PAUL G JODKA (NPI# 1417061243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417061243 |
| Entity Type | Individual |
| Full Name | PAUL G JODKA |
| Credential | MD |
| Practice Address |
30 Locust St Northampton MA 01060-2052 |
| Mailing Address |
30 Locust St Northampton MA 01060 |
| Practice Telephone | 4135822441 |
| Practice Fax Number | 4135822472 |
| Mailing Telephone | 4135822441 |
| Mailing Fax Number | 4135822472 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2018-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
153137 | MA | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
153137 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110060193A | 05 |
| Street Address |
30 LOCUST ST |
| City | NORTHAMPTON |
| State | MA |
| Zip Code | 01060-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967991 | Gretchen E Loebel | Obstetrics & Gynecology | 30 Locust St, Northampton, MA 01060 | 2005-07-28 |
| 1962019117 | Anacelis Flecha | Nurse Practitioner | 30 Locust St, Northampton, MA 01060-2093 | 2020-09-30 |
| 1790304095 | Lauren Jacqueline Slebodnick | Physician Assistant | 30 Locust St, Northampton, MA 01060-2052 | 2020-04-16 |
| 1831722677 | Kristen L Hinchey | Physician Assistant | 30 Locust St, Northampton, MA 01060-2052 | 2020-02-20 |
| 1972071132 | Anne Evelyn Messier | Registered Nurse | 30 Locust St, Northampton, MA 01060-2093 | 2018-11-06 |
| 1083181242 | Dale Allen Thompson | Social Worker | 30 Locust St, Northampton, MA 01060-2093 | 2018-10-25 |
| 1578048757 | Alexandra Penzias | Clinical Nurse Specialist | 30 Locust St, Northampton, MA 01060-2052 | 2018-10-03 |
| 1023591211 | Katherine Mary Jaycox | Social Worker | 30 Locust St, Northampton, MA 01060-2052 | 2018-09-13 |
| 1689154825 | Patrick Ryan Fugler | Pharmacist | 30 Locust St, Northampton, MA 01060-2052 | 2018-08-17 |
| 1104329739 | Devon Charlotte Riley | Midwife | 30 Locust St, Northampton, MA 01060-2052 | 2018-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942869318 | Stephanie Jordan | Counselor | 16 Center St Ste 517, Northampton, MA 01060 | 2019-06-10 |
| 1659853828 | James Drisko | Social Worker | 159 Crescent St, Northampton, MA 01060 | 2018-09-04 |
| 1063994416 | Nancy P Doby | Social Worker | 84 Conz Street, Northampton, MA 01060 | 2018-09-02 |
| 1356821144 | Kathleen Ann Goodwin-boyd | Social Worker | Northampton High School, 380 Elm Street, Northampton, MA 01060 | 2018-08-21 |
| 1457847048 | Kathryn Karusaitis Basham | Social Worker | 155 Main Street C/o Dr. Herzog Phd, Northampton, MA 01060 | 2018-07-06 |
| 1700392289 | Angel Marie Kennedy | Behavioral Analyst | 351 Pleasant St Ste B126, Northampton, MA 01060 | 2017-12-20 |
| 1013437508 | Ricky Jermaine Logan | Counselor | 129 North King Street, Northampton, MA 01060 | 2017-06-26 |
| 1962858886 | Alicia Simoni | Social Worker | 25 Main St Ste 445, Northampton, MA 01060 | 2016-05-10 |
| 1134589708 | James Edmonstone | Clinic/Center | 78 Mainst., Suite 404, Northampton, MA 01060 | 2016-02-25 |
| 1114395639 | Danielle Baker | Speech-Language Pathologist | 228 King St Ste 2, Northampton, MA 01060 | 2015-09-15 |
| Find all providers in zip 01060 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336635606 | Orthopedic Medicine of Boston Pllc | Pain Medicine | 300 Congress St Ste 304, Quincy, MA 02169-0907 | 2018-07-10 |
| 1225335417 | Impar Corporation | Pain Medicine | 178 Westerly Rd, Plymouth, MA 02360-4535 | 2011-02-24 |
| 1609010008 | James R Gorman | Pain Medicine | 888 Worcester St Ste 95, Wellesley, MA 02482-3737 | 2009-04-29 |
| 1831189364 | Omar Hammam El Abd | Pain Medicine | 378 Washington St, Wellesley, MA 02481-6207 | 2005-10-26 |
| 1568972958 | North Shore Pain Center LLC | Pain Medicine | 900 Cummings Ctr Ste 221u, Beverly, MA 01915-6183 | 2017-10-11 |
| 1326574872 | North Shore Pain Treatment LLC | Pain Medicine | 900 Cummings Ctr, Suite 221u, Beverly, MA 01915-6198 | 2017-05-03 |
| 1942678560 | Orthopedics New England, Inc | Pain Medicine | 313 Speen St, Natick, MA 01760-1538 | 2015-09-14 |
| 1750779328 | Christopher James Britt | Pain Medicine | 203 Turnpike St, G1, North Andover, MA 01845-5042 | 2015-01-05 |
| 1174928543 | Seacoast Pain Center, LLC | Pain Medicine | 21 Highland Ave, Suite 16, Newburyport, MA 01950-3872 | 2014-10-28 |
| 1144643370 | North Shore Pain Care LLC | Pain Medicine | 800 W Cummings Park, Suite 1200, Woburn, MA 01801-6372 | 2014-01-23 |
| Find all providers with the same taxonomy | ||||
| City | NORTHAMPTON |
| Zip Code | 01060 |
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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.