JOHN WOLFERT (NPI# 1902079494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902079494 |
| Entity Type | Individual |
| Full Name | JOHN WOLFERT |
| Credential | P.A. |
| Practice Address |
541 Main St Suite 414 South Weymouth MA 02190-1868 |
| Practice Telephone | 7819521433 |
| Practice Fax Number | 5086302462 |
| Mailing Telephone | 7819521433 |
| Mailing Fax Number | 5086302462 |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2011-12-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA4309 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
541 MAIN ST SUITE 414 |
| City | SOUTH WEYMOUTH |
| State | MA |
| Zip Code | 02190-1868 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346249000 | Peter A. Grape | Internal Medicine | 541 Main St, Suite 400, South Weymouth, MA 02190-1868 | 2005-07-15 |
| 1750777132 | Shawna Marie Maroney | Counselor | 541 Main St, South Weymouth, MA 02190-1868 | 2015-04-12 |
| 1578991113 | Gk Dermatology, PC | Dermatology | 541 Main St, Suite 318, South Weymouth, MA 02190-1868 | 2013-10-16 |
| 1306100458 | Nicole Sirianni | Counselor | 541 Main St, Suite Number 303, South Weymouth, MA 02190-1868 | 2012-07-03 |
| 1770857286 | Dana Anstett | Counselor | 541 Main St, Suite 303, South Weymouth, MA 02190-1868 | 2012-03-01 |
| 1912296633 | Harbor Medical Associates P.C. | Clinic/Center | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2011-04-04 |
| 1649591983 | Farah Malary | Physician Assistant | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2010-06-22 |
| 1649505967 | Bridget M Freeman | Social Worker | 541 Main St, Suite 317, South Weymouth, MA 02190-1868 | 2009-10-04 |
| 1912181843 | Healthy Heart Sleep Programs, Inc. | Durable Medical Equipment & Medical Supplies | 541 Main St, Suite 314, South Weymouth, MA 02190 | 2007-12-27 |
| 1467648444 | Harbor Medical Associates, Inc. | Radiology | 541 Main St, Suite 120, South Weymouth, MA 02190-1868 | 2007-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702261 | Maureen L. Colella | Dentist | 33 Union St., So. Weymouth, MA 02190 | 2019-10-25 |
| 1740767060 | Convenientmd LLC | Clinic/Center | 2 Pond Street, Weymouth, MA 02190 | 2018-07-20 |
| 1437654399 | Swati Malik | Dentist | 174 Stonehaven Dr, South Weymouth, MA 02190 | 2018-03-24 |
| 1720496995 | Iona Dental, P.C. | Dentist | 1650 Main St., South Weymouth, MA 02190 | 2014-07-31 |
| 1497094411 | Cecilia R Briggs | Registered Nurse | 541 Main St Ste 414, South Weymouth, MA 02190 | 2013-02-12 |
| 1548523657 | Khaldoun Haj Mahmoud | Internal Medicine | Coastal Medical Associates, 55 Fogg Road, Weymouth, MA 02190 | 2012-06-22 |
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1790082253 | Bonnie Marie Kimball | Counselor | 549 Columbian Street, Weymouth, MA 02190 | 2011-02-18 |
| 1689805731 | Jane Marie Boomer | Early Intervention Provider Agency | 574 Main Street, Weymouth, MA 02190 | 2009-08-06 |
| 1619101136 | Jordan D Paulson | Psychiatry & Neurology | 55 Fogg Rd # 105, Weymouth, MA 02190 | 2009-05-12 |
| Find all providers in zip 02190 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881992170 | Megan Elizabeth Lee | Physician Assistant | 851 Main Street, Suite 6, South Shore Neurospine, South Weymouth, MA 02190 | 2011-03-10 |
| 1306062138 | Jennifer Vitti | Physician Assistant | 541 Main St. Suite 314, Harbor Medical Associates, South Weymouth, MA 02190 | 2007-04-18 |
| 1215426986 | Victoria Pearce | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2455 | 2018-05-08 |
| 1346769049 | Rebecca Thibault | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2017-09-13 |
| 1942636303 | Stephanie Ann Mcauley | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2013-09-17 |
| 1225325368 | Nicole Mary Mahoney | Physician Assistant | 780 Main St, South Weymouth, MA 02190-1622 | 2011-07-08 |
| 1649591983 | Farah Malary | Physician Assistant | 541 Main St, Suite 414, South Weymouth, MA 02190-1868 | 2010-06-22 |
| 1174752752 | Rachael Colby Viccaro | Physician Assistant | 55 Fogg Rd, Hospitalist Office, South Weymouth, MA 02190-2432 | 2009-07-05 |
| 1700954179 | Thomas Francis Walsh Jr. | Physician Assistant | 55 Fogg Rd, South Weymouth, MA 02190-2432 | 2006-12-01 |
| 1285717736 | Lisa Janelle Grant | Physician Assistant | 55 Fogg Rd, South Shore Hospital Emergency Department, South Weymouth, MA 02190-2432 | 2006-10-20 |
| Find all providers in SOUTH WEYMOUTH | ||||
| City | SOUTH WEYMOUTH |
| Zip Code | 02190 |
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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.