John R Pettinato (NPI# 1730277914, PAC ID# 0547284663) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1730277914 |
| PAC ID by PECOS | 0547284663 |
| Professional Enrollment ID | I20150407001161 |
| Full Name | John R Pettinato |
| Organization Legal Name | JORDAN PHYSICIAN ASSOCIATES INC. |
| Address |
110 Long Pond Rd Suite 101 Plymouth MA 02360-2642 |
| Phone Number | 5087468590 |
| Gender | M |
| Credential | DO |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHY |
| Graduation Year | 1993 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 1254321086 |
| Number of Group Practice Members | 143 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220060 | BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH |
| Address | Phone | Organization |
|---|---|---|
| 110 Long Pond Rd, Suite 101, Plymouth, MA 02360-2642 | 5087468590 | JORDAN PHYSICIAN ASSOCIATES INC. |
| Organization Legal Name | JORDAN PHYSICIAN ASSOCIATES INC. |
| Physicians | 161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica M Olson | Certified Nurse Midwife (cnm) | Jordan Physician Associates Inc. | 46 Obery St, Plymouth, MA 02360-2237 |
| Kadhiresan Raja Murugappan | Anesthesiology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Maysaa El Zoghbi | Gastroenterology | Jordan Physician Associates Inc. | 47 Obery St, Suite 201, Plymouth, MA 02360-2229 |
| Shane C Peters | Nurse Practitioner | Jordan Physician Associates Inc. | 83 Route 130, Forestdale, MA 02644-1427 |
| Aubrey Okpaku | Neurosurgery | Jordan Physician Associates Inc. | 10 Cordage Park Cir, Suite 227, Plymouth, MA 02360-7318 |
| Irina L Gurevich | Hematology/oncology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| William B Gorsuch | Physician Assistant | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Agnes Densmore | Certified Nurse Midwife (cnm) | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Kimberly M Johnson | Physician Assistant | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Melanie Loberman | Anesthesiology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Street Address |
110 LONG POND RD SUITE 101 |
| City | PLYMOUTH |
| State | MA |
| Zip | 02360-2642 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassandra Dorvil | Family Medicine | Medical Care of Boston Management Corporation | 110 Long Pond Rd, Suite 101, Plymouth, MA 02360-2642 |
| Damon K Curtis | Physician Assistant | Kenneth M Reed Md PC | 110 Long Pond Rd, Suite 202, Plymouth, MA 02360-2642 |
| Bryan B Graham | Chiropractic | 110 Long Pond Rd, Suite 210, Plymouth, MA 02360-2642 | |
| Halward M Blegen Iii | Internal Medicine | 110 Long Pond Rd, Suite 205, Plymouth, MA 02360-2642 | |
| Robert E Olson | Internal Medicine | Plymouth Carver Primary Care, P.C. | 110 Long Pond Rd, Suite 212, Plymouth, MA 02360-2642 |
| Patricia A Labaire | Family Medicine | Medical Care of Boston Management Corporation | 110 Long Pond Rd, Suite 101, Plymouth, MA 02360-2642 |
| Charles C Harootunian | Family Medicine | Plymouth Carver Primary Care, P.C. | 110 Long Pond Rd, Suite 212, Plymouth, MA 02360-2642 |
| Francis P Grenn | Neurology | 110 Long Pond Rd, Suite 206, Plymouth, MA 02360-2687 | |
| Stephen R Dube | Internal Medicine | Plymouth Carver Primary Care, P.C. | 110 Long Pond Rd, Suite 212, Plymouth, MA 02360-2642 |
| Juliann Corsini | Obstetrics/gynecology | 110 Long Pond Rd, Suite 103, Plymouth, MA 02360-2642 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Ryan | Psychologist, Clinical | Integrated Counseling Centers, Inc. | 64 Industrial Pk Rd, Plymouth, MA 02360 |
| Timothy J Ryan | Clinical Social Worker | Integrated Counseling Centers, Inc. | 64 Industrial Pk Rd, Plymouth, MA 02360 |
| Janet E Petrella | Clinical Social Worker | 8 E Circuit Ave, Plymouth, MA 02360-1151 | |
| Debra J Gunning | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 8 Pilgrim Way, Plymouth, MA 02360-1342 |
| Laurel H Martens | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 8 Pilgrim Way, Plymouth, MA 02360-1342 |
| Kadhiresan Raja Murugappan | Anesthesiology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Lorenz B Cueni | Cardiovascular Disease (cardiology) | 275 Sandwich St (beth Srael Deaconess, Plymouth, MA 02360-2183 | |
| Mark J Longsjo | Clinical Social Worker | Beth Israel Deaconess Hospital Plymouth Inc | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Irina L Gurevich | Hematology/oncology | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| William B Gorsuch | Physician Assistant | Jordan Physician Associates Inc. | 275 Sandwich St, Plymouth, MA 02360-2183 |
| Find all physicians in zip 02360 | |||
| City | PLYMOUTH |
| Zip Code | 02360 |
| Specialty | NEUROLOGY |
| City + Specialty | PLYMOUTH + NEUROLOGY |
Please comment or provide details below to improve the information on John R Pettinato.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.