MARK COLUCCI (NPI# 1619906971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619906971 |
| Entity Type | Individual |
| Full Name | MARK COLUCCI |
| Credential | PA-C |
| Practice Address |
5 Bramble Bush Dr Falmouth MA 02540-2325 |
| Mailing Address |
10 Bramble Bush Dr C/o Asap Medical Services, LLC Falmouth MA 02540-2325 |
| Practice Telephone | 5085489423 |
| Practice Fax Number | 5085485239 |
| Mailing Telephone | 5085482402 |
| Mailing Fax Number | 5085402235 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1101 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 BRAMBLE BUSH DR |
| City | FALMOUTH |
| State | MA |
| Zip Code | 02540-2325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215965561 | Orthopedic Specialists, LLC | Orthopaedic Surgery | 5 Bramble Bush Dr, Falmouth, MA 02540-2325 | 2006-06-28 |
| 1164451423 | Brian D Bird | Physician Assistant | 5 Bramble Bush Dr, Falmouth, MA 02540-2325 | 2006-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790284313 | Susan Jean Marlatt | Social Worker | 24 Carlisle Road, Falmouth, MA 02540 | 2018-02-09 |
| 1396296661 | Raysa Schulz Moreira | Physical Therapy Assistant | 485 Main St., Falmouth, MA 02540 | 2016-10-20 |
| 1518364264 | Matty Donlan | Counselor | 200 Ter Huen Drive, Falmouth, MA 02540 | 2014-11-24 |
| 1043656630 | Wg Falmouth Sh II, LLC | Assisted Living Facility | 389 Gifford St, Falmouth, MA 02540 | 2013-05-22 |
| 1407192347 | Gail Marcia Coe | Nurse Practitioner | 67a Ter Heun Drive, Falmouth, MA 02540 | 2012-12-21 |
| 1689900565 | Preventive Medicine Associates | Family Medicine | 322 Gifford St, Falmouth, MA 02540 | 2009-10-27 |
| 1598941395 | Arthur W. Baker, O.d. | Optometrist | 160 Katharine Lee Bates Rd, Falmouth, MA 02540 | 2008-01-11 |
| 1801008370 | Michael J Murray | Internal Medicine | Falmouth Hospital, 100 Ter Heun Drive, Falmouth, MA 02540 | 2007-05-04 |
| 1013131895 | Hugo P Dambrosio Jr. | Dentist | 8 Bramblebush Park, Falmouth, MA 02540 | 2007-04-12 |
| 1538282553 | Upper Cape Ear, Nose & Throat | Otolaryngology | 200-a Jones Rd, Falmouth, MA 02540 | 2007-04-06 |
| Find all providers in zip 02540 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255605218 | Brigham R Mckenney | Physician Assistant | 5 Bucknam Rd, Suite 1d, Falmouth, ME 04105-1392 | 2012-03-08 |
| 1205124005 | Emily Celeste Kumagae | Physician Assistant | 20 Northbrook Dr, Falmouth, ME 04105-1318 | 2011-07-13 |
| 1164451423 | Brian D Bird | Physician Assistant | 5 Bramble Bush Dr, Falmouth, MA 02540-2325 | 2006-06-30 |
| 1235167172 | Anne K. Rolfson | Physician Assistant | 20 Northbrook Dr, Falmouth, ME 04105-1318 | 2006-06-29 |
| 1700813979 | Scott Collins | Physician Assistant | 20 Northbrook Dr, Falmouth, ME 04105-1318 | 2006-06-26 |
| 1619963840 | Patrick J Furlong | Physician Assistant | 5 Bucknam Rd, Suite 1d, Falmouth, ME 04105-1392 | 2005-09-22 |
| 1477549012 | Paul J Evans | Physician Assistant | 5 Bucknam Rd, Suite 1d, Falmouth, ME 04105-1392 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
| Find all providers with the same taxonomy | ||||
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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.