MR. MICHAEL PHILIP MENKE (NPI# 1629165014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629165014 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL PHILIP MENKE |
| Credential | RN |
| Practice Address |
415 Columbia Rd Dorchester MA 02125-2424 |
| Mailing Address |
32 Oakview Ter #2 Jamaica Plain MA 02130-4902 |
| Practice Telephone | 6177408184 |
| Mailing Telephone | 6175225759 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
169059 | MA | Nursing Service Providers |
| Street Address |
415 COLUMBIA RD |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02125-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332270 | Elisabeth Joan Moths-rebrovic | Family Medicine | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2006-01-30 |
| 1386251437 | Laurel Carr Frazier | Case Management | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-09-23 |
| 1104441203 | Shamila Ali | Pharmacist | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-06-15 |
| 1508486861 | Norma I Gonzalez | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-04-16 |
| 1790304533 | Bettina Brea | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-04-12 |
| 1538795935 | Abigail Rose Rezendes | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-03-17 |
| 1538793997 | Antonette R Kennedy | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-02-25 |
| 1992338339 | Ashley Felix | Social Worker | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2020-02-13 |
| 1134762396 | Julmide Eugene | Licensed Practical Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2019-10-21 |
| 1093358368 | Cini Pillai-kadu | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2019-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922520840 | Aj Guerrero | Counselor | 6 Glen St. #3, Boston, MA 02125 | 2017-07-12 |
| 1982059218 | Ana Fernandez | Psychologist | University of Massachusetts, Boston, 100 William T. Morrissey Blvd, Boston, MA 02125 | 2016-04-23 |
| 1558725184 | Algecira Garcia-ortiz | Massage Therapist | 12 Judson St, Dorchester, MASSACHUSETTS 02125 | 2016-04-10 |
| 1508251414 | Sing Hong Ty | Registered Nurse | 415 Colombia Rd, Dorchester, MA 02125 | 2015-03-30 |
| 1972806750 | Joanne Pomales | Counselor | 18 Harbor Crest Court 102, Dorchester, MA 02125 | 2010-12-16 |
| 1386969335 | Kara Jillian Sheridan | Counselor | 58 Dorset St, Boston, MA 02125 | 2010-04-02 |
| 1750533956 | Wendy M. Jern | Physical Therapist | 21riley Rd #2, Hyde Park, MA 02125 | 2008-10-21 |
| 1174729743 | Payton Brandyberry | Counselor | 500 Columbia Rd, Mail Stop 415-05, Upham's Corner Health Center, Dorchester, MA 02125 | 2007-06-21 |
| 1699817247 | Dong Lan Corporation | Pharmacist | 1167 A Dorchester Ave, Dorchester, MA 02125 | 2007-02-12 |
| 1457490153 | Sarah L Merin | Social Worker | Upham's Corner Health Center, 500 Columbia Rd, Mailstop 415-05, Dorchester, MA 02125 | 2007-02-06 |
| Find all providers in zip 02125 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396962098 | Gloria C Igbokwe | Registered Nurse | 361 Neponset Ave, Dorchester, MA 02122-3103 | 2007-04-20 |
| 1295866531 | Jurdean Avaney Dawkins | Registered Nurse | 16 Humphreys Pl, Dorchester, MA 02125-2202 | 2007-03-08 |
| 1134254667 | Mary Kugler | Registered Nurse | 14b Trull St # 4, Dorchester, MA 02125-2126 | 2007-02-23 |
| 1811500028 | Mellisa Deandrade | Registered Nurse | 38 Winter St, Dorchester, MA 02122-3012 | 2020-08-26 |
| 1891190666 | Michelle Bobb-semple | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2014-10-23 |
| 1659617207 | Jennifer Modliszewski | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2012-12-28 |
| 1053512277 | Irlande Plancher | Registered Nurse | 1140 Dorchester Ave, Dorchester, MA 02125-3305 | 2007-05-29 |
| 1982749073 | Anne Maillet | Registered Nurse | 415 Columbia Rd, Dorchester, MA 02125-2424 | 2007-02-20 |
| 1609917996 | Leonel Rezil | Registered Nurse | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2007-02-09 |
| 1447263058 | Eileen Jane Segale | Registered Nurse | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2006-08-14 |
| Find all providers in DORCHESTER | ||||
| City | DORCHESTER |
| Zip Code | 02125 |
Please comment or provide details below to improve the information on MR. MICHAEL PHILIP MENKE.
| 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.