Maureen Pendergast-fuller (NPI# 1558306209, PAC ID# 4587735923) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1558306209 |
| PAC ID by PECOS | 4587735923 |
| Professional Enrollment ID | I20080612000536 |
| Full Name | Maureen Pendergast-fuller |
| Organization Legal Name | PIONEER SPINE AND SPORTS PHYSICIANS PC |
| Address |
766 N King St Northampton MA 01060-1127 |
| Phone Number | 4135860230 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5991609174 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220066 | MERCY MEDICAL CTR |
| 220077 | BAYSTATE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 766 N King St, Northampton, MA 01060-1127 | 4135860230 | PIONEER SPINE AND SPORTS PHYSICIANS PC |
| Organization Legal Name | PIONEER SPINE AND SPORTS PHYSICIANS PC |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karl R Fuller | Physician Assistant | Pioneer Spine and Sports Physicians PC | 271 Park St, West Springfield, MA 01089-3311 |
| Raymond A Auletta | Physical Medicine and Rehabilitation | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Gretchen Chappell | Physical Therapy | Pioneer Spine and Sports Physicians PC | 271 Park St, West Springfield, MA 01089-3311 |
| Rosemarie L Roy | Physical Therapy | Pioneer Spine and Sports Physicians PC | 271 Park St, West Springfield, MA 01089-3311 |
| Scott R Cooper | Physical Medicine and Rehabilitation | Pioneer Spine and Sports Physicians PC | 271 Park St, West Springfield, MA 01089-3311 |
| Kristen K Ashe | Physical Therapy | Pioneer Spine and Sports Physicians PC | 265 Benton Dr, East Longmeadow, MA 01028-3209 |
| Gregory Park | Physical Medicine and Rehabilitation | Pioneer Spine and Sports Physicians PC | 271 Park St, West Springfield, MA 01089-3311 |
| Mark Chan | Physical Medicine and Rehabilitation | Pioneer Spine and Sports Physicians PC | 271 Park St, West Springfield, MA 01089-3311 |
| Julie Lheureux | Nurse Practitioner | Pioneer Spine and Sports Physicians PC | 271 Park St, West Springfield, MA 01089-3311 |
| David C Trotman | Physical Therapy | Pioneer Spine and Sports Physicians PC | 271 Park St, West Springfield, MA 01089-3311 |
| Street Address |
766 N KING ST |
| City | NORTHAMPTON |
| State | MA |
| Zip | 01060-1127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Raymond A Auletta | Physical Medicine and Rehabilitation | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Charles Mick | Orthopedic Surgery | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| David A Bowers | Physical Medicine and Rehabilitation | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Jennifer E Paasch | Physical Therapy | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Sandra Rae | Nurse Practitioner | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Doniel Schwartz | Physician Assistant | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Tomas Lund | Physical Therapy | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Luberta Bradley | Physical Therapy | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Christina M Goncalves | Physical Therapy | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Que T Nguyen | Physical Medicine and Rehabilitation | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela A Torre | Clinical Social Worker | 9 Ctr Court, Northampton, MA 01060 | |
| Paula E Murphy | Clinical Social Worker | 16 Ctr St, Suite 223, Northampton, MA 01060 | |
| Joanne Mahoney | Physical Therapy | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Karen S Ford | Physical Therapy | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Leanne Vallee | Physician Assistant | Pioneer Spine and Sports Physicians PC | 766 N King St, Northampton, MA 01060-1127 |
| Nathalie Ann Vaughn | Clinical Social Worker | 94 King St, Suite 2b, Northampton, MA 01060-1202 | |
| Meredith A Gould | Psychologist, Clinical | 94 King St, Suite 2a, Northampton, MA 01060-1202 | |
| Kipp Armstrong | Clinical Social Worker | 70 Main St, Fl 2, Northampton, MA 01060-1470 | |
| Laura Manfield Goodridge | Physical Medicine and Rehabilitation | Katherine J Atkinson Md PC | 6 Hatfield St, Northampton, MA 01060-1556 |
| Amalia I Johnson | Clinical Social Worker | 20 Francis St, Northampton, MA 01060-1620 | |
| Find all physicians in zip 01060 | |||
| City | NORTHAMPTON |
| Zip Code | 01060 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NORTHAMPTON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Maureen Pendergast-fuller.
| 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.