KSA WELLNESS, INC. (NPI# 1598382483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598382483 |
| Entity Type | Organization |
| Organization Name | KSA WELLNESS, INC. |
| Practice Address |
340 Wood Rd Ste 206 Braintree MA 02184-2401 |
| Mailing Address |
19 Gannett Rd Scituate MA 02066-1608 |
| Practice Telephone | 3397930194 |
| Mailing Telephone | 3397930194 |
| Mailing Fax Number | 7812475215 |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | MR. JAMES W REIDY (PRESIDENT) |
| Authorized Official Telephone | 3397930194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
340 WOOD RD STE 206 |
| City | BRAINTREE |
| State | MA |
| Zip Code | 02184-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342234 | Albert Jusu | Counselor | Arbour Counseling Services, 400 Washington Street, Braintree, MA 02184 | 2020-10-05 |
| 1356952378 | Samantha Taylor O'malley | Student in an Organized Health Care Education/Training Program | 639 Granite Street, N/a, Brainetree, MA 02184 | 2020-08-13 |
| 1184104499 | Andrea Boudreau | Social Worker | Coastal Dcf, 220 R Forbes Road, Braintree, MA 02184 | 2018-08-16 |
| 1144747221 | Mina Schafft Dmd Pllc | Dentist | 321 Washington Street, Unit 101, Westwood, MA 02184 | 2017-08-29 |
| 1922520592 | Samson Michel | Counselor | 400 Washington St. Suite 106, Braintree, MA 02184 | 2017-07-14 |
| 1760912653 | Shannon R Harvey | Behavioral Analyst | 501 Commerce Dr 4207, Braintree, MA 02184 | 2017-06-14 |
| 1275074429 | Colleen Dalton | Behavioral Analyst | 32 Powder Hill Dr, Braintree, MA 02184 | 2017-03-20 |
| 1295273266 | Jessica Morris | Occupational Therapist | 16 Kensington Street, Braintree, MA 02184 | 2017-02-09 |
| 1568834562 | Lisa Morrill | Counselor | 400 Washington St Ste 106, Braintree, MA 02184 | 2015-10-29 |
| 1831560382 | Dr Dental of Braintree PC | Dentist | 284 Grove St, Braintree, MA 02184 | 2015-10-09 |
| Find all providers in zip 02184 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1902051063 | Jane E Mcinerny | Internal Medicine | 23 Celia Rd, Braintree, MA 02184-7709 | 2008-11-17 |
| 1336290097 | Eugene M Tyrrell | Internal Medicine | 34 Maplewood Ter, Braintree, MA 02184-8509 | 2007-01-16 |
| 1740231729 | Gina M Manzo | Internal Medicine | 10 Forbes Rd, Suite 190, Braintree, MA 02184-2605 | 2006-05-13 |
| 1174590681 | Madhvendra Singh | Internal Medicine | Blue Hills Medical Associates, 340 Wood Road, Braintree, MA 02184 | 2006-03-02 |
| 1669473955 | Richard Black | Internal Medicine | 340 Wood Road, Braintree, MA 02184 | 2005-08-09 |
| 1457352338 | Christopher Teitleman | Internal Medicine | 111 Grossman Dr, Braintree, MA 02184-4997 | 2005-08-02 |
| 1669884540 | Pmr Medical Group PC | Internal Medicine | 250 Pond St, Braintree, MA 02184-5351 | 2014-05-27 |
| 1033550157 | Scott M Souther | Internal Medicine | 111 Grossman Dr, Braintree, MA 02184-4997 | 2013-07-17 |
| 1619131539 | Jason Grunes | Internal Medicine | 250 Pond St, Braintree, MA 02184-5351 | 2008-07-10 |
| 1427248558 | Lini S Bhatia | Internal Medicine | 111 Grossman Dr, Internal Medicine, Braintree, MA 02184-4997 | 2007-07-25 |
| Find all providers in BRAINTREE | ||||
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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.