Community Health Center Of Cape Cod, Inc. | |
107 Commercial St Mashpee MA 02649 | |
(508) 477-7090 | |
(508) 477-7028 |
Full Name | Community Health Center Of Cape Cod, Inc. |
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Speciality | Clinic/Center |
Location | 107 Commercial St, Mashpee, Massachusetts |
Authorized Official Name and Position | Karen L. Gardner (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 5084777090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Community Health Center Of Cape Cod, Inc. 107 Commercial St Mashpee MA 02649 Ph: (508) 477-7090 | Community Health Center Of Cape Cod, Inc. 107 Commercial St Mashpee MA 02649 Ph: (508) 477-7090 |
NPI Number | 1821193145 |
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Provider Enumeration Date | 09/13/2006 |
Last Update Date | 02/09/2009 |
Medicare PECOS PAC ID | 4486699568 |
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Medicare Enrollment ID | O20050621000256 |
Identifier | Type | State | Issuer |
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1821193145 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
261QC1500X | Clinic/center - Community Health | 4WAE (Massachusetts) | Secondary |
Provider Name | Marilyn B Gordon |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598716698 PECOS PAC ID: 9739150905 Enrollment ID: I20040802001455 |
Provider Name | Kenneth G Terkelsen |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1336142504 PECOS PAC ID: 2769453430 Enrollment ID: I20040804001868 |
Provider Name | Stephanie S Prior |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336120567 PECOS PAC ID: 8325011091 Enrollment ID: I20040819000766 |
Provider Name | Alice E Cook |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720180532 PECOS PAC ID: 7810955002 Enrollment ID: I20041220000785 |
Provider Name | Charles D Malis |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891766176 PECOS PAC ID: 0345297263 Enrollment ID: I20050404000361 |
Provider Name | Sibel N Bessim |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1528165685 PECOS PAC ID: 2163460932 Enrollment ID: I20050421000887 |
Provider Name | Maryanne Bombaugh |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1962477224 PECOS PAC ID: 9335180827 Enrollment ID: I20050516000043 |
Provider Name | Ronald F Backer |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083735146 PECOS PAC ID: 6507809241 Enrollment ID: I20050603000733 |
Provider Name | Jay G Stearns |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1073576096 PECOS PAC ID: 4486699386 Enrollment ID: I20050622000109 |
Provider Name | Marina A Rabin |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1649269838 PECOS PAC ID: 2365488491 Enrollment ID: I20050629000581 |
Provider Name | Nazanin J Ronan |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720076466 PECOS PAC ID: 7416984125 Enrollment ID: I20050725000912 |
Provider Name | Kristy K Brown |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417939661 PECOS PAC ID: 0547292112 Enrollment ID: I20050902000470 |
Provider Name | Allegra Mcelroy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003023284 PECOS PAC ID: 9133165178 Enrollment ID: I20051011000802 |
Provider Name | Paulina M Fernandes |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205817269 PECOS PAC ID: 8224053962 Enrollment ID: I20051011001017 |
Provider Name | Munir Ahmed |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1851367312 PECOS PAC ID: 4486674066 Enrollment ID: I20051128000636 |
Provider Name | Diane Wheeler |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245386671 PECOS PAC ID: 4284658352 Enrollment ID: I20060117000792 |
Provider Name | Laura E Kanter |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174501183 PECOS PAC ID: 9234224734 Enrollment ID: I20070928000166 |
Provider Name | Beverly J Loudin |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1083699268 PECOS PAC ID: 0547346132 Enrollment ID: I20080324000279 |
Provider Name | Mary A Hettich Kelly |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790810257 PECOS PAC ID: 9739267998 Enrollment ID: I20080429000335 |
Provider Name | Nevine Henin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1982672473 PECOS PAC ID: 9335219849 Enrollment ID: I20080610000018 |
Provider Name | David S Tager |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972569622 PECOS PAC ID: 3173513074 Enrollment ID: I20090311000147 |
Provider Name | Arshiya Seth |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538347018 PECOS PAC ID: 8921292491 Enrollment ID: I20101028000647 |
Provider Name | James Patrick Mcguire |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1659456044 PECOS PAC ID: 7113011701 Enrollment ID: I20110525000805 |
Provider Name | Matthew Waterbury |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811242746 PECOS PAC ID: 8224287651 Enrollment ID: I20120928000583 |
Provider Name | Milene Chioatto |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013343417 PECOS PAC ID: 9032019997 Enrollment ID: I20150311000976 |
Provider Name | Barbara Hayes |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528398807 PECOS PAC ID: 2860719424 Enrollment ID: I20150320000106 |
Provider Name | Samantha Louis |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588002695 PECOS PAC ID: 2466772215 Enrollment ID: I20150520000064 |
Provider Name | Thomas Andrea |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669881041 PECOS PAC ID: 8921315714 Enrollment ID: I20150910002015 |
Provider Name | Lisa Ann Adams |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1235404336 PECOS PAC ID: 9638487788 Enrollment ID: I20151009000462 |
Provider Name | Kate B Drumond |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1649533795 PECOS PAC ID: 2567610843 Enrollment ID: I20151023002373 |
Provider Name | Kathleen R Denham |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457783581 PECOS PAC ID: 1052619996 Enrollment ID: I20160411000577 |
Provider Name | Eve M Sierra |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093159998 PECOS PAC ID: 1850530668 Enrollment ID: I20160428001303 |
Provider Name | Sharon Cicchetti Rousseau |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538105903 PECOS PAC ID: 0941421085 Enrollment ID: I20170124001896 |
Provider Name | Samuel S Kothalanka |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992147607 PECOS PAC ID: 3971895004 Enrollment ID: I20170808002101 |
Provider Name | Robert Eaton Burr |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1770533788 PECOS PAC ID: 4981625902 Enrollment ID: I20171030003486 |
Provider Name | Nancy J Regan-brooks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730460346 PECOS PAC ID: 4385905827 Enrollment ID: I20180226002494 |
Provider Name | Barbara J Gionet Hasson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740554609 PECOS PAC ID: 9830351154 Enrollment ID: I20180514001245 |
Provider Name | Aaron Maloy |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922501824 PECOS PAC ID: 2567727530 Enrollment ID: I20180522000255 |
Provider Name | Lisa Estelle White |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891162707 PECOS PAC ID: 2961702022 Enrollment ID: I20180626000897 |
Provider Name | Rummana S Aslam |
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Provider Type | Practitioner - Physical Medicine And Rehabilitation |
Provider Identifiers | NPI Number: 1528103983 PECOS PAC ID: 9830351436 Enrollment ID: I20181102001954 |
Provider Name | Jocelyn Hulburt |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174019590 PECOS PAC ID: 4284988569 Enrollment ID: I20181127000615 |
Provider Name | Kathleen Cornell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801265947 PECOS PAC ID: 4688976954 Enrollment ID: I20191125002105 |
Provider Name | Emily Elgert |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336791680 PECOS PAC ID: 2961810650 Enrollment ID: I20210419000939 |
Provider Name | Fanny Vanessa Giron Galeano |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134626690 PECOS PAC ID: 7416205836 Enrollment ID: I20210715003026 |
Provider Name | Lyla Blake-gumbs |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538185384 PECOS PAC ID: 4981689643 Enrollment ID: I20210917002058 |
Provider Name | Emily Mcclure |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1144341306 PECOS PAC ID: 6204738636 Enrollment ID: I20210922002408 |
Provider Name | Alex Jacob Weiner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679129738 PECOS PAC ID: 8224431820 Enrollment ID: I20211021002809 |
Provider Name | Kimberly Haupt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770239949 PECOS PAC ID: 2769869627 Enrollment ID: I20220513001985 |
Provider Name | Alyssa Caggiano |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689283368 PECOS PAC ID: 9335554930 Enrollment ID: I20220819001328 |
Provider Name | Karoline Sieracki Rede |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437701687 PECOS PAC ID: 7214312966 Enrollment ID: I20220915001930 |
Provider Name | Ryan Paul Golden |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1255866042 PECOS PAC ID: 9436520848 Enrollment ID: I20230123002200 |
Provider Name | Riley Ashe |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043923451 PECOS PAC ID: 4486027034 Enrollment ID: I20230301000610 |
Provider Name | Dena Wiseman |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1972050029 PECOS PAC ID: 4183902125 Enrollment ID: I20240205003492 |
Provider Name | David Edgar Mossop |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063273308 PECOS PAC ID: 3274972757 Enrollment ID: I20240416004380 |
Provider Name | Hilary Santos |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407431182 PECOS PAC ID: 1759721434 Enrollment ID: I20240429000989 |
Provider Name | Munachiso Iheonunekwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922505908 PECOS PAC ID: 3274882352 Enrollment ID: I20240606003784 |
Community Health Center Of Cape Cod, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 107 Commercial St, Mashpee, MA 02649 Phone: 508-477-7090 Fax: 508-477-3090 | |
Mashpee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Industrial Dr, Mashpee, MA 02649 Phone: 508-477-4282 Fax: 508-539-6134 | |
Mashpee Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Industrial Dr, Suite 100, Mashpee, MA 02649 Phone: 508-477-4282 Fax: 508-539-6134 | |
Mashpee Service Unit/indian Health Service Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 483 Great Neck Road South, Building 002-health Clinic, Mashpee, MA 02649 Phone: 508-477-0209 Fax: 508-477-1936 |