KENNETH P COLMER (NPI# 1902860646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902860646 |
| Entity Type | Individual |
| Full Name | KENNETH P COLMER |
| Credential | MD |
| Practice Address |
237 Station Ave South Yarmouth MA 02664 |
| Mailing Address |
49 Carriage Lane Yarmouth MA 02675 |
| Practice Telephone | 5083942116 |
| Practice Fax Number | 5087601919 |
| Mailing Telephone | 5083621357 |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 60273 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | J09937 | 01 |
| MA | 3065855 | 05 |
| Street Address |
237 STATION AVE |
| City | SOUTH YARMOUTH |
| State | MA |
| Zip Code | 02664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578526265 | Karin R Gilbert | Pediatrics | 237 Station Ave, South Yarmouth, MA 02664-1863 | 2006-04-11 |
| 1043680010 | Sara Plummer | Nurse Practitioner | 237 Station Ave, South Yarmouth, MA 02664-1863 | 2015-10-02 |
| 1013273432 | Jennifer Ann Berrick | Pediatrics | 237 Station Ave, South Yarmouth, MA 02664-1894 | 2012-04-10 |
| 1811105539 | Bass River Pediatric Associates | Pediatrics | 237 Station Ave, South Yarmouth, MA 02664-1863 | 2007-05-18 |
| 1114148418 | Mieke Ackell | Nurse Practitioner | 237 Station Ave, South Yarmouth, MA 02664-1863 | 2007-05-02 |
| 1528289295 | Michael James Dillon | Physician Assistant | 237 Station Ave, South Yarmouth, MA 02664-1863 | 2007-05-01 |
| 1215995162 | Mathew H Baldasaro | Pediatrics | 237 Station Ave, South Yarmouth, MA 02664-1863 | 2006-05-02 |
| 1811951551 | Paul L Marz | Pediatrics | 237 Station Ave, South Yarmouth, MA 02664 | 2006-04-12 |
| 1487617171 | Lorraine Zito | Pediatrics | 237 Station Ave, South Yarmouth, MA 02664 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721648 | Taylor Drew | Behavior Technician | 435 Station Ave., Unit B, South Yarmouth, MA 02664 | 2019-10-11 |
| 1114428794 | Emily Rose Clark | Behavioral Analyst | 936b Station Ave, Yarmouth, MA 02664 | 2018-02-28 |
| 1124547906 | Kylie Joanne Zurn | Speech-Language Pathologist | 76 Phyllis Drive, South Yarmouth, MA 02664 | 2017-09-13 |
| 1841731338 | Meagan Pavao | Counselor | 31 Workshop Road, South Yarmouth, MA 02664 | 2017-03-16 |
| 1205296878 | Howayne A L Hamilton | Behavioral Analyst | 107 West Great Western Road, South Yarmouth, MA 02664 | 2016-02-25 |
| 1053656371 | Susan Elizabeth Davenport | Nurse Practitioner | 23 F. Whites Path, South Yarmouth, MA 02664 | 2012-11-28 |
| 1649444514 | Transitions Centers Inc. | Day Training, Developmentally Disabled Services | 782 Route 28, South Yarmouth, MA 02664 | 2008-04-22 |
| 1902934326 | David Mishkin | Clinical Neuropsychologist | 23p2 Union Station- Whites Path, S. Yarmouth, MA 02664 | 2007-02-28 |
| 1841343084 | Kristin Elizabeth Schmidt | Counselor | 50 Long Pond Dr, South Yarmouth, MA 02664 | 2007-01-19 |
| 1578628111 | Rhetta Annie Scott | Social Worker | 50 Long Pond Drive, South Yarmouth, MA 02664 | 2006-12-26 |
| Find all providers in zip 02664 | ||||
| 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 |
|---|---|---|---|---|
| 1578526265 | Karin R Gilbert | Pediatrics | 237 Station Ave, South Yarmouth, MA 02664-1863 | 2006-04-11 |
| 1013273432 | Jennifer Ann Berrick | Pediatrics | 237 Station Ave, South Yarmouth, MA 02664-1894 | 2012-04-10 |
| 1215995162 | Mathew H Baldasaro | Pediatrics | 237 Station Ave, South Yarmouth, MA 02664-1863 | 2006-05-02 |
| 1811951551 | Paul L Marz | Pediatrics | 237 Station Ave, South Yarmouth, MA 02664 | 2006-04-12 |
| 1487617171 | Lorraine Zito | Pediatrics | 237 Station Ave, South Yarmouth, MA 02664 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030720 | Mebe Massachusetts | Pediatrics | 51 Pleasant St # 1002, Malden, MA 02148-4904 | 2020-10-15 |
| 1801407564 | Catherine M. Vu Morrissey | Pediatrics | 451 Centre St, Milton, MA 02186-4118 | 2020-08-14 |
| 1962025379 | Elizabeth Mary Messineo | Pediatrics | 40 Greenhill Rd, Westwood, MA 02090-2704 | 2020-05-20 |
| 1639790280 | Allison Seats | Pediatrics | 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 | 2020-05-05 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1346871183 | Pm Pediatrics of New England | Pediatrics | 99 Commerce Way, Woburn, MA 01801-5199 | 2020-01-30 |
| 1346871381 | Heather Mccaslin Kempczinski | Pediatrics | 360 Beacon St Apt 1, Boston, MA 02116-1063 | 2020-01-29 |
| 1396388278 | Taylor Cinelli | Pediatrics | 203 John Scott Blvd, Norton, MA 02766-2616 | 2019-10-23 |
| 1972145290 | Lauren Nicole Mabe | Pediatrics | 45 Gordon St Apt 3, Allston, MA 02134-2458 | 2019-10-09 |
| 1417508946 | Devin Veronica Parker | Pediatrics | 2 Crescent St, Plympton, MA 02367-1400 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH YARMOUTH |
| Zip Code | 02664 |
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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.