MVNE 1 PC (NPI# 1609430792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609430792 |
Entity Type | Organization |
Organization Name | MVNE 1 PC |
Practice Address |
415 Cooley St Springfield MA 01128 |
Mailing Address |
136 Dwight Rd Longmeadow MA 01106 |
Practice Telephone | 4137824878 |
Enumeration Date | 2019-04-24 |
Last Update Date | 2019-04-24 |
Authorized Official Name | MR. JAMES BRENNAN (MANAGER) |
Authorized Official Telephone | 4135653181 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
AFC Urgent Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164797957 | Mvne 1 PC | Clinic/Center | 136 Dwight Road, Medvest LLC, Longmeadow, MA 01106-3317 | 2012-03-13 |
1912561986 | Mvne 1 PC | Family Medicine | 18 Union St, West Springfield, MA 01089 | 2019-04-25 |
1770857278 | Mvne 1 PC | Clinic/Center | 18 Union St, West Springfield, MA 01089-3317 | 2012-03-01 |
Street Address |
415 COOLEY ST |
City | SPRINGFIELD |
State | MA |
Zip Code | 01128 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174588289 | James G Laurenzano | Emergency Medicine | 415 Cooley St, Springfield, MA 01128-1127 | 2006-04-20 |
1992345581 | Charity Pressey | Physician Assistant | 415 Cooley St, Springfield, MA 01128-1127 | 2020-01-10 |
1629587928 | Robin M Lawrence | Nurse Practitioner | 415 Cooley St, Springfield, MA 01128-1127 | 2017-09-29 |
1902123276 | Mvne1 P.C. | Clinic/Center | 415 Cooley St, Unit #3, Springfield, MA 01128-1113 | 2010-04-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982664173 | Sai L Kadiyala | Dentist | 367 Cooley Street, Springfield, MA 01128 | 2006-03-23 |
1215349188 | Ying-hsien Huang | Dentist | 367 Cooley Street, Springfield, MA 01128 | 2014-05-28 |
1952432890 | Yolanda Rivera | Counselor | 14 Berard Cir, Springfield, MA 01128-1004 | 2007-03-09 |
1609420975 | Danielle Taylor Cassista | Occupational Therapist | 47 Teakwood Rd, Springfield, MA 01128-1056 | 2019-07-25 |
1639545056 | Aditiya Kumar | Pharmacist | 381 Cooley St, Springfield, MA 01128-1113 | 2015-08-19 |
1164521449 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 381 Cooley Street, Springfield, MA 01128-1113 | 2006-09-22 |
1821601105 | Kevin Patrick Keough | Pharmacist | 381 Cooley St, Springfield, MA 01128-1113 | 2020-08-26 |
1295250413 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 381 Cooley St, Springfield, MA 01128-1113 | 2017-08-09 |
1871888727 | Toi Ladonne Moses | Occupational Therapist | 633 Cooley St, Springfield, MA 01128-1115 | 2011-06-17 |
1346391703 | Roland F Berthiaume | Chiropractor | 585 Cooley St, Springfield, MA 01128-1115 | 2007-01-14 |
Find all providers in zip 01128 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841802592 | Community Health and Wellness Services, Inc. | Family Medicine | 312 Memorial Park Dr, Springfield, PA 19064-1714 | 2020-08-22 |
1649815796 | 180 Health Lifestyle Wellness Centers | Family Medicine | 1936 S Glenstone Ave, Springfield, MO 65804-2305 | 2019-11-13 |
1790337988 | Aminat Ogun | Family Medicine | 520 N 4th St # 62702, Springfield, IL 62702-5238 | 2019-07-09 |
1770076622 | Thomas John Schumann | Family Medicine | 1260 E. Woodlawn Ave, Suite 200, Springfield, PA 19064-3988 | 2018-06-14 |
1134648959 | Patricia Derges | Family Medicine | 3259 E Sunshine St Ste Aa, Springfield, MO 65804-2114 | 2017-09-12 |
1740704667 | Mercy Management of Sepa | Family Medicine | 1001 Baltimore Pike Ste 109, Springfield, PA 19064-2852 | 2017-08-02 |
1083134902 | Trevor Conner | Family Medicine | 1423 N Jefferson Ave, B100, Springfield, MO 65802 | 2017-06-21 |
1790215853 | Vincent Marchese | Family Medicine | 1260 E Woodland Ave Ste 200, Springfield, PA 19064-3956 | 2017-06-12 |
1184152100 | Canaan Arceneaux | Family Medicine | 1001 Baltimore Pike Ste 106, Springfield, PA 19064-2800 | 2017-06-03 |
1063943587 | Cody Stark Rogers | Family Medicine | 1423 N Jefferson Ave # A100, Springfield, MO 65802-1988 | 2017-03-26 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01128 |
Please comment or provide details below to improve the information on MVNE 1 PC.
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.