KJC MEDI WEIGHTLOSS LLC (NPI# 1336692243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336692243 |
| Entity Type | Organization |
| Organization Name | KJC MEDI WEIGHTLOSS LLC |
| Other Organization Name | MEDIWEIGHTLOSS OF WAKEFIELD |
| Practice Address |
603 Salem St Wakefield MA 01880-1227 |
| Practice Telephone | 7812456334 |
| Mailing Telephone | 7812456334 |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2016-09-28 |
| Authorized Official Name | DR. JEANNE MARIE KILP (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7812456334 |
| Authorized Official Credential | ACOG |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 50673 | MA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Mediweightloss of Wakefield | Doing Business As Name - Organization |
| Street Address |
603 SALEM ST |
| City | WAKEFIELD |
| State | MA |
| Zip Code | 01880-1227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669490801 | Jeanne Kilp | Obstetrics & Gynecology | 603 Salem St, Wakefield, MA 01880-1227 | 2006-07-17 |
| 1093116915 | Jm Kilp Weight Loss Wakefield Inc | Family Medicine | 603 Salem St, Unit 3, Wakefield, MA 01880-1227 | 2014-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497314520 | The Speech Therapy Center | Speech-Language Pathologist | 94 Parker Rd, Wakefield, MA 01880 | 2019-06-12 |
| 1720555774 | Brenda Joyce Baylis | Doula | 4 Foster Street, Wakefield, MA 01880 | 2018-10-29 |
| 1912473521 | Cathy Dowen | Internal Medicine | 607 North Avenue Door 17, Wakefield, MA 01880 | 2018-10-22 |
| 1376035824 | Moira Mcnabb-o'connell | Behavioral Analyst | 607 North Ave Door 11 2nd Floor, Wakefield, MA 01880 | 2018-05-31 |
| 1548785215 | Brightview Wakefield, LLC | Alzheimer Center (Dementia Center) | 21 Crescent Street, Wakefield, MA 01880 | 2017-08-03 |
| 1982125050 | Ashley Rose Sullivan | Behavioral Analyst | 607 North Ave., Door 11, Second Floor, Wakefield, MA 01880 | 2017-06-29 |
| 1659728202 | Michelle Tomczyk | Behavioral Analyst | 301 Edgewater Place, Suite 100, Wakefield, MA 01880 | 2016-05-24 |
| 1104204353 | Logistic Transportation LLC | Taxi | 301 Edgewater Pl 100, Wakefield, MA 01880 | 2015-05-08 |
| 1184042830 | Kimberly Bliss Parent | Massage Therapist | 591 North Avenue, Doo 4, Wakefield, MA 01880 | 2014-03-31 |
| 1457792541 | Maura A Racamato | Community Health Worker | 10 Thistledale Rd, Wakefield, MA 01880 | 2013-07-17 |
| Find all providers in zip 01880 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699701318 | Dutton Family Care Associates LLP | Family Medicine | 33 Avon St, Wakefield, MA 01880-2310 | 2006-06-24 |
| 1063450708 | Mercy Medical Services | Family Medicine | 308 Ash St, Wakefield, NE 68784-5023 | 2006-06-03 |
| 1215995097 | Michael James Weaver | Family Medicine | 553 Kingstown Rd, Wakefield, RI 02879-3600 | 2006-05-02 |
| 1720076011 | Jamiel J Ambrad | Family Medicine | 730 Kingstown Rd, Unit B5, Wakefield, RI 02879-3011 | 2005-10-11 |
| 1992151179 | Yuan Yao | Family Medicine | 888 Main St, Wakefield, MA 01880-4080 | 2016-05-06 |
| 1164811733 | Dutton Family Care Associates LLP | Family Medicine | 33 Avon St, Wakefield, MA 01880-2310 | 2015-01-20 |
| 1861811358 | Osteopathic Family Medicine, LLC | Family Medicine | 55 Cherry Ln, Suite 1b, Wakefield, RI 02879-3617 | 2014-04-11 |
| 1962763656 | Sara E Watson | Family Medicine | 1 River St, Wakefield, RI 02879-3214 | 2012-05-30 |
| 1407141724 | Christopher Ryan Klaus | Family Medicine | 1 River St, Thundermist of South County, Wakefield, RI 02879-3214 | 2011-06-15 |
| 1538452966 | Charlotte May Harwood Moriarty | Family Medicine | 1 High St, Wakefield, RI 02879-3103 | 2011-05-18 |
| Find all providers in WAKEFIELD | ||||
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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.