Allan Mabardy (NPI# 1073809745, PAC ID# 3173813458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1073809745 |
| PAC ID by PECOS | 3173813458 |
| Professional Enrollment ID | I20170802002651 |
| Full Name | Allan Mabardy |
| Organization Legal Name | SOUTHCOAST PHYSICIANS GROUP, INC.. |
| Address |
300 B Faunce Corner Rd Suite 101 North Dartmouth MA 02747-1257 |
| Phone Number | 5089731020 |
| Gender | M |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2011 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 0749171957 |
| Number of Group Practice Members | 555 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220074 | SOUTHCOAST HOSPITALS GROUP |
| Address | Phone | Organization |
|---|---|---|
| 300 B Faunce Corner Rd, Suite 101, North Dartmouth, MA 02747-1257 | 5089731020 | SOUTHCOAST PHYSICIANS GROUP, INC.. |
| Organization Legal Name | SOUTHCOAST PHYSICIANS GROUP, INC.. |
| Physicians | 576 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara Elizabeth Charnecki | Family Medicine | Southcoast Physicians Group, Inc.. | 1334 Main Rd, Tiverton, RI 02878-4425 |
| Jessica Lynn Keough | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 480 Hawthorn St, North Dartmouth, MA 02747-3729 |
| Jeffrey Bird | Hospitalist | Southcoast Physicians Group, Inc.. | 101 Page St, New Bedford, MA 02740-3464 |
| Ernesto Gabriel Gonzalez | Obstetrics/gynecology | Southcoast Physicians Group, Inc.. | 543 N St, New Bedford, MA 02740-2782 |
| Kathryn Young Noonan | Otolaryngology | Southcoast Physicians Group, Inc.. | 299 Faunce Corner Rd, North Dartmouth, MA 02747-1218 |
| Sarah Anne Crowley | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 300 A Faunce Corner Rd, Suite 200, North Dartmouth, MA 02747-1280 |
| Kara J. Kopaczewski | Family Medicine | Southcoast Physicians Group, Inc.. | 49 State Road Pequot Bldg, North Dartmouth, MA 02747-3322 |
| Stephanie L Pine | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 2421 Cranberry Hwy, Suite 202, Wareham, MA 02571-5032 |
| Jennifer Lynn Bento | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 37 Commerce Way, Seekonk, MA 02771-5816 |
| Tammy L Gleeson | Thoracic Surgery | Southcoast Physicians Group, Inc.. | 208 Mill Rd, Fairhaven, MA 02719-5208 |
| Street Address |
300 B FAUNCE CORNER RD SUITE 101 |
| City | NORTH DARTMOUTH |
| State | MA |
| Zip | 02747-1257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Belinda J Pillow | Nurse Practitioner | Southcoast Physicians Group, Inc.. | 300 B Faunce Corner Rd, North Dartmouth, MA 02747-1257 |
| Jill S Oxley | General Surgery | Southcoast Physicians Group, Inc.. | 300 B Faunce Corner Rd, Suite 101, North Dartmouth, MA 02747-1257 |
| Joseph Casassa | Certified Registered Nurse Anesthetist | Anaesthesia Associates of Massachusetts, PC | 300 B Faunce Corner Rd, North Dartmouth, MA 02747-1257 |
| Judith A Gobble | Certified Registered Nurse Anesthetist | Anaesthesia Associates of Massachusetts, PC | 300 B Faunce Corner Rd, North Dartmouth, MA 02747-1257 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Yeshman | Podiatry | 26 Shannon Way, N Dartmouth, MA 02747-1182 | |
| Courtney Mota Trevino | Optometry | Kem Optical PC | 83 Faunce Corner Rd B, North Dartmouth, MA 02747-1210 |
| Kate E Marmelo | Optometry | Kem Optical PC | 83 Faunce Corner Rd B, North Dartmouth, MA 02747-1210 |
| Kathryn Young Noonan | Otolaryngology | Southcoast Physicians Group, Inc.. | 299 Faunce Corner Rd, North Dartmouth, MA 02747-1218 |
| Jonathon S Sillman | Otolaryngology | Southcoast Physicians Group, Inc.. | 299 Faunce Corner Rd, North Dartmouth, MA 02747-1218 |
| Eric E Pinho | Nurse Practitioner | Northeast Behavioral Health LLC | 581 Faunce Corner Rd, Dartmouth, MA 02747-1242 |
| Paula J Walsh | Nurse Practitioner | Steward Medical Group Inc | 537 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| Karmina P Bautista | Internal Medicine | Steward Medical Group Inc | 531 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| Jack A Howard | Cardiovascular Disease (cardiology) | Steward Medical Group Inc | 535 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| Steven H Oh | Diagnostic Radiology | Steward Medical Group Inc | 531 Faunce Corner Rd, North Dartmouth, MA 02747-1242 |
| Find all physicians in zip 02747 | |||
| City | NORTH DARTMOUTH |
| Zip Code | 02747 |
| Specialty | GENERAL SURGERY |
| City + Specialty | NORTH DARTMOUTH + GENERAL SURGERY |
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| 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.