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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | COMMONWEALTH PEDIATRICS, LLC | 53 Oxford St., Winchester, MA 01890 |
Street Address |
92 MONTVALE AVE |
City | STONEHAM |
State | MA |
Zip Code | 02180-3647 |
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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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 |
Find all providers in zip 02180 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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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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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.