BOSTON VAMC (NPI# 1952650525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952650525 |
| Entity Type | Organization |
| Organization Name | BOSTON VAMC |
| Other Organization Name | PLYMOUTH VA CBOC |
| Practice Address |
116 Long Pond Rd Plymouth MA 02360-2663 |
| Mailing Address |
Po Box 3012 Lebanon PA 17042-3012 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Plymouth VA CBOC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215995410 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-04 |
| 1861887721 | Boston Vamc | Clinic/Center | 150 S Huntington Ave, Boston, MA 02130-4817 | 2015-03-30 |
| 1497851802 | Boston Vamc | General Acute Care Hospital | 150 S Huntington Ave, Boston, MA 02130-4817 | 2006-09-15 |
| 1447290176 | Boston Vamc | Clinic/Center | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-06-08 |
| 1730127952 | Boston Vamc | Clinic/Center | 110 W Squantum St, Quincy, MA 02171-2122 | 2006-06-02 |
| 1184677213 | Boston Vamc | Clinic/Center | 61 Lincoln St, Suite 112, Framingham, MA 01702-8264 | 2006-05-18 |
| 1912958596 | Boston Vamc | Clinic/Center | 251 Causeway St, Boston, MA 02114-2148 | 2006-05-16 |
| 1508815549 | Boston Vamc | General Acute Care Hospital | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-05-08 |
| 1023066529 | Boston Vamc | Department of Veterans Affairs (VA) Pharmacy | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2006-05-05 |
| 1306894613 | Boston Vamc | General Acute Care Hospital | 940 Belmont St, Brockton, MA 02301-5596 | 2006-05-05 |
| Street Address |
116 LONG POND RD |
| City | PLYMOUTH |
| State | MA |
| Zip Code | 02360-2663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882305 | Thomas Joseph Hardiman | Podiatrist | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2005-06-28 |
| 1558997858 | Jennifer Natale | Hearing Instrument Specialist | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2020-03-18 |
| 1831687144 | Dan O'brien | Registered Nurse | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2018-04-23 |
| 1134617426 | Teresa Bohmbach | Registered Nurse | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2018-04-23 |
| 1033613716 | Henry Brawley | Counselor | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2018-03-19 |
| 1770972853 | Pediatric Services of America, Inc. | Nursing Care | 116 Long Pond Rd, Ste 9, Plymouth, MA 02360-2663 | 2015-01-13 |
| 1275541476 | Affiliated Foot Care, PC | Podiatrist | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2006-08-03 |
| 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 | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407399298 | Northampton Vamc | Clinic/Center | 55 N. Lake Avenue, 7th Floor, Worcester, MA 01655-0002 | 2016-11-28 |
| 1265832943 | Milton Vazquez | Clinic/Center | 95 Ashley Ave Ste A, Springfield Vet Center, West Springfield, MA 01089-1352 | 2014-08-29 |
| 1659665537 | Northampton Vamc | Clinic/Center | 881 Main Street, Phillip J. Philbin Federal Building, Fitchburg, MA 01420-3057 | 2011-06-08 |
| 1083767503 | Northampton Vamc | Clinic/Center | 143 Munson St, Greenfield, MA 01301-9694 | 2007-01-19 |
| 1033156518 | Northampton Vamc | Clinic/Center | 73 Eagle St, Pittsfield, MA 01201-4714 | 2006-06-01 |
| 1902851306 | Providence Vamc | Clinic/Center | 233 Stevens St, Hyannis, MA 02601-3766 | 2006-05-23 |
| 1417301714 | Northampton Vamc | Clinic/Center | 377 Plantation St, Building #4, Worcester, MA 01605-2300 | 2016-04-22 |
| 1861887721 | Boston Vamc | Clinic/Center | 150 S Huntington Ave, Boston, MA 02130-4817 | 2015-03-30 |
| 1669766564 | Northampton Vamc | Clinic/Center | 605 Lincoln St, Worcester, MA 01605-1901 | 2011-06-08 |
| 1679626949 | Northampton Vamc | Clinic/Center | 25 Bond St, Springfield, MA 01104-3401 | 2007-01-19 |
| Find all providers with the same taxonomy | ||||
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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.