COMMONWEALTH PEDIATRICS, LLC


Address: 92 Montvale Ave, Stoneham, MA 02180-3647
Phone: 5183315316

COMMONWEALTH PEDIATRICS, LLC (NPI# 1588051874) 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) 1588051874
Entity Type Organization
Organization Name COMMONWEALTH PEDIATRICS, LLC
Practice Address 92 Montvale Ave
Stoneham
MA 02180-3647
Mailing Address 53 Oxford St
Winchester
MA 01890-2422
Practice Telephone 5183315316
Mailing Telephone 5183315316
Enumeration Date 2015-04-24
Last Update Date 2015-04-24
Authorized Official Name DR. MICHELLE LOCK (PHYSICIAN / OWNER)
Authorized Official Telephone 5183315316
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations COMMONWEALTH PEDIATRICS, LLC 53 Oxford St., Winchester, MA 01890

Office Location

Street Address 92 MONTVALE AVE
City STONEHAM
State MA
Zip Code 02180-3647

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215921309 Denis P Byrne Specialist 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 2005-09-06
1619419199 Caitlin Leary Physical Therapist 92 Montvale Ave, Stoneham, MA 02180 2016-11-15
1174072557 Agility Wpho-thp Inc Specialist 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 2016-09-27
1316494230 Lyle Edward Morgan Physical Therapy Assistant 92 Montvale Ave, 1100, Stoneham, MA 02180-3647 2016-09-08
1568865194 Elizabeth Mcnichol Dermatology 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3647 2014-09-26
1710315494 Michael Bader Md PC Internal Medicine 92 Montvale Ave, Suite 3700, Stoneham, MA 02180-3647 2013-10-16
1720320377 Dr. Mickey's Orthodontics, L.L.C. Dentist 92 Montvale Ave, Suite 4300, Stoneham, MA 02180-3647 2013-03-21
1114269099 Jean Wyatt Gee Nurse Practitioner 92 Montvale Ave, 4605, Stoneham, MA 02180-3647 2013-03-19
1093080830 Kimberly B Tighe Physician Assistant 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3647 2012-03-13
1912278441 Orthopedic Surgery Inc Occupational Therapist 92 Montvale Ave, Suite 1400, Stoneham, MA 02180 2012-01-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073092839 Ann M Campbell Social Worker 490 William St, Stoneham, MA 02180 2018-08-12
1669997243 Melissa Meskell, Lmhc Clinic/Center 38 Montvale Avenue Suite 327, Stoneham, MA 02180 2017-08-04
1033593306 Melissa Zeitlin Counselor 178 North St, Stoneham, MA 02180 2015-07-16
1053708370 Michael Stangler Dentist 2 Main St Ste 225, Stoneham, MA 02180 2015-04-24
1699086397 Kimberly Y Chin Acupuncturist 105 Marble Street, Apt 7, Stoneham, MA 02180 2010-06-28
1538305446 John Nyaga Njine Registered Nurse 5 Glen Rd, Apt 110, Stoneham, MA 02180 2008-12-23
1427189000 Stoneham Public Schools Local Education Agency (LEA) 149 Franklin St., Stoneham, MA 02180 2007-03-08
1487715181 Bernard J Augot, Jr. Acupuncturist Acupuncture Health Care Ctr., 370 Main Street, Stoneham, MA 02180 2006-12-13
1730257684 Advantage Sports Medicine & Physical Therapy,inc. Physical Therapist 245 North Street, Stoneham, MA 02180 2006-11-30
1851465538 Town of Stoneham Public Health or Welfare 35 Central Street, Stoneham, MA 02180 2006-11-17
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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780246058 Elaine Skawski Np, LLC Clinic/Center 10 Hospital Dr Ste 311, Holyoke, MA 01040-6603 2019-07-08
1306403613 Compassionate Care Physicians LLC Clinic/Center 9 Mill and Main Pl Ste 101, Maynard, MA 01754-2651 2019-05-22
1245721240 Zaheen Medical Center LLC Clinic/Center 231 Sutton St Ste 1a, North Andover, MA 01845-1620 2018-05-24
1982102265 Jacob Louis Perriello Clinic/Center 12 Drew Ave, Weymouth, MA 02189-2226 2018-02-01
1407385834 Lawrence Health Solutions, LLC Clinic/Center 25 Marston St., Suite 105, Lawrence, MA 01841 2017-06-08
1962949925 Regis College Clinic/Center 155 Wheeler Circle, Apt. 273, Stoughton, MA 02072 2017-01-27
1154866234 Sokharith Mey, Md, Pllc Clinic/Center 280 Union St # 402, Lynn, MA 01901-1353 2016-12-28
1558721191 Harbor Health Services Inc Clinic/Center 735 Attucks Lane, Hyannis, MA 02601 2016-02-24
1669830550 Nirphemy Dambreville-lundy Clinic/Center 125 Gas Light Dr, 8, Weymouth, MA 02190-2142 2016-02-05
1891125480 Western Massachusetts Primary Care PC Clinic/Center 405 Armory St, Springfield, MA 01104-2305 2013-11-18
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Competitor

Search similar providers

City STONEHAM
Zip Code 02180

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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