HEALTHSTAT ON-SITE CLINIC/VARIAN- GLOUCESTER (NPI# 1801131842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801131842 |
| Entity Type | Organization |
| Organization Name | HEALTHSTAT ON-SITE CLINIC/VARIAN- GLOUCESTER |
| Practice Address |
35 Dory Rd Gloucester MA 01930-2236 |
| Mailing Address |
4651 Charlotte Park Dr Suite 300 Charlotte NC 28217-1956 |
| Practice Telephone | 9782822220 |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |
| Authorized Official Name | WARREN HUTTON (COO) |
| Authorized Official Telephone | 7045296161 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
35 DORY RD |
| City | GLOUCESTER |
| State | MA |
| Zip Code | 01930-2236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316985419 | Barry Giglio | Family Medicine | 35 Dory Rd, Gloucester, MA 01930-2236 | 2006-06-02 |
| 1104263953 | Crossover Health Medical Group | Specialist | 35 Dory Rd, Gloucester, MA 01930-2236 | 2013-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538592 | Kimberly Moniz | Counselor | 3 & 4 Blackburn Center, Gloucester, MA 01930 | 2018-12-03 |
| 1770066714 | Anneliese Deckert | Counselor | 3 & 4 Blackburn Center Drive, Gloucester, MA 01930 | 2018-09-14 |
| 1497231070 | Erika Ackermann Duffy | Social Worker | Beeman Elementary School, 138 Cherry Street, Gloucester, MA 01930 | 2018-07-17 |
| 1639677958 | Sarah Bethany Stockwell | Counselor | 3 Blackburn Center Drive, Gloucester, MA 01930 | 2018-02-01 |
| 1164931721 | Samantha Carapellucci | Counselor | Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 | 2017-09-27 |
| 1215455860 | Jennifer Catherine Hynes | Social Worker | 33 Commercial Street, Gloucester, MA 01930 | 2017-09-05 |
| 1952829590 | Jessica Demarjian | Counselor | 24 Glemere Ave, Gloucester, MA 01930 | 2017-09-04 |
| 1033636600 | Anne Kirk Drueding | Social Worker | 29a Emerson Avenue, Gloucester, MA 01930 | 2017-08-24 |
| 1982128211 | Kristen Elizabeth Drischler | Registered Nurse | 29a Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| 1992229207 | Jacqueline Marie Misuraca | Registered Nurse | 29 A Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| Find all providers in zip 01930 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437494473 | Healthstat On-site Clinic/varian- Newburyport | Preventive Medicine | 4 Stanley Tucker Dr, Newburyport, MA 01950-4039 | 2012-12-03 |
| 1780934349 | Healthstat Arkansas/pace Ind.- Cambridge | Preventive Medicine | 67 Faulkner St., North Billerica, MA 01862 | 2012-09-11 |
| 1033315114 | Manijeh Berenji | Preventive Medicine | 725 Albany St Ste 4b, Boston, MA 02118-3549 | 2007-06-25 |
| 1164630471 | James Robert Garb | Preventive Medicine | 11 Kingsbury Way, Yarmouth Port, MA 02675-1227 | 2007-05-18 |
| 1326162447 | Paul Anthony Keefe | Preventive Medicine | 29 Eaton Rd, Needham, MA 02492-3303 | 2007-03-16 |
| 1194894154 | Michael Erdil | Preventive Medicine | 5 Mount Royal Ave Ste 50, Marlborough, MA 01752-1921 | 2006-11-06 |
| 1497749618 | Sven Knudsen Ljaamo | Preventive Medicine | 200 Springs Rd, Edith Nourse Rodgers Memorial Va Hospital, Bedford, MA 01730-1114 | 2005-09-02 |
| 1073090692 | Greater Boston Wellness Primary Care PC | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2018-07-26 |
| 1942756192 | Patthrarawalai Phichalai | Preventive Medicine | 5 Middlesex Ave., Cambridge Health Alliance, Occupational Medicine Clinic, Somerville, MA 02145-1677 | 2016-08-28 |
| 1235514795 | Greater Boston Wellness Physicians | Preventive Medicine | 200 Providence Hwy, Dedham, MA 02026-1881 | 2015-07-27 |
| Find all providers with the same taxonomy | ||||
| City | GLOUCESTER |
| Zip Code | 01930 |
Please comment or provide details below to improve the information on HEALTHSTAT ON-SITE CLINIC/VARIAN- GLOUCESTER.
| 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.