PILGRIM UROLOGICAL ASSOCIATES INC. (NPI# 1891704730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891704730 |
| Entity Type | Organization |
| Organization Name | PILGRIM UROLOGICAL ASSOCIATES INC. |
| Practice Address |
110 Long Pond Rd Suite 105 Plymouth MA 02360-2642 |
| Practice Telephone | 5087466557 |
| Practice Fax Number | 5087466591 |
| Mailing Telephone | 5087466557 |
| Mailing Fax Number | 5087466591 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | DR. JOHN R ROMANO (PRESIDENT) |
| Authorized Official Telephone | 5087466557 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9757996 | 05 |
| Street Address |
110 LONG POND RD SUITE 105 |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225030554 | Sergio Camargo | Internal Medicine | 110 Long Pond Rd, Suite 205, Plymouth, MA 02360-2642 | 2005-05-31 |
| 1194242008 | Heather Lee Hunt | Nurse Practitioner | 110 Long Pond Rd, Plymouth, MA 02360-2642 | 2017-08-23 |
| 1659787737 | Jennifer O'donnell | Nurse Practitioner | 110 Long Pond Rd, Plymouth, MA 02360-2642 | 2014-07-09 |
| 1700150588 | Robert A. Ritucci, D.m.d., P.C. | Dentist | 110 Long Pond Rd, Suite #122, Plymouth, MA 02360-2642 | 2012-02-27 |
| 1295063626 | Plymouth Carver Primary Care | Clinic/Center | 110 Long Pond Rd, Suite 212, Plymouth, MA 02360-2642 | 2009-11-23 |
| 1811157522 | Rachel Lauren Gross | Internal Medicine | 110 Long Pond Rd, Suite 106, Plymouth, MA 02360-2642 | 2008-06-16 |
| 1437318565 | Marco Donadio | Dentist | 110 Long Pond Rd, Plymouth, MA 02360-2642 | 2008-06-04 |
| 1881870525 | Raafat I Attia Hanna Md PC | Internal Medicine | 110 Long Pond Rd, Suite 110, Plymouth, MA 02360-2642 | 2008-01-11 |
| 1972788545 | Cove Counseling, PC | Psychologist | 110 Long Pond Rd, Suite 210, Plymouth, MA 02360-2642 | 2008-01-02 |
| 1063627297 | Brian M Faghan | Physical Therapy Assistant | 110 Long Pond Rd, Suite 111, Plymouth, MA 02360-2642 | 2007-05-11 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275760 | Heather Audra Wickham | Specialist | 19 Lukes Way, Plymouth, MA 02360-4717 | 2020-11-04 |
| 1194977447 | Lokeh Plastic Surgery Pa | Specialist | 15535 34th Ave N # 100, Plymouth, MN 55447-1481 | 2008-10-17 |
| 1346402310 | Paul S Richelson | Specialist | 7 Town West Rd, Plymouth, NH 03264-3428 | 2008-06-30 |
| 1679753305 | Jeffrey Zorn | Specialist | 47 White Trellis, Plymouth, MA 02360-7789 | 2007-11-09 |
| 1841488541 | Tenney Mountain Internal Medicine | Specialist | 251 Mayhew Tpke, Plymouth, NH 03264-3026 | 2007-10-09 |
| 1982899688 | Family Home Physicians LLC | Specialist | 801 W Ann Arbor Trl, Suite 200, Plymouth, MI 48170-1694 | 2007-09-06 |
| 1134320203 | Alan R. Murphy, M.d.,p.c. | Specialist | 17 Muirfield Rd, Plymouth, MA 02360 | 2007-05-29 |
| 1669598454 | Susan Christie Krupin-carter | Specialist | 44670 Ann Arbor Rd W, Plymouth, MI 48170-3962 | 2007-03-22 |
| 1487787016 | Northstar Radiology Corporation Pa | Specialist | 36 Nathan Lane N, Plymouth, MN 55441 | 2007-03-13 |
| 1568599207 | Elsa Boayes Horn | Specialist | W9071 Forest Drive, Plymouth, WI 53073-0031 | 2007-02-28 |
| 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.