HARBOR MEDICAL ASSOCIATES, INC. (NPI# 1467648444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467648444 |
| Entity Type | Organization |
| Organization Name | HARBOR MEDICAL ASSOCIATES, INC. |
| Other Organization Name | PHYSICIAN DIAGNOSTICS |
| Practice Address |
541 Main St Suite 120 South Weymouth MA 02190-1868 |
| Practice Telephone | 7819521577 |
| Practice Fax Number | 7819521440 |
| Mailing Telephone | 7819521577 |
| Mailing Fax Number | 7819521440 |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2017-08-07 |
| Authorized Official Name | PETER GRAPE (CEO) |
| Authorized Official Telephone | 7819521249 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | HARBOR MEDICAL ASSOCIATES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1527801 | 05 | |
| MA | NEIGHBORHOOD HEALTH PLAN | 0036461 | 01 |
| MA | RAILROAD MEDICARE | P00173499 | 01 |
| Other Name | Type Code |
|---|---|
| Physician Diagnostics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689909723 | Harbor Medical Associates, Inc. | Radiology | 101 Columbian St, Suite 102, S. Weymouth, MA 02190-1868 | 2009-10-07 |
| 1396942926 | Harbor Medical Associates, Inc. | Clinical Medical Laboratory | 541 Main St, Suite 420, South Weymouth, MA 02190-1868 | 2007-06-28 |
| 1205977444 | Harbor Medical Associates, Inc. | Psychiatry & Neurology | 3 Corporate Plaza Drive, Suite 140, Newport Beach, CA 92660-7980 | 2007-02-09 |
| 1124079561 | Harbor Medical Associates, Inc. | Family Medicine | 541 Main St, Suite 400, South Weymouth, MA 02190-1868 | 2006-05-12 |
| Street Address |
541 MAIN ST SUITE 120 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194955864 | Nathaniel N Temin | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2009-07-16 |
| 1518984319 | South Shore Radiological Associates, Inc. | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-07-16 |
| 1295791119 | Rafael Antonio Altieri | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-04-21 |
| 1497729800 | Ellen B Morris | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-02-14 |
| 1083693485 | James N Suojanen | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-13 |
| 1679552616 | Richard F Sullivan | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-10 |
| 1912985086 | Slobodan Miseljic | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-09 |
| 1841278868 | Jennifer L Lynch | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-09 |
| 1194703108 | Robert L Gore | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-09 |
| 1821076845 | John L Mahoney | Radiology | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-01-09 |
| 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.