MR. CHARLES RICHARD BREWER (NPI# 1700386604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700386604 |
Entity Type | Individual |
Full Name | MR. CHARLES RICHARD BREWER |
Credential | PA-C |
Practice Address |
266 Main St Gardner MA 01440-2927 |
Mailing Address |
Po Box 753 Brentwood TN 37024-0753 |
Practice Telephone | 9786695959 |
Mailing Telephone | 9072023882 |
Enumeration Date | 2018-02-16 |
Last Update Date | 2020-08-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770610131 | Charles E Brewer | Dentist | 415 Polk Ave, Jonesboro, LA 71251-3342 | 2007-02-27 |
1639414394 | Charles Daniel Brewer | Psychologist | 2835 N Sheffield Ave, Ste 404, Chicago, IL 60657-5081 | 2012-12-06 |
1851542591 | Charles Huddleston Brewer Jr. | Psychiatry & Neurology | 121 Interstate Blvd, Unit 2 A, Greenville, SC 29615 | 2008-09-30 |
Street Address |
266 MAIN ST |
City | GARDNER |
State | MA |
Zip Code | 01440-2927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366004558 | Sarah Elizabeth Lupinski | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2019-07-08 |
1053819425 | Leanne Lawrence | Registered Nurse | 266 Main St, Gardner, MA 01440-2927 | 2018-01-31 |
1467990085 | Jennifer Mann | Nurse Practitioner | 266 Main St, Gardner, MA 01440-2927 | 2017-02-02 |
1043765381 | Kristina Lahtinen | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2016-08-16 |
1043672249 | Frank Jacob Yavorosky | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2016-03-25 |
1427415199 | Kyle Argo | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2016-01-26 |
1215304589 | Heywood Affiliated Medical Group Inc. | Clinic/Center | 266 Main St, Gardner, MA 01440-2927 | 2015-08-21 |
1134445265 | Lisa Marie Staiti | Nurse Practitioner | 266 Main St, Gardner, MA 01440 | 2010-04-14 |
1134357346 | Katherine E Fitzgerald | Family Medicine | 266 Main St, Heywood Family Medicine, Gardner, MA 01440-2927 | 2009-06-25 |
1245409879 | Erica Lasorsa | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2008-02-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
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Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366004558 | Sarah Elizabeth Lupinski | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2019-07-08 |
1427415199 | Kyle Argo | Physician Assistant | 266 Main St, Gardner, MA 01440-2927 | 2016-01-26 |
1255729919 | Samuel Tyler Leger | Physician Assistant | 242 Green St, Gardner, MA 01440-1336 | 2015-01-05 |
1629390331 | Misty R Chambers | Physician Assistant | 830 E Main St, Gardner, KS 66030-1287 | 2010-02-22 |
1609021203 | Sadie A Eichel | Physician Assistant | 250 Green St, Suite 202, Gardner, MA 01440-1396 | 2008-11-24 |
1275721334 | Hilda Escobedo | Physician Assistant | 242 Green St, Gardner, MA 01440-1336 | 2007-10-12 |
1932243417 | Jesse J Hammond | Physician Assistant | 500 Colony Rd, North Central Correctional Institute, Gardner, MA 01440-4238 | 2007-02-16 |
1962577262 | Matthew J Enos | Physician Assistant | 57 City Hall Ave, Gardner, MA 01440-2614 | 2006-11-21 |
1861453912 | Rachael Brow | Physician Assistant | 175 Connors St, Gardner, MA 01440-2637 | 2006-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
1942812334 | Manacey Clermont | Physician Assistant | 21 Robinson Rd, Woburn, MA 01801-6136 | 2020-08-18 |
1801411756 | Kimberly Marques | Physician Assistant | 3 Medeiros Farm Rd, Seekonk, MA 02771-2029 | 2020-06-16 |
1821613548 | Emily Reynolds | Physician Assistant | 7 Blood Rd, Charlton, MA 01507-5128 | 2020-06-09 |
1275155590 | Makenna Camara | Physician Assistant | 249 Hixville Rd, North Dartmouth, MA 02747-1937 | 2020-05-08 |
1720608912 | John Eastman | Physician Assistant | 243b Savin Hill Ave, Boston, MA 02125-1003 | 2020-04-17 |
1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
1366074122 | Heather Kirby | Physician Assistant | 264 Fowler Rd, Westfield, MA 01085-4013 | 2020-02-10 |
1639712011 | Joseph John Milos | Physician Assistant | 201 Carlson Ln, West Barnstable, MA 02668-1224 | 2019-10-18 |
1912558321 | Rafael Rondeau | Physician Assistant | 12 Indian Pond Rd, Kingston, MA 02364-2051 | 2019-09-26 |
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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.