GEORGE J DUCACH DPM PC (NPI# 1992816698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992816698 |
| Entity Type | Organization |
| Organization Name | GEORGE J DUCACH DPM PC |
| Practice Address |
1261 Furnace Brook Parkway Suite #18 Quincy MA 02169 |
| Practice Telephone | 6177734300 |
| Practice Fax Number | 6177734301 |
| Mailing Telephone | 6177734300 |
| Mailing Fax Number | 6177734301 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-09-17 |
| Authorized Official Name | GEORGE J DUCACH (PRESIDENT OWNER) |
| Authorized Official Telephone | 6177734300 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1762 | MA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS | Y77241 | 01 |
| MA | TUFTS | 605663 | 01 |
| Street Address |
1261 FURNACE BROOK PARKWAY SUITE #18 |
| City | QUINCY |
| State | MA |
| Zip Code | 02169 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477839132 | Patriot Elder Care Inc. | Nursing Facility/Intermediate Care Facility | 1261 Furnace Brook Parkway, Suite 22, Quincy, MA 02169 | 2011-10-26 |
| 1518085968 | Patriot Behavioral Health Inc. | Psychologist | 1261 Furnace Brook Parkway, Suite 22, Quincy, MA 02169 | 2007-03-26 |
| 1518042217 | Dana M Smith Nasiff | Podiatrist | 1261 Furnace Brook Parkway, Suite 18, Quincy, MA 02169 | 2006-10-25 |
| 1508951906 | Sharon Ricki Leblanc | Social Worker | 1261 Furnace Brook Parkway, Quincy, MA 02169 | 2006-10-03 |
| 1821197419 | Gilbert Howard Peters | Social Worker | 1261 Furnace Brook Parkway, Quincy, MA 02169 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902427933 | Trinasia Jones | Counselor | 80 Quarry Street, 3, Quincy, MA 02169 | 2020-04-30 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1669028064 | Renee Yvette Belisle | Occupational Therapist | 1266 Furnance Brook Parkway, Suite #100b, Quincy, MA 02169 | 2019-08-13 |
| 1952953713 | Phuc Thi Diem Ho | Registered Nurse | 18 Rustic Place, Quincy, MA 02169 | 2019-07-11 |
| 1518451939 | Lucille Jordan | Social Worker | 1175 Sea St, Quincy, MA 02169 | 2018-06-19 |
| 1326567447 | Tara Barney | Counselor | 290 Quarry Street Apt. 112, Quincy, MA 02169 | 2017-09-11 |
| 1295251007 | Iona Dental, P.C. (parent Organization) | Dentist | 10 Granite Street, Unit - 4c, Quincy, MA 02169 | 2017-08-15 |
| 1730610247 | Amy S. Chung | Family Medicine | 100 Walter J. Hannon Parkway, Quincy, MA 02169 | 2017-03-26 |
| 1205377314 | Wing Man Ting | Counselor | 2 Moon Island Road, Quincy, MA 02169 | 2017-03-09 |
| 1740726223 | Cameron James Dumas | Pharmacist | 21 23 Stanhope Street, Boston, MA 02169 | 2017-01-09 |
| Find all providers in zip 02169 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508391186 | Steven Quan | Podiatrist | 70 Wesson Ave, Quincy, MA 02169-7412 | 2017-04-20 |
| 1417957929 | Quincy Family Foot Care, PC | Podiatrist | 3915 Maine St, Suite 5, Quincy, IL 62305-5843 | 2005-07-26 |
| 1033513122 | Unquity Podiatry | Podiatrist | 114 Whitwell St, Quincy, MA 02169-1870 | 2014-10-17 |
| 1396041356 | Boston University General Surgical Associates, Inc.-qmc | Podiatrist | 114 Whitwell St, Quincy, MA 02169-1870 | 2011-02-08 |
| 1497937361 | Reed Foot Clinic | Podiatrist | 601 S 8th St, Quincy, IL 62301-4909 | 2007-12-03 |
| 1518042217 | Dana M Smith Nasiff | Podiatrist | 1261 Furnace Brook Parkway, Suite 18, Quincy, MA 02169 | 2006-10-25 |
| 1184714115 | Wynn A Perlick | Podiatrist | 111 Willard St, Suite 2f, Quincy, MA 02169-1200 | 2006-10-13 |
| 1942215645 | Foot Care Specialists, P.C. | Podiatrist | 500 Congress St, Suite 1-d, Quincy, MA 02169-0908 | 2006-07-30 |
| 1881629152 | Brennan R Reed | Podiatrist | 601 S 8th St, Quincy, IL 62301 | 2006-07-12 |
| 1124053400 | Shwetal B Patel | Podiatrist | 1118 Hampshire St, Quincy, IL 62301-3027 | 2006-07-12 |
| Find all providers in QUINCY | ||||
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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.