PREVENTIVE MEDICINE ASSOCIATES (NPI# 1669696530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669696530 |
| Entity Type | Organization |
| Organization Name | PREVENTIVE MEDICINE ASSOCIATES |
| Other Organization Name | WEYMOUTH MEDICAL PRACTICE |
| Practice Address |
884 Washington St 2nd Floor Weymouth MA 02189-1530 |
| Practice Telephone | 6174472146 |
| Practice Fax Number | 6172591627 |
| Mailing Telephone | 6174472146 |
| Mailing Fax Number | 6172591627 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2010-03-17 |
| Authorized Official Name | MS. MARY J DELONG (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 4132227711 |
| Authorized Official Credential | MM, RHIA |
| Is Organization Subpart | Y |
| Parent Organization Name | PREVENTIVE MEDICINE ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Weymouth Medical Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528353612 | Preventive Medicine Associates | Family Medicine | 154 Lynnway, Suite 1c, Lynn, MA 01902-3479 | 2011-06-16 |
| 1659679793 | Preventive Medicine Associates | Family Medicine | 2201 Washington St, Suite 302, Roxbury, MA 02119-3212 | 2011-03-13 |
| 1568760601 | Preventive Medicine Associates | Family Medicine | 501b Washington St, Dorchester Center, MA 02124-2014 | 2011-03-13 |
| 1962705251 | Preventive Medicine Associates | Family Medicine | 9 Henshaw St, Brighton, MA 02135-2905 | 2010-12-08 |
| 1326350976 | Preventive Medicine Associates | Family Medicine | 360 Coggeshall St, New Bedford, MA 02746-1923 | 2010-07-12 |
| 1689900565 | Preventive Medicine Associates | Family Medicine | 322 Gifford St, Falmouth, MA 02540 | 2009-10-27 |
| 1962641159 | Preventive Medicine Associates | Family Medicine | 63 Winthrop St, # C1, C2, Taunton, MA 02780-6218 | 2009-02-11 |
| 1578702957 | Preventive Medicine Associates | Counselor | 3261 Main St, Barnstable, MA 02630-1105 | 2009-02-09 |
| 1356507511 | Preventive Medicine Associates | Family Medicine | 98 Suffolk St, Holyoke, MA 01040-4458 | 2008-08-06 |
| 1588093744 | Preventive Medicine Associates | Specialist | 1919 Sw 10th Ave, Suite 22, Topeka, KS 66604-1425 | 2013-11-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | PREVENTIVE MEDICINE ASSOCIATES, INC. | 59 Temple Place, Suite 612, Boston, MA 02111 |
| Street Address |
884 WASHINGTON ST 2ND FLOOR |
| City | WEYMOUTH |
| State | MA |
| Zip Code | 02189-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467473389 | Peter Eustace Cotsonas | Dentist | 884 Washington St, Weymouth, MA 02189-1527 | 2006-07-23 |
| 1770022055 | Dental Aid 1 | Clinic/Center | 884 Washington St, 130, Weymouth, MA 02189-1530 | 2017-02-20 |
| 1336457191 | Anna Marie Coulstring | Nurse Practitioner | 884 Washington St, Weymouth, MA 02189-1530 | 2010-09-15 |
| 1861564510 | Christoph Maywald | Chiropractor | 884 Washington St, Suite 2a, Weymouth, MA 02189-1530 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205300985 | M. Taylor Fontneau | Nurse Practitioner | 90 Libbey Industrial Pkwy Ste 106, Weymouth, MA 02189 | 2019-01-16 |
| 1336668011 | Svetlana Chentsova | Nurse Practitioner | 51 Performance Dr Fl Drive, Weymouth, MA 02189 | 2017-09-14 |
| 1518487818 | Dana Shepherd | Specialist/Technologist | 163 Libbey Industrial Parkway, Suite 302, Weymouth, MA 02189 | 2017-06-27 |
| 1063867802 | Gerald F. Finerty IIi | Nurse Anesthetist, Certified Registered | 163 Libbey Pkwy Ste 301, Weymouth, MA 02189 | 2016-04-29 |
| 1417326604 | Ocean State Urgent Care | Physician Assistant | 119 Liberty Bell Cir, Weymouth, MA 02189 | 2015-09-18 |
| 1558746636 | Jaime Hill | Nurse Practitioner | 31 Charles Street, Weymouth, MA 02189 | 2015-07-30 |
| 1780865337 | James Tyler Carpenter | Psychologist | Neurobehavioral Associates, 169 Libbey Parkway, 2nd Floor, Weymouth, MA 02189 | 2007-11-23 |
| 1508054248 | Anita Nathan Shukla | Ophthalmology | 97 Libbey Industrial Parkway, Suite 100, E. Weymouth, MA 02189 | 2007-10-09 |
| 1164618757 | Mahesh Pandey | Internal Medicine | Dana Farber Community Cancer Care, 51 Performance Drive, Suite 110, Weymouth, MA 02189 | 2007-09-18 |
| 1750573887 | Michele Donlon | Speech-Language Pathologist | 163 Libbey Industrial Pkwy Ste 302, Weymouth, MA 02189 | 2007-08-13 |
| Find all providers in zip 02189 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578062758 | Robynne Brown | Family Medicine | 59 Coddington St Ste 103, Quincy, MA 02169-4510 | 2018-02-02 |
| 1528353612 | Preventive Medicine Associates | Family Medicine | 154 Lynnway, Suite 1c, Lynn, MA 01902-3479 | 2011-06-16 |
| 1659679793 | Preventive Medicine Associates | Family Medicine | 2201 Washington St, Suite 302, Roxbury, MA 02119-3212 | 2011-03-13 |
| 1568760601 | Preventive Medicine Associates | Family Medicine | 501b Washington St, Dorchester Center, MA 02124-2014 | 2011-03-13 |
| 1962705251 | Preventive Medicine Associates | Family Medicine | 9 Henshaw St, Brighton, MA 02135-2905 | 2010-12-08 |
| 1326350976 | Preventive Medicine Associates | Family Medicine | 360 Coggeshall St, New Bedford, MA 02746-1923 | 2010-07-12 |
| 1689900565 | Preventive Medicine Associates | Family Medicine | 322 Gifford St, Falmouth, MA 02540 | 2009-10-27 |
| 1962641159 | Preventive Medicine Associates | Family Medicine | 63 Winthrop St, # C1, C2, Taunton, MA 02780-6218 | 2009-02-11 |
| 1356507511 | Preventive Medicine Associates | Family Medicine | 98 Suffolk St, Holyoke, MA 01040-4458 | 2008-08-06 |
| 1194949073 | Vineyard Healthcare Assoc. | Family Medicine | 455 State Rd Ste 13, Vineyard Haven, MA 02568-5621 | 2007-04-12 |
| 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.