EMERALD PHYSICIAN SERVICES, LLC (NPI# 1952443244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952443244 |
| Entity Type | Organization |
| Organization Name | EMERALD PHYSICIAN SERVICES, LLC |
| Practice Address |
433 W Main St Hyannis MA 02601 |
| Mailing Address |
297 North St Ste 221 Hyannis MA 02601-5133 |
| Practice Telephone | 5087784777 |
| Practice Fax Number | 5087719555 |
| Mailing Telephone | 5088627777 |
| Mailing Fax Number | 5088627496 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | MICHAEL L CONNORS (CFO) |
| Authorized Official Telephone | 5089578540 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE GROUP NUMBER | CH1554 | 01 | |
| MA | BLUE CROSS GROUP NUMBER | M16587 | 01 |
| MA | AETNA GROUP NUMBER | 2520242 | 01 |
| MA | TUFTS INS. GROUP NUMBER | 685025 | 01 |
| MA | USFHP GROUP NUMBER | 685025 | 01 |
| MA | 9787208 | 05 |
| Street Address |
433 W MAIN ST |
| City | HYANNIS |
| State | MA |
| Zip Code | 02601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396273645 | Michelle Thomas | Nurse Practitioner | 433 W Main St, Hyannis, MA 02601-3644 | 2017-05-31 |
| 1124556725 | Mary Gallagher | Nurse Practitioner | 433 W Main St, Hyannis, MA 02601-3644 | 2017-05-25 |
| 1578099164 | Emerald Physicians | Nurse Practitioner | 433 W Main St, Hyannis, MA 02601-3644 | 2017-05-03 |
| 1023447158 | Carrie A Sullivan | Nurse Practitioner | 433 W Main St, Hyannis, MA 02601-3644 | 2013-11-08 |
| 1588945208 | Lauralee C Ferriell | Physician Assistant | 433 W Main St, Hyannis, MA 02601-3644 | 2011-09-08 |
| 1528387826 | Diana Andrusyshyn | Nurse Practitioner | 433 W Main St, Hyannis, MA 02601-3644 | 2010-05-26 |
| 1609077437 | Miriam Cerutti | Internal Medicine | 433 W Main St, Hyannis, MA 02601-3644 | 2007-05-30 |
| 1033323217 | Elizabeth Dunton | Nurse Practitioner | 433 W Main St, Hyannis, MA 02601-3644 | 2007-05-09 |
| 1548326093 | Susan Harrington | Nurse Practitioner | 433 W Main St, Hyannis, MA 02601-3644 | 2006-12-29 |
| 1487710836 | Patricia Tonra | Nurse Practitioner | 433 W Main St, Hyannis, MA 02601-3644 | 2006-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987606 | Teodora Veleva | Developmental Therapist | Kennedy Donovan Cape & Islands Early Intervention, 80 Pearl Street, Hyannis, MA 02601 | 2019-11-21 |
| 1184108912 | Erin Lee Rindfuss | Social Worker | 10 Independence Drive, Hyannis, MA 02601 | 2018-09-18 |
| 1487170312 | Emg Laboratory, LLC | Psychiatry & Neurology | 51 Main St Ste 6, Hyannis, MA 02601 | 2017-08-22 |
| 1528597804 | Kaydian Karyl Roberts | Behavioral Analyst | 767 Independence Dr, Apt D101, Hyannis, MA 02601 | 2017-06-08 |
| 1801338801 | Catherine Ode | Counselor | 29 Bassett Lane, Family Continuity, Hyannis, MA 02601 | 2016-11-08 |
| 1558721191 | Harbor Health Services Inc | Clinic/Center | 735 Attucks Lane, Hyannis, MA 02601 | 2016-02-24 |
| 1285014928 | Genesis Rehab Services | Skilled Nursing Facility | 118 Wayland Road, Hyannis, MA 02601 | 2015-06-08 |
| 1164858742 | Ann Alexander Ms Rdn Lrd LLC | Dietitian, Registered | 500 Ocean St. #39, Hyannis, MA 02601 | 2013-09-16 |
| 1295089803 | Janis Sommers | Mechanotherapist | 677 West Main Street, Harwich, MA 02601 | 2012-11-05 |
| 1962797167 | Douglas Mason | Counselor | 889 West Main St., Hyannis, MA 02601 | 2011-06-15 |
| Find all providers in zip 02601 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699950659 | Cape Cod Internal Medicine | Internal Medicine | 35 Cedar Street, Hyannis, MA 02601 | 2008-01-08 |
| 1306966478 | Jorge E Casal Md LLC | Internal Medicine | 43 Lewis Bay Rd, Hyannis, MA 02601-5235 | 2007-03-30 |
| 1205974722 | Sharon Ann Mahoney | Internal Medicine | 1070 Iyannough Road, Iora Primary Care, Hyannis, MA 02601 | 2007-02-05 |
| 1225192552 | Anne Marie Murphy Kelly | Internal Medicine | 89 Lewis Bay Road, Unit 4, Hyannis, MA 02601-5240 | 2006-12-21 |
| 1891874947 | Gary Elliot Tratt | Internal Medicine | 66 School St, Hyannis, MA 02601 | 2006-11-02 |
| 1225127897 | Steven T Lacy | Internal Medicine | 30 Elm Ave., Mid Upper Cape Community Health Center, Hyannis, MA 02601-5547 | 2006-10-12 |
| 1629163191 | Henry Pool Tufts | Internal Medicine | 91 Camp Street, Hyannis, MA 02601 | 2006-10-03 |
| 1750390894 | Mita Gupta | Internal Medicine | Emerald Physicians, 433 West Main Street, Hyannis, MA 02601 | 2006-08-07 |
| 1023030053 | Cormac Francis Coyle | Internal Medicine | 433 West Main St, Hyannis, MA 02601-3644 | 2006-07-25 |
| 1376572966 | Eric Arne Weber | Internal Medicine | 62 Park St, Hyannis, MA 02601-5206 | 2006-07-03 |
| Find all providers in HYANNIS | ||||
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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.