VICTORIA S. DORGAN (NPI# 1720123102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720123102 |
| Entity Type | Individual |
| Full Name | VICTORIA S. DORGAN |
| Practice Address |
31 Balcom St Mansfield MA 02048-2010 |
| Practice Telephone | 5082611007 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2009-03-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1537083 | 05 | |
| MA | BLUE CROSS BLUE SHIELD MA | 376454 | 01 |
| MA | UNITED HEALTHCARE OF NE | 82-09709 | 01 |
| MA | HARVARD PILGRIM HEALTH | 702925 | 01 |
| MA | TUFTS SECURE HORIZON | 804276 | 01 |
| Street Address |
31 BALCOM ST |
| City | MANSFIELD |
| State | MA |
| Zip Code | 02048-2010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386293181 | Taylor Dabney | Specialist/Technologist | 1912 Francis Ave, Station Pointe Apt, Mansfield, MA 02048 | 2019-09-05 |
| 1720643935 | Emily Cecilia Pavidis | Doula | 1705 West Street, Mansfield, MA 02048 | 2019-05-02 |
| 1942784244 | Mary Rego Perry | Social Worker | 19 North White Pine Lane, Mansfield, MA 02048 | 2018-09-21 |
| 1306341078 | Danielle Haradon | Student in an Organized Health Care Education/Training Program | 42 Fieldstone Drve, Mansfield, MA 02048 | 2018-03-26 |
| 1750882353 | Mansfield Physical Therapy & Wellness LLC | Physical Therapist | 200 Chauncy St Ste 4, Mansfield, MA 02048 | 2018-02-28 |
| 1548671498 | Angela Silva | Developmental Therapist | 73 Elyse Rd, Mansfield, MA 02048 | 2014-05-14 |
| 1700123049 | Christy Kelly Ciccariello | Pediatrics | 4 Samoset Way, Mansfield, MA 02048 | 2013-01-07 |
| 1659620292 | Deirdre J Manning | Physical Therapist | 31 Oxford Road, Mansfield, MA 02048 | 2012-08-29 |
| 1043514706 | Carpen, Inc. | Health Maintenance Organization | 287 School St., Mansfield, MA 02048 | 2011-01-10 |
| 1295062545 | Theresa Melchionna Rhein | Social Worker | 450 Chauncy Street, Mansfield, MA 02048 | 2009-11-06 |
| Find all providers in zip 02048 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1487135398 | Welch Medical | Durable Medical Equipment & Medical Supplies | 1696 Country Club Dr Ste 101, Mansfield, TX 76063-2625 | 2018-08-28 |
| 1851846760 | Olugbemiga Igbekoyi | Durable Medical Equipment & Medical Supplies | 320 Queens Ct N Apt C, Mansfield, TX 76063-2465 | 2016-08-20 |
| 1467906206 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 741 Scholl Rd Ste P1, Mansfield, OH 44907-1571 | 2016-08-10 |
| 1326408600 | J2r Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 1213 Remington Ranch Rd, Mansfield, TX 76063-5729 | 2016-03-01 |
| 1356713598 | Pedialift LLC | Durable Medical Equipment & Medical Supplies | 475 Overlook Rd, Mansfield, OH 44907-1534 | 2015-10-27 |
| 1346620341 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3802 East Broad St, Mansfield, TX 76063-5617 | 2015-06-04 |
| 1235516931 | Snoring Sleep Apnea and Advanced Sleep Appliance Management LLC | Durable Medical Equipment & Medical Supplies | 1221 S Trimble Rd, Building A, Suite A1, Mansfield, OH 44907-2229 | 2015-05-01 |
| 1568865368 | Wal-mart Stores Inc | Durable Medical Equipment & Medical Supplies | 720 N Hwy 71, Mansfield, AR 72940 | 2014-10-07 |
| 1568802270 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 1740 North Fm 157, Mansfield, TX 76063 | 2013-06-26 |
| Find all providers in MANSFIELD | ||||
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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.