MANACEY CLERMONT (NPI# 1942812334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942812334 |
Entity Type | Individual |
Full Name | MANACEY CLERMONT |
Credential | PA |
Practice Address |
21 Robinson Rd Woburn MA 01801-6136 |
Practice Telephone | 7814919305 |
Mailing Telephone | 7814919305 |
Enumeration Date | 2020-08-18 |
Last Update Date | 2020-08-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
000682-P.A. | PR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
21 ROBINSON RD |
City | WOBURN |
State | MA |
Zip Code | 01801-6136 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184267684 | Leticia Siqueiros | Counselor | Health Care Resource Center Woburn, 9 Forbes Rd, Woburn, MA 01801 | 2019-10-28 |
1144882739 | Sarah Martino | Registered Nurse | 7 Alfred Street, Baldwin Park II, Woburn, MA 01801 | 2019-07-03 |
1780154005 | Julie Paster-kinnicutt | Social Worker | Lahey Accountable Care Unit, 12 Alfred Street, Suite 207, Woburn, MA 01801 | 2018-11-29 |
1164906418 | Amanda Chryslan Scippa | Dietitian, Registered | 2 Oak Knoll Drive, Woburn, MA 01801 | 2018-09-22 |
1902383276 | Winchester Physician Associates, Inc. | Occupational Therapist | 100 Unicorn Park, Suite 102, Woburn, MA 01801 | 2018-07-19 |
1104317494 | Pauline P Reilly | Dentist | 90 Pleasant Street, Dental Health Care of Woburn, P. C., Woburn, MA 01801 | 2018-05-23 |
1134628027 | Caroline Rose Scheck | Behavior Technician | 331 Montvale Ave 5th Floor, Woburn, MA 01801 | 2018-02-06 |
1396252425 | Sabrina Voegelin | Social Worker | 410 Russell St, Woburn, MA 01801 | 2018-01-10 |
1467975730 | Francine Forbes | Behavior Technician | 10 Gill St., J, Woburn, MA 01801 | 2017-07-19 |
1568985851 | Lukasiewicz and Bellavance LLC | Dentist | 3 Baldwin Green Common Suite 101, Woburn, MA 01801 | 2017-07-19 |
Find all providers in zip 01801 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922584499 | Melissa Lake | Physician Assistant | 800 W Cummings Park Ste 1200, Woburn, MA 01801-6587 | 2018-07-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740897024 | Eoin Moriarty | Physician Assistant | 99 Merryknoll Rd, Weymouth, MA 02191-2020 | 2020-09-30 |
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 |
1922651405 | Ingrid Florencio Delinski | Physician Assistant | 78 Alvarado Ave, Worcester, MA 01604-1152 | 2019-07-23 |
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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.