborough, MA 01752-1858 | 2019-02-08 |
| 1194214742 | Norwood Dental Sleep Medicine LLC | Clinic/Center | 100 Day St, Norwood, MA 02062-2125 | 2018-05-08 |
| 1356843890 | Family Eyecare Solutions LLC | Clinic/Center | 51 Mill St Bldg E, Hanover, MA 02339-1641 | 2018-03-01 |
| 1326587288 | Nicole Marie Kantor | Clinic/Center | 182 Church St Apt 3, Newton, MA 02458-1962 | 2017-02-13 |
| 1043757115 | Neurosportelite North Boston, LLC | Clinic/Center | 78 Olympia Ave, Woburn, MA 01801-2057 | 2017-01-26 |
| Find all providers with the same taxonomy | ||||
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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.