MS. PAMELA R GERVAIS (NPI# 1417110297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417110297 |
Entity Type | Individual |
Full Name | MS. PAMELA R GERVAIS |
Credential | PA |
Practice Address |
45 Colpitts Rd Weston MA 02493-1546 |
Practice Telephone | 7816428877 |
Practice Fax Number | 7816421117 |
Mailing Telephone | 7816428877 |
Mailing Fax Number | 7816421117 |
Enumeration Date | 2008-07-02 |
Last Update Date | 2008-07-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2403 | MA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | PHYSICIAN ASSISTANT LICENSE | 2403 | 01 |
Street Address |
45 COLPITTS RD |
City | WESTON |
State | MA |
Zip Code | 02493-1546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497754055 | Lois S. Goodman | Obstetrics & Gynecology | 45 Colpitts Rd, Weston, MA 02493-1546 | 2005-07-17 |
1447451133 | Gynecology Partners P.C. | Obstetrics & Gynecology | 45 Colpitts Rd, Weston, MA 02493-1546 | 2007-05-30 |
1841246964 | Kristine Lescinksas Dulaski | Internal Medicine | 45 Colpitts Rd, Weston, MA 02493-1546 | 2006-05-26 |
1205829678 | Kathleen Murphy Marc | Obstetrics & Gynecology | 45 Colpitts Rd, Weston, MA 02493 | 2005-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194290247 | Ann Fry | Social Worker | The Gifford School, 177 Boston Post Road, Weston, MA 02493 | 2018-10-04 |
1710467998 | Jill Suzanne Blaszkowsky | Social Worker | Campion Center, 319 Concord Road, Weston, MA 02493 | 2018-08-17 |
1336633353 | Kari Anne Wye | Counselor | 456 Wellesley St, Weston, MA 02493 | 2018-06-22 |
1780991257 | Kate F Tye | Internal Medicine | 56 Colpitts Road, Weston, MA 02493 | 2010-09-07 |
1245544840 | Edward C. Michaud, D.d.s. | Dentist | 512 Boston Post Road, Weston, MA 02493 | 2010-08-06 |
1346478815 | M. Susan Roberts | Psychologist | 269 Conant Road, Weston, MA 02493 | 2009-06-23 |
1205027307 | Mary R England | Psychiatry & Neurology | 235 Wellesley Street, Regis College, Weston, MA 02493 | 2007-08-05 |
1811030216 | Julie Lemaire Rein | Internal Medicine | Newton-wellesely Primary Care, 45 Colpitts Road, Weston, MA 02493 | 2007-02-15 |
1689743403 | Laura Ann Aiello | Psychologist | 20 Bullard Rd, Weston, MA 02493 | 2006-11-07 |
1649363292 | Brian Dewayne Lightsey | Social Worker | 104 Boston Post Rd, Suite #3, Weston, MA 02493 | 2006-10-02 |
Find all providers in zip 02493 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356426423 | Melissa Brooke Skinner | Physician Assistant | 224 Woodlyn Dr, Weston, WV 26452-7304 | 2006-10-26 |
1154353712 | James C Steele | Physician Assistant | 936 Sharp Hospital Road, Weston, WV 26452 | 2006-07-06 |
1760411078 | Ronald Eugene Sherry | Physician Assistant | 948 Falling Water Rd, Weston, FL 33326-3554 | 2006-06-30 |
1699148395 | Nicole Schtupak | Physician Assistant | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2015-11-04 |
1144572868 | Jaclyn Weiss | Physician Assistant | 2950 Cleveland Clinic Blvd, Weston, FL 33331-3609 | 2012-10-04 |
1831448885 | David Erick Robey | Physician Assistant | 230 Hospital Plz, Weston, WV 26452-8558 | 2012-09-06 |
1093042772 | Robert Lynn Harsh | Physician Assistant | 402 Medical Park Dr, Suite 100, Weston, WV 26452-1678 | 2009-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
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.