HALLMARK HEALTH MEDICAL ASSOCIATES INC


Address: 170 Governors Ave, Attn: Provider Enrollment-hhma (3) Contact, Medford, MA 02155-1643
Phone: 7813387521

HALLMARK HEALTH MEDICAL ASSOCIATES INC (NPI# 1568789527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568789527
Entity Type Organization
Organization Name HALLMARK HEALTH MEDICAL ASSOCIATES INC
Other Organization Name HHMA-NECQA
Practice Address 170 Governors Ave
Attn: Provider Enrollment-hhma (3) Contact
Medford
MA 02155-1643
Mailing Address Po Box 3237
Hallmark Health Medical Associates Inc (3)
Woburn
MA 01888-3237
Practice Telephone 7813387521
Practice Fax Number 7813387531
Mailing Telephone 7813387170
Mailing Fax Number 7813387173
Enumeration Date 2010-04-29
Last Update Date 2012-01-13
Authorized Official Name MR. MICHAEL S TURILLI (VP FISCAL SERVICES)
Authorized Official Telephone 7813387415
Is Organization Subpart Y
Parent Organization Name HALLMARK HEALTH CORPORATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208600000X Surgery Allopathic & Osteopathic Physicians
N 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians
Y 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA WINCH-IPA-BCBS NECQA / IPA BE# 01

Other Provider/Organization Names

Other Name Type Code
HHMA-NECQA Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255964391 Hallmark Health Medical Associates Inc Psychologist 170 Governors Ave, Medford, MA 02155-1643 2020-02-18
1942450242 Hallmark Health Medical Associates Inc Obstetrics & Gynecology 170 Governors Ave, Hallmark Health Medical Associates Inc (#2)-non-pchi, Medford, MA 02155-1643 2008-09-23
1770563900 Hallmark Health Medical Associates Inc Internal Medicine 170 Governors Ave, Attn: Provider Enrollment, Medford, MA 02155-1643 2006-01-23

Office Location

Street Address 170 GOVERNORS AVE
ATTN: PROVIDER ENROLLMENT-HHMA (3) CONTACT
City MEDFORD
State MA
Zip Code 02155-1643

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841290467 Melrosewakefield Healthcare, Inc. General Acute Care Hospital 170 Governors Ave, Medford, MA 02155-1643 2005-07-26
1255964391 Hallmark Health Medical Associates Inc Psychologist 170 Governors Ave, Medford, MA 02155-1643 2020-02-18
1205473592 Melrosewakefield Healthcare, Inc. Clinic/Center 170 Governors Ave, Medford, MA 02155-1643 2019-12-05
1801431754 John Norcross Occupational Therapist 170 Governors Ave, Medford, MA 02155-1643 2019-11-14
1770029670 Kayla Rose Registered Nurse 170 Governors Ave, Medford, MA 02155-1643 2017-01-16
1326403809 Ying Ma Nurse Practitioner 170 Governors Ave, Medford, MA 02155-1643 2015-12-28
1396143624 Laurie Young Nurse Practitioner 170 Governors Ave, Medford, MA 02155-1643 2014-12-19
1912325754 Yesodarao and Associates LLC Internal Medicine 170 Governors Ave, Medford, MA 02155-1643 2014-03-30
1124364872 Andrea Messina Nurse Practitioner 170 Governors Ave, Medford, MA 02155-1643 2012-12-28
1124362389 Michelle Vidal Social Worker 170 Governors Ave, Lawrence Memorial Hospital, Medford, MA 02155-1643 2012-11-12
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679113922 Elena Chapman Nurse Practitioner 293 Salem St 4, Medford, MA 02155 2020-01-14
1922658830 Michelle Anne Zona Counselor 100 George Hassett Dr, Medford, MA 02155 2019-09-13
1487138509 Dava Davainis Social Worker 76 Newbern Avenue, Apt. 1, Medford, MA 02155 2018-09-25
1265915128 Erin Roberts Counselor Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 2018-09-07
1871075739 Janice Madeline Cole Social Worker 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 2018-09-06
1447732573 Mystick Women's Health, Inc. Obstetrics & Gynecology 13 Bradlee Road, Medford, MA 02155 2018-09-05
1144713090 Laura Rogers Psychologist 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 2018-06-14
1871086694 Shuo Yang Dentist 8 9th St Apt 310, Medford, MA 02155 2018-06-07
1891287108 Xuhua Qin Psychologist 120 Curtis Street, Medford, MA 02155 2018-06-01
1568953529 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 471 Salem St, Medford, MA 02155 2018-05-25
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Taxonomy Information

Taxonomy Code 207VX0000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Obstetrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215413240 Serena Fasano Obstetrics & Gynecology 13 Bradlee Rd, Medford, MA 02155-3110 2018-07-12
1437601234 Nicholas Mills Md LLC Obstetrics & Gynecology 2941 Doctors Park Dr, Medford, OR 97504-8127 2016-10-27
1942450242 Hallmark Health Medical Associates Inc Obstetrics & Gynecology 170 Governors Ave, Hallmark Health Medical Associates Inc (#2)-non-pchi, Medford, MA 02155-1643 2008-09-23

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1073976932 Amir Mehdizadeh Obstetrics & Gynecology 328 Shrewsbury St Ste 100, Worcester, MA 01604-5465 2016-03-29
1295967669 Robert Edward Dalessandro Obstetrics & Gynecology 23 Theresa Ave, Leominster, MA 01453-4631 2009-08-18
1508925801 Carl Steven Bender Obstetrics & Gynecology One Acton Place, Suite 102, Acton, MA 01720 2006-12-06
1093899346 New England Ob/gyn Associates,inc Obstetrics & Gynecology 200 Boylston St Ste 301, Chestnut Hill, MA 02467-2008 2006-10-24
1942249214 Peter Brown Obstetrics & Gynecology 15 Columbia Rd, Pembroke, MA 02359-1841 2006-06-05
1053392019 Debra M Papa Obstetrics & Gynecology 33 Kendall St, Department of Obstetrics & Gynecology, Worcester, MA 01605-2726 2005-11-08
1619405594 Dhp of Massachusetts, P.C. Obstetrics & Gynecology 70 East St, Methuen, MA 01844-4597 2017-05-23
1730540394 Uhun Ro Lee M.d P.c Obstetrics & Gynecology 45 Pearl St, Brockton, MA 02301-2858 2016-03-10
1356737456 Jean Chavez Hostage Obstetrics & Gynecology 800 Washington St, Boston, MA 02111 2015-04-15
1861810673 Catherine Dieffenbach Obstetrics & Gynecology 165 Dartmouth St, Boston, MA 02116-5123 2014-03-31
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Competitor

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City MEDFORD
Zip Code 02155

Improve Information

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Dataset Information

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.

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