PLYMOUTH PEDIATRIC ASSOCIATES, LLC (NPI# 1851773584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851773584 |
| Entity Type | Organization |
| Organization Name | PLYMOUTH PEDIATRIC ASSOCIATES, LLC |
| Other Organization Name | PLYMOUTH PEDIATRIC ASSOCIATES |
| Practice Address |
139 Sandwich St Plymouth MA 02360-2449 |
| Practice Telephone | 5087475900 |
| Practice Fax Number | 5087472290 |
| Mailing Telephone | 5087475900 |
| Mailing Fax Number | 5087472290 |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2017-10-18 |
| Authorized Official Name | DR. RAMSEY FOUNTAIN (MANAGING MEMBER) |
| Authorized Official Telephone | 5087475900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Plymouth Pediatric Associates | Doing Business As Name - Organization |
| Street Address |
139 SANDWICH ST |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891765665 | Heidi Sophia Gomes | Pediatrics | 139 Sandwich St, Plymouth, MA 02360 | 2006-01-25 |
| 1134591472 | Amy Miklich | Nurse Practitioner | 139 Sandwich St, Plymouth, MA 02360-2449 | 2015-10-27 |
| 1114312071 | Jessica Flutie | Nurse Practitioner | 139 Sandwich St, Plymouth, MA 02360-2449 | 2015-03-30 |
| 1801239686 | Michaella Dziedzic | Pediatrics | 139 Sandwich St, Plymouth, MA 02360-2449 | 2013-04-11 |
| 1275777419 | Nicole Marie Theriault | Social Worker | 139 Sandwich St, Plymouth, MA 02360 | 2009-04-30 |
| 1861601189 | Jessica Sexton Walsh | Pediatrics | 139 Sandwich St, Plymouth, MA 02360-2449 | 2007-05-22 |
| 1144437468 | Pmg Physician Associates, P.C. | Internal Medicine | 139 Sandwich St, Plymouth, MA 02360-2449 | 2007-05-17 |
| 1871653865 | Pmg Physician Associates, P.C. | Nurse Practitioner | 139 Sandwich St, Plymouth, MA 02360-2449 | 2006-12-11 |
| 1225104623 | Walter Murphy Jr. | Pediatrics | 139 Sandwich St, Plymouth, MA 02360-2449 | 2006-11-28 |
| 1730255126 | Marietta Calisto-cooney | Pediatrics | 139 Sandwich St, Plymouth, MA 02360-2449 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801425053 | Geraldine Veronica Thissell | Speech-Language Pathologist | 28 Nathan Lane, Plymouth, MA 02360 | 2020-04-08 |
| 1447889621 | Corrections - Comprehensive Treatment Centers, LLC | Clinic/Center | One Bumps Pond Road, Plymouth, MA 02360 | 2020-04-08 |
| 1427690247 | Osp Children's Therapy Center | Physical Therapist | 130 Industrial Park Rd. A, Plymouth, MA 02360 | 2019-10-14 |
| 1265996219 | Housecall Physicians, Inc | Family Medicine | 31 Home Depot Drive, Suite 283, Plymouth, MA 02360 | 2019-01-24 |
| 1306329271 | Patricia Jane Whitaker | Social Worker | Masac-plymouth, 1 Bumps Pond Road, Plymouth, MA 02360 | 2018-09-07 |
| 1366934572 | Cindy Oneil | Registered Nurse | 10 Cordage Park, Plymouth, MA 02360 | 2018-06-04 |
| 1275021685 | Alexandra Andrew | Acupuncturist | 225 Water St Ste B239, Plymouth, MA 02360 | 2018-05-01 |
| 1417445289 | Susan Ann Adams | Case Manager/Care Coordinator | 260 Ship Pond Rd, Plymouth, MA 02360 | 2018-04-27 |
| 1588178776 | Cassandra Noel Denayer | Registered Nurse | 7 Rodman Lane, Plymouth, MA 02360 | 2017-11-27 |
| 1205345576 | Chibueze George Okoro | Dentist | Dr Dental 125 Samoset Street, Plymouth, MA 02360 | 2017-09-29 |
| Find all providers in zip 02360 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043709124 | Erica Wade Lundberg | Pediatrics | 4875 Cottonwood Ln N, Plymouth, MN 55442-2277 | 2018-05-04 |
| 1598160939 | Shama Ahuja | Pediatrics | 12459 White Tail Ct, Plymouth, MI 48170-2875 | 2014-10-28 |
| 1447492855 | Zarina S Norton | Pediatrics | 49906 Fuller Ct, Plymouth, MI 48170-2869 | 2009-03-31 |
| 1811023617 | Sarah Lacy | Pediatrics | 990 W Ann Arbor Trl Ste 210, Plymouth, MI 48170-6202 | 2007-02-26 |
| 1942309653 | Performance Pediatrics, LLC | Pediatrics | 23 Aldrin Rd, Plymouth, MA 02360-4803 | 2006-09-21 |
| 1295751543 | Virnaliza Cassidy | Pediatrics | 3 Village Grn N, Suite 321, Plymouth, MA 02360-8803 | 2006-07-13 |
| 1881652303 | Ann M Powers | Pediatrics | 110 Long Pond Rd Ste 211, Long Pond Pediatrics Osteopathy PC, Plymouth, MA 02360 | 2006-05-03 |
| 1144281072 | Nancy Crocker | Pediatrics | 71 Highland St, Plymouth, NH 03264-1233 | 2006-03-30 |
| 1891765665 | Heidi Sophia Gomes | Pediatrics | 139 Sandwich St, Plymouth, MA 02360 | 2006-01-25 |
| 1235123217 | Mary Alonzi | Pediatrics | 9365 N Haggerty Rd, Plymouth, MI 48170-4622 | 2005-09-07 |
| Find all providers in PLYMOUTH | ||||
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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.