DR. TIMOTHY J EDDY (NPI# 1376549584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376549584 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY J EDDY |
| Credential | DO |
| Practice Address |
266 Main St Gardner MA 01440-2927 |
| Practice Telephone | 9786305030 |
| Mailing Telephone | 9786305030 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2014-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 80830 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UGS | 221868 | 01 | |
| MA | BLUE SHIELD OF MA | M18970 | 01 |
| MA | 1320815 | 05 |
| Street Address |
266 MAIN ST |
| City | GARDNER |
| State | MA |
| Zip Code | 01440-2927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004558 | Sarah Elizabeth Lupinski | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2019-07-08 |
| 1700386604 | Charles Richard Brewer | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2018-02-16 |
| 1053819425 | Leanne Lawrence | Registered Nurse | 266 Main St, Gardner, MA 01440-2927 | 2018-01-31 |
| 1467990085 | Jennifer Mann | Nurse Practitioner | 266 Main St, Gardner, MA 01440-2927 | 2017-02-02 |
| 1043765381 | Kristina Lahtinen | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2016-08-16 |
| 1043672249 | Frank Jacob Yavorosky | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2016-03-25 |
| 1427415199 | Kyle Argo | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2016-01-26 |
| 1215304589 | Heywood Affiliated Medical Group Inc. | Clinic/Center | 266 Main St, Gardner, MA 01440-2927 | 2015-08-21 |
| 1134445265 | Lisa Marie Staiti | Nurse Practitioner | 266 Main St, Gardner, MA 01440 | 2010-04-14 |
| 1134357346 | Katherine E Fitzgerald | Family Medicine | 266 Main St, Heywood Family Medicine, Gardner, MA 01440-2927 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
| 1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
| 1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
| 1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
| 1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
| 1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
| 1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
| Find all providers in zip 01440 | ||||
| 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 |
|---|---|---|---|---|
| 1194751172 | Todd Warren Morrison | Family Medicine | 18320 S Center St, Gardner, KS 66030-9157 | 2006-06-23 |
| 1861445561 | John L Sherard | Family Medicine | 18320 So Center St, Gardner, KS 66030 | 2006-05-17 |
| 1053389411 | Diane Rahman | Family Medicine | 27 Heywood St, Gardner, MA 01440-1321 | 2006-03-10 |
| 1467427708 | Jennifer Ryan | Family Medicine | 57 City Hall Ave, Gardner, MA 01440-2614 | 2006-02-21 |
| 1619953247 | Tricia L Vorderstrasse | Family Medicine | 725 Timpany Blvd, Suite 106, Gardner, MA 01440-3453 | 2005-12-15 |
| 1154302966 | Kim D Houde | Family Medicine | 175 Connors St, Gardner, MA 01440-2637 | 2005-11-09 |
| 1558879320 | Olathe Health Physicians, Inc. | Family Medicine | 830 E Main St, Gardner, KS 66030 | 2018-01-16 |
| 1326484130 | Courtney Iverson Hathaway | Family Medicine | 18320 S Center St, Gardner, KS 66030-9157 | 2013-05-20 |
| 1275806457 | Michelle Renee Vieira | Family Medicine | 18320 S Center St, Gardner, KS 66030-9157 | 2012-02-17 |
| 1134357346 | Katherine E Fitzgerald | Family Medicine | 266 Main St, Heywood Family Medicine, Gardner, MA 01440-2927 | 2009-06-25 |
| Find all providers in GARDNER | ||||
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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.