DEMETRA VENANCIO


Address: 640 Centre St, Jamaica Plain, MA 02130
Phone: 6179834100

DEMETRA VENANCIO (NPI# 1891275731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891275731
Entity Type Individual
Full Name DEMETRA VENANCIO
Credential PA-C
Practice Address 640 Centre St
Jamaica Plain
MA 02130
Mailing Address 640 Centre St
Jamaica Plain
MA 02130-2555
Practice Telephone 6179834100
Enumeration Date 2018-08-20
Last Update Date 2019-02-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA6723 MA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
5 Westwind Dr, Dennis, MA 026382319 5084044775

Office Location

Street Address 640 CENTRE ST
City JAMAICA PLAIN
State MA
Zip Code 02130

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225037070 Andrea C Soler Social Worker 640 Centre St, Jamaica Plain, MA 02130-2555 2005-07-14
1982245544 Dana Smith Ostberg Registered Nurse 640 Centre St, Jamaica Plain, MA 02130-2555 2019-10-04
1073086112 Caroline Abigail Duchin Social Worker 640 Centre St, Jamaica Plain, MA 02130-2555 2019-01-10
1528559341 Idalia Carrasco Social Worker 640 Centre St, Jamaica Plain, MA 02130-2555 2018-05-29
1578018685 Tracy Guzman Social Worker 640 Centre St, Jamaica Plain, MA 02130-2555 2016-08-18
1801248695 Jennifer Danielle Brown Social Worker 640 Centre St, Jamaica Plain, MA 02130-2555 2016-07-06
1346619681 Tatiana Martinez Social Worker 640 Centre St, Jamaica Plain, MA 02130-2555 2015-09-16
1033590120 Elizabeth Willetts Physician Assistant 640 Centre St, Jamaica Plain, MA 02130-2555 2015-06-15
1568856185 Laura Osmond Marcus Pediatrics 640 Centre St, Jamaica Plain, MA 02130-2555 2015-03-20
1801146584 Lillian Pozadas Social Worker 640 Centre St, Jamaica Plain, MA 02130-2555 2012-09-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952913121 Virginia Dawn Pratt Social Worker Ethos, 555 Amory Street, Jamaica Plain, MA 02130 2020-08-19
1689139917 Lina Skiba Speech-Language Pathologist Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 2019-01-31
1841775442 Melissa Rocklen Social Worker 30 Germania St Bldg C, Jamaica Plain, MA 02130 2018-09-28
1902389281 Susan N. Berkman Social Worker 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 2018-09-12
1326551912 Cindy Tromp Counselor Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 2017-11-06
1811415128 Jesse Myles Carmen Social Worker 555 Armory Street, Jamaica Plain, MA 02130 2017-09-07
1881119410 Melanie Suzanne Witman Counselor 1125 Centre Street, Boston, MA 02130 2017-08-04
1740702125 Farah Clermont Counselor 3815 Washington St., Jamaica Plain, MA 02130 2017-07-07
1346777554 Anjalie L Pieres Counselor 157 Green Streey, Jamaica Plain, MA 02130 2017-05-18
1316480098 Caroline Amina Shaw-moss Counselor 7 Burr St., Boston, MA 02130 2016-11-29
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811040199 Laurie Jean Arnone Physician Assistant 30 Morton St., Jamaica Plain, MA 02130 2007-01-19
1386078137 Katherine Marie D'avanzo Physician Assistant 170 Morton Street, Jamaica Plain, MA 02130 2013-08-29
1811039662 Virginia Mccullough Physician Assistant 170 Morton St, Jamaica Plain, MA 02130-3735 2007-02-12
1043357080 Tiffany Marie Everett Physician Assistant 170 Morton St, Jamaica Plain, MA 02130-3735 2007-01-31
1427101385 Katherine Ellen Keefe Physician Assistant 170 Morton Street, Lemuel Shattuck Hospital, Jamaica Plain, MA 02130 2007-01-22
1902956931 Mary Rebecca Heaton Physician Assistant 170 Morton St, Lemuel Shattuck Hospital, Jamaica Plain, MA 02130-3735 2007-01-11
1881664118 Beth E. Ferguson Physician Assistant 170 Morton St, Lemuel Shattuck Hospital, Jamaica Plain, MA 02130-3782 2006-01-26

Providers in the same taxonomy and state

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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Competitor

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City JAMAICA PLAIN
Zip Code 02130

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Dataset Information

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.

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