CLASSIC HEALTHCARE MEDICAL GROUP LLC (NPI# 1649691957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649691957 |
| Entity Type | Organization |
| Organization Name | CLASSIC HEALTHCARE MEDICAL GROUP LLC |
| Practice Address |
300 Chestnut St Ste 1400 Needham MA 02492-2497 |
| Practice Telephone | 7815590230 |
| Practice Fax Number | 7815590231 |
| Mailing Telephone | 7815590230 |
| Mailing Fax Number | 7815590231 |
| Enumeration Date | 2014-01-05 |
| Last Update Date | 2014-01-05 |
| Authorized Official Name | DR. STEVEN VAN DAM (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7815590230 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 205080 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
300 CHESTNUT ST STE 1400 |
| City | NEEDHAM |
| State | MA |
| Zip Code | 02492-2497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619246832 | Alex H. Ray, M.d., P.C. | Specialist | 300 Chestnut St, Suite 800, Needham, MA 02492-2497 | 2011-12-16 |
| 1386913747 | Donna-marie Lynch | Nurse Practitioner | 300 Chestnut St, Suite 800, Needham, MA 02492-2497 | 2011-12-14 |
| 1083830434 | Plastic Surgery Associates Inc | Surgery | 300 Chestnut St, Needham, MA 02492-2497 | 2007-04-17 |
| 1093830069 | James Lawrence Dolan | Chiropractor | 300 Chestnut St, Ste. 1000, Needham, MA 02492-2425 | 2007-03-20 |
| 1073695888 | Richard W. Cullen, Dpm, P.C. | Podiatrist | 300 Chestnut St, Needham, MA 02492-2497 | 2006-10-20 |
| 1598877144 | Oak Street Medical Associates,pc | Internal Medicine | 300 Chestnut St, Suite 700, Needham, MA 02492-2427 | 2006-08-31 |
| 1154334357 | Madeline Bachta | Dermatology | 300 Chestnut St, Suite 1200, Needham, MA 02492-2497 | 2006-08-15 |
| 1700899929 | Madeline Bachta, Md, PC | Dermatology | 300 Chestnut St, Suite 1200, Needham, MA 02492-2497 | 2006-08-15 |
| 1417967373 | Michael L Corbett | Orthopaedic Surgery | 300 Chestnut St, Suite 900, Needham, MA 02492-2497 | 2006-08-09 |
| 1902816887 | Arnold M Savenor | Orthopaedic Surgery | 300 Chestnut St, Suite 900, Needham, MA 02492-2497 | 2006-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801386255 | Jonathan M Adler | Psychologist | Olin College, 1000 Olin Way, Mh 368, Needham, MA 02492 | 2018-05-11 |
| 1972008779 | Robert H. Kelley | Social Worker | 73 Page Rd, Needham, MA 02492 | 2018-03-26 |
| 1407280100 | Nancy J Wilde | Massage Therapist | 105 Chestnut St. At Needham Family Chiro., Suite 35, Needham, MA 02492 | 2013-08-29 |
| 1013255199 | Lisa R Bello | Counselor | 1150 Great Plain Ave, Suite 920271, Needham, MA 02492 | 2013-01-23 |
| 1053548974 | Alexandra Walsh | Counselor | 1986 Central Avenue, Needham, MA 02492 | 2009-06-18 |
| 1437304086 | Bonnie Rhona Seider | Social Worker | 184 Brookline Street, Needham, MA 02492 | 2008-11-24 |
| 1710162086 | Leslie Ann Langston Brain | Social Worker | 368 Hillside Ave, Lower Level, Needham, MA 02492 | 2008-01-07 |
| 1558540179 | Richard Morris Gottlieb | Internal Medicine | 57 Dedham Ave, Needham, MA 02492 | 2007-10-31 |
| 1760677793 | William Duncan Irving | Dentist | 1116 Great Plain Avenue, Needham, MA 02492 | 2007-09-12 |
| 1033319918 | Allergy and Asthma Center of Boston | Allergy & Immunology | 300 Chestnut St Ste 600, Needham, MA 02492 | 2007-07-19 |
| Find all providers in zip 02492 | ||||
| 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 |
|---|---|---|---|---|
| 1679993232 | Elenie Bartzokis Consulting, LLC | Internal Medicine | 243 Great Plain Ave, Needham, MA 02492-4104 | 2014-04-22 |
| 1104240985 | Jacqueline Hart | Internal Medicine | 151 Nehoiden St, Needham, MA 02492-1917 | 2014-02-13 |
| 1740417104 | Maura Ann Kelley | Internal Medicine | 15 Jarvis Cir, Needham, MA 02492-2016 | 2009-06-12 |
| 1639323223 | Aurora Hospitalist Services | Internal Medicine | 253 Greendale Ave, Needham, MA 02494-2026 | 2008-11-09 |
| 1558540179 | Richard Morris Gottlieb | Internal Medicine | 57 Dedham Ave, Needham, MA 02492 | 2007-10-31 |
| 1053501148 | John B Cadigan II | Internal Medicine | Caritas Norwood Hospital, Medical Staff Office, Needham, MA 02792 | 2007-07-26 |
| 1194868661 | Seth M Lewin | Internal Medicine | 115 Standish Rd, Needham, MA 02492-1117 | 2007-02-15 |
| 1780774968 | Craig T Basson | Internal Medicine | 60 Stonecrest Dr, Needham, MA 02492-2783 | 2006-10-16 |
| 1861594285 | Cathy C Tong | Internal Medicine | 57 Dedham Avenue, Beth Israel Deaconess Healthcare Dedham Avenue, Needham, MA 02492 | 2006-09-05 |
| 1184730012 | Gracia B Perez-lirio | Internal Medicine | 464 Hillside Avenue, Suite 302, Needham, MA 02494-1228 | 2006-08-22 |
| Find all providers in NEEDHAM | ||||
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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.