GRANITE MEDICAL GROUP, INC (NPI# 1760818116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760818116 |
Entity Type | Organization |
Organization Name | GRANITE MEDICAL GROUP, INC |
Other Organization Name | ATRIUS HEALTH PULMONARY, ENDOSCOPY & CARDIOLOGY CENTERS |
Practice Address |
90 Libbey Pkwy Suite 201 Weymouth MA 02189-3129 |
Practice Telephone | 7816820610 |
Mailing Telephone | 7816820610 |
Enumeration Date | 2013-09-17 |
Last Update Date | 2013-09-17 |
Authorized Official Name | GUY SPINELLI (PRESIDENT) |
Authorized Official Telephone | 6174710033 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Atrius Health Pulmonary, Endoscopy & Cardiology Centers | Doing Business As Name - Organization |
Street Address |
90 LIBBEY PKWY SUITE 201 |
City | WEYMOUTH |
State | MA |
Zip Code | 02189-3129 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316928013 | Donna J Gensheimer | Nurse Practitioner | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2005-11-09 |
1184176810 | Elizabeth Lopes-costa | Nurse Practitioner | 90 Libbey Pkwy, Weymouth, MA 02189 | 2016-10-28 |
1972910875 | Katharine Berrio | Specialist/Technologist | 90 Libbey Pkwy, Suite 103, Weymouth, MA 02189-3129 | 2014-07-13 |
1497008155 | Christine Bitetti | Physician Assistant | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2012-10-18 |
1063797512 | Alicia Van Cott | Nurse Practitioner | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2011-10-17 |
1417256314 | Heidi Flora Anderson-dockter | Dermatology | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2011-03-18 |
1497085831 | Loren G. Fickies | Obstetrics & Gynecology | 90 Libbey Pkwy, Suite 105, Weymouth, MA 02189-3129 | 2010-01-07 |
1457688756 | Janelle Murphy | Obstetrics & Gynecology | 90 Libbey Pkwy, Weymouth, MA 02189-3129 | 2009-11-06 |
1760619902 | Courtney Reilly Csikesz | Dermatology | 90 Libbey Pkwy, Suite 200, Weymouth, MA 02189-3129 | 2009-06-15 |
1003058397 | Oleg Dolghi | Obstetrics & Gynecology | 90 Libbey Pkwy, Suite 105, Weymouth, MA 02189-3129 | 2009-04-01 |
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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 |
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Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1558556217 | Themy F Dumlao Jr. | Internal Medicine | 70 Pleasant St, Weymouth, MA 02190-2427 | 2007-09-06 |
1053358259 | Ronald W Dunlap | Internal Medicine | 70 Pleasant St, South Shore Cardiology, Weymouth, MA 02190-2427 | 2006-05-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396356556 | Lifestyle Medical and Cardiovascular Associates PC | Internal Medicine | 300 Boylston St Ste 201, Chestnut Hill, MA 02467-1978 | 2020-08-12 |
1083186498 | Cape Cardiology Md PC | Internal Medicine | 125 Underpass Rd, Brewster, MA 02631-1810 | 2018-12-24 |
1558868141 | Reading Cardiology Assoc. 2 PC | Internal Medicine | 21 Main St Ste 2, North Reading, MA 01864-5001 | 2018-04-10 |
1447768510 | Vhs Acquisition Subsidiary Number 7 Inc | Internal Medicine | 20 Washington Sq Fl 2, Worcester, MA 01604-4013 | 2018-01-11 |
1386165470 | Malik Bilal Ahmed | Internal Medicine | 800 Washington Street Mailbox #315, Boston, MA 02111 | 2017-06-29 |
1114370269 | Carol Lynn Goldstein | Internal Medicine | 19 Sengekontacket Rd, Edgartown, MA 02539-7829 | 2016-07-13 |
1760867667 | Chi Hong Chau | Internal Medicine | 400 Brookline Ave Apt 15a, Boston, MA 02215-5406 | 2015-07-21 |
1972916039 | Adam T Phillips | Internal Medicine | 185 Pilgrim Rd Fl Baker4, Boston, MA 02215 | 2014-06-06 |
1811315831 | Newburyport Cardiovascular Associates, LLC | Internal Medicine | 7 Henry Graf Jr. Road, Newburyport, MA 01950 | 2014-04-07 |
1760809818 | Subhasree Panchangam | Internal Medicine | 830 Harrison Ave Bldg 3500, Boston, MA 02118-2905 | 2014-03-26 |
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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.