DR. J. GREGORY CORRODI (NPI# 1457351330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457351330 |
| Entity Type | Individual |
| Full Name | DR. J. GREGORY CORRODI |
| Credential | MD |
| Practice Address |
541 Main St Suite 400 South Weymouth MA 02190-1868 |
| Practice Telephone | 7819521200 |
| Practice Fax Number | 7813401610 |
| Mailing Telephone | 7819521200 |
| Mailing Fax Number | 7813401610 |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2014-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 76240 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
76240 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | FALLON COMMUNITY HEALTH | 39438 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0005553 | 01 |
| MA | HARVARD PILGRIM | 66327 | 01 |
| MA | TUFTS HEALTH PLAN | 730784 | 01 |
| MA | 3107183 | 05 | |
| MA | BLUE CROSS BLUE SHIELD | J13664 | 01 |
| Street Address |
541 MAIN ST SUITE 400 |
| City | SOUTH WEYMOUTH |
| State | MA |
| Zip Code | 02190-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249000 | Peter A. Grape | Internal Medicine | 541 Main St, Suite 400, South Weymouth, MA 02190-1868 | 2005-07-15 |
| 1750777132 | Shawna Marie Maroney | Counselor | 541 Main St, South Weymouth, MA 02190-1868 | 2015-04-12 |
| 1578991113 | Gk Dermatology, PC | Dermatology | 541 Main St, Suite 318, South Weymouth, MA 02190-1868 | 2013-10-16 |
| 1306100458 | Nicole Sirianni | Counselor | 541 Main St, Suite Number 303, South Weymouth, MA 02190-1868 | 2012-07-03 |
| 1770857286 | Dana Anstett | Counselor | 541 Main St, Suite 303, South Weymouth, MA 02190-1868 | 2012-03-01 |
| 1912296633 | Harbor Medical Associates P.C. | Clinic/Center | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2011-04-04 |
| 1649591983 | Farah Malary | Physician Assistant | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2010-06-22 |
| 1649505967 | Bridget M Freeman | Social Worker | 541 Main St, Suite 317, South Weymouth, MA 02190-1868 | 2009-10-04 |
| 1902079494 | John Wolfert | Physician Assistant | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2008-04-07 |
| 1912181843 | Healthy Heart Sleep Programs, Inc. | Durable Medical Equipment & Medical Supplies | 541 Main St, Suite 314, South Weymouth, MA 02190 | 2007-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588823645 | Adam Jacob Zucker | Internal Medicine | 541 Main St 400, South Weymouth, MA 02190-1889 | 2008-06-04 |
| 1336107390 | Alexei V Shvilkin | Internal Medicine | 70 Pleasant St, South Weymouth, MA 02190-2427 | 2006-05-01 |
| 1821315060 | Joshua Michael Arkin | Internal Medicine | 70 Pleasant St, South Weymouth, MA 02190 | 2010-04-28 |
| 1790808814 | David M Denmark | Internal Medicine | 541 Main St, Suite 400, South Weymouth, MA 02190-1868 | 2007-04-06 |
| 1497895213 | South Shore Cardiology PC | Internal Medicine | 70 Pleasant St, South Weymouth, MA 02190-2427 | 2007-02-08 |
| 1801909759 | Joseph P Jiang | Internal Medicine | 70 Pleasant St, South Weymouth, MA 02190-2427 | 2006-08-16 |
| 1952324303 | William Calhoun | Internal Medicine | 70 Pleasant St, South Weymouth, MA 02190-2427 | 2006-07-26 |
| 1942224654 | Wendy Johnson | Internal Medicine | 70 Pleasant St, South Weymouth, MA 02190-2427 | 2006-07-26 |
| 1669496352 | Naomi Rounds | Internal Medicine | 851 Main St, Suite 14, South Weymouth, MA 02190-1612 | 2006-07-26 |
| 1225096167 | Alexander M. Morss | Internal Medicine | 541 Main St, Suite 400, South Weymouth, MA 02190-1868 | 2006-05-02 |
| Find all providers in SOUTH WEYMOUTH | ||||
| City | SOUTH WEYMOUTH |
| Zip Code | 02190 |
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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.