| Heyday Health Medical Group Inc | |
|
1 Mifflin Pl Ste 400 Cambridge MA 02138-4946 | |
| (234) 200-0854 | |
| Not Available |
| Full Name | Heyday Health Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Mifflin Pl Ste 400, Cambridge, Massachusetts |
| Authorized Official Name and Position | Nupur Mehta (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 2342000854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heyday Health Medical Group Inc 143 Boardman Canfield Rd Ste 359 Boardman OH 44512-4804 Ph: (234) 200-0854 | Heyday Health Medical Group Inc 1 Mifflin Pl Ste 400 Cambridge MA 02138-4946 Ph: (234) 200-0854 |
| NPI Number | 1548855877 |
|---|---|
| Provider Enumeration Date | 03/08/2021 |
| Last Update Date | 02/14/2024 |
| Medicare PECOS PAC ID | 5698183911 |
|---|---|
| Medicare Enrollment ID | O20210426001104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548855877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jennifer Cicchillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750534509 PECOS PAC ID: 8628009750 Enrollment ID: I20050829000115 |
| Provider Name | Rachel L Singer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093073546 PECOS PAC ID: 1951565795 Enrollment ID: I20120607000370 |
| Provider Name | Emily E Palscak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487903860 PECOS PAC ID: 6406006659 Enrollment ID: I20121024000115 |
| Provider Name | Kelley K Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609236926 PECOS PAC ID: 6800194432 Enrollment ID: I20160415001016 |
| Provider Name | Natisha Phifer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336668557 PECOS PAC ID: 3072848738 Enrollment ID: I20190717002587 |
| Provider Name | Amity Lynn Strainer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548551971 PECOS PAC ID: 0345655593 Enrollment ID: I20210219002076 |
| Provider Name | Nupur Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407993868 PECOS PAC ID: 3577689389 Enrollment ID: I20210426001138 |
| Provider Name | Krystal M Medley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336573641 PECOS PAC ID: 2668607706 Enrollment ID: I20240123000786 |
| Provider Name | Melissa Sforza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811748874 PECOS PAC ID: 9537500335 Enrollment ID: I20240510001552 |
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