Vantage Healthcare | |
45 Dan Rd Canton MA 02021 | |
(781) 867-2050 | |
Not Available |
Full Name | Vantage Healthcare |
---|---|
Speciality | Internal Medicine |
Location | 45 Dan Rd, Canton, Massachusetts |
Authorized Official Name and Position | Jamie L Elliott (COO) |
Authorized Official Contact | 7818672050 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vantage Healthcare Po Box 620550 Newton Lower Falls MA 02462-0550 Ph: (781) 867-2050 | Vantage Healthcare 45 Dan Rd Canton MA 02021 Ph: (781) 867-2050 |
NPI Number | 1366903551 |
---|---|
Provider Enumeration Date | 03/29/2019 |
Last Update Date | 07/02/2020 |
Medicare PECOS PAC ID | 8224361191 |
---|---|
Medicare Enrollment ID | O20190607000976 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366903551 | NPI | - | NPPES |
3118438 | Medicaid | NH | |
110153150A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
Provider Name | Ellen M Westman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922092782 PECOS PAC ID: 7214839406 Enrollment ID: I20040127000569 |
Provider Name | Claes M Nilsson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912006065 PECOS PAC ID: 2365435351 Enrollment ID: I20040406000501 |
Provider Name | Nancy Huggins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245307743 PECOS PAC ID: 9032109087 Enrollment ID: I20040513000365 |
Provider Name | Anthony Gibran Eaton |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1831193101 PECOS PAC ID: 9931187101 Enrollment ID: I20040713000865 |
Provider Name | Debra A Hussey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801855432 PECOS PAC ID: 6709847247 Enrollment ID: I20041019000932 |
Provider Name | Brian C Fellows |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548211659 PECOS PAC ID: 6103874722 Enrollment ID: I20050110000912 |
Provider Name | Paul A Bizinkauskas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578521415 PECOS PAC ID: 6406806322 Enrollment ID: I20050128000223 |
Provider Name | Mark J Messenger |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194726471 PECOS PAC ID: 0840261863 Enrollment ID: I20050405000302 |
Provider Name | Jan P Urkevic |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1609983741 PECOS PAC ID: 3577503739 Enrollment ID: I20050506000189 |
Provider Name | Denise Ann Petrella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669527354 PECOS PAC ID: 4284663592 Enrollment ID: I20050808000301 |
Provider Name | Heather A Bryant Mckenney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912111733 PECOS PAC ID: 5193750016 Enrollment ID: I20050929000444 |
Provider Name | Joy L Osborne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952542607 PECOS PAC ID: 1557375920 Enrollment ID: I20060206000750 |
Provider Name | Ramon Espinosa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245287838 PECOS PAC ID: 1456360189 Enrollment ID: I20060407000375 |
Provider Name | Julia M Carson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548279953 PECOS PAC ID: 0941205694 Enrollment ID: I20061002000381 |
Provider Name | Jennifer Patten |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1891720546 PECOS PAC ID: 3173561487 Enrollment ID: I20061108000379 |
Provider Name | Demetrius Rizos |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1063491397 PECOS PAC ID: 0648379180 Enrollment ID: I20070623000067 |
Provider Name | Irene I Tsirozidou |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912964610 PECOS PAC ID: 2466544119 Enrollment ID: I20070825000007 |
Provider Name | Erica Mcisaac |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457530032 PECOS PAC ID: 6103915038 Enrollment ID: I20071130000080 |
Provider Name | Beth A Connell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225228562 PECOS PAC ID: 8921188152 Enrollment ID: I20071231000129 |
Provider Name | Vivienne Yumasi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528242203 PECOS PAC ID: 6406938703 Enrollment ID: I20080125000175 |
Provider Name | Alireza Toossi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780871970 PECOS PAC ID: 4688764541 Enrollment ID: I20081017000329 |
Provider Name | Didie C Watsop |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215113279 PECOS PAC ID: 9436217866 Enrollment ID: I20081029000069 |
Provider Name | Saira Nisar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114182680 PECOS PAC ID: 1850438714 Enrollment ID: I20091026000304 |
Provider Name | Rosemary A Storer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659422004 PECOS PAC ID: 1850435132 Enrollment ID: I20100224000799 |
Provider Name | Timothy Odonnell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346206091 PECOS PAC ID: 5395877625 Enrollment ID: I20100721000767 |
Provider Name | Julius Tabe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801093356 PECOS PAC ID: 8729104963 Enrollment ID: I20100925000052 |
Provider Name | Deepthi Pandraju |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073734901 PECOS PAC ID: 6800081464 Enrollment ID: I20101109001488 |
Provider Name | Carissa Marie Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20101117001009 |
Provider Name | Shideh Amirifeli |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083763890 PECOS PAC ID: 2062600877 Enrollment ID: I20101221000569 |
Provider Name | Fabian Delgado |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629277454 PECOS PAC ID: 4082802368 Enrollment ID: I20101230000977 |
Provider Name | Vishal Kuchaculla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386837342 PECOS PAC ID: 5799832853 Enrollment ID: I20110325000565 |
Provider Name | Julie Mcgondel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487924445 PECOS PAC ID: 4789847369 Enrollment ID: I20120517000453 |
Provider Name | Marielle Pitts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518215490 PECOS PAC ID: 0840441879 Enrollment ID: I20121121000234 |
Provider Name | Jatinder Aujla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275700825 PECOS PAC ID: 7214000207 Enrollment ID: I20121226000197 |
Provider Name | Paul Phillip Bergeron |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316931355 PECOS PAC ID: 3577594399 Enrollment ID: I20130321000363 |
Provider Name | Nelson K Aweh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891923199 PECOS PAC ID: 0749423507 Enrollment ID: I20130826000835 |
Provider Name | Margarita Castro-zarraga |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1578705679 PECOS PAC ID: 5991948259 Enrollment ID: I20130905000642 |
Provider Name | Amanda Hernandez |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1891062691 PECOS PAC ID: 4880847102 Enrollment ID: I20130910000234 |
Provider Name | Nnamdi O Amaechina |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1144531518 PECOS PAC ID: 7810123106 Enrollment ID: I20131114001122 |
Provider Name | Abila Benazea |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619305521 PECOS PAC ID: 5193955888 Enrollment ID: I20140225000473 |
Provider Name | Marie-helene Almonor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972661064 PECOS PAC ID: 6103832365 Enrollment ID: I20140523000566 |
Provider Name | Cheryl A Rothwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376777458 PECOS PAC ID: 0143440966 Enrollment ID: I20140930000833 |
Provider Name | Scott B Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720488935 PECOS PAC ID: 3870715162 Enrollment ID: I20141121001153 |
Provider Name | Daria M Hanson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1992865901 PECOS PAC ID: 8123012291 Enrollment ID: I20141124001752 |
Provider Name | David S Westrin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285035576 PECOS PAC ID: 6305168410 Enrollment ID: I20141201000241 |
Provider Name | Judith Bellevue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972908143 PECOS PAC ID: 5092030858 Enrollment ID: I20150219000887 |
Provider Name | Yves R Frederic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912391970 PECOS PAC ID: 6709197023 Enrollment ID: I20150612000927 |
Provider Name | Tiffany Lynne Rhodes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083028716 PECOS PAC ID: 0941428742 Enrollment ID: I20150918000444 |
Provider Name | Chirin Al Dalati |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003166885 PECOS PAC ID: 9638489867 Enrollment ID: I20151030000651 |
Provider Name | Karri A Crowley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780060426 PECOS PAC ID: 6305156027 Enrollment ID: I20151110000942 |
Provider Name | Karen Ann Messier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295110732 PECOS PAC ID: 1456661917 Enrollment ID: I20151112002008 |
Provider Name | Anthony Bartley |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922362003 PECOS PAC ID: 1355645383 Enrollment ID: I20160211000133 |
Provider Name | Ashley Ko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821462045 PECOS PAC ID: 2668762667 Enrollment ID: I20160603000373 |
Provider Name | Samila Francois |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134588106 PECOS PAC ID: 6305137779 Enrollment ID: I20160615002610 |
Provider Name | Mario C Corpuz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649529033 PECOS PAC ID: 2163714379 Enrollment ID: I20160708001155 |
Provider Name | Alicyn M Walsh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245689652 PECOS PAC ID: 0345534715 Enrollment ID: I20160808001292 |
Provider Name | Kristin M Tierney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811311160 PECOS PAC ID: 5991924946 Enrollment ID: I20160915001248 |
Provider Name | Michael Joseph Mentakis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811988033 PECOS PAC ID: 7416987763 Enrollment ID: I20161017000292 |
Provider Name | Fariyda Mulrain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831644129 PECOS PAC ID: 2466730114 Enrollment ID: I20161031001748 |
Provider Name | Rebecca Donadio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871950733 PECOS PAC ID: 4385923010 Enrollment ID: I20161121000033 |
Provider Name | Stephen Vanderels |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336507193 PECOS PAC ID: 6709165343 Enrollment ID: I20161122001432 |
Provider Name | Carrie Ames |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801341391 PECOS PAC ID: 3476832064 Enrollment ID: I20161123000807 |
Provider Name | Taylor L Andromidas |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1093183501 PECOS PAC ID: 5890075782 Enrollment ID: I20161212001362 |
Provider Name | Peterson Remy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972059665 PECOS PAC ID: 1052682515 Enrollment ID: I20170802002510 |
Provider Name | Susan C Powers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174800957 PECOS PAC ID: 7911210836 Enrollment ID: I20170828003960 |
Provider Name | Stella Uchendu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891232906 PECOS PAC ID: 9436416492 Enrollment ID: I20171129000733 |
Provider Name | Cherie Wildrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083151260 PECOS PAC ID: 3476810300 Enrollment ID: I20171201001724 |
Provider Name | Cornelius N Bela |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962912964 PECOS PAC ID: 2062771942 Enrollment ID: I20180123000903 |
Provider Name | Jamie A Folan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962954560 PECOS PAC ID: 0143503961 Enrollment ID: I20180328002627 |
Provider Name | Caroline Namuzinda Mawanda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154821114 PECOS PAC ID: 4082979000 Enrollment ID: I20180522002709 |
Provider Name | Claude Lyne Valcin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144459876 PECOS PAC ID: 5294972238 Enrollment ID: I20180607000684 |
Provider Name | Wael Barkoudah |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932528924 PECOS PAC ID: 5597061903 Enrollment ID: I20180828001872 |
Provider Name | Andrea Davin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669958641 PECOS PAC ID: 2365786068 Enrollment ID: I20181206003120 |
Provider Name | Albert J Proia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134613185 PECOS PAC ID: 4082962717 Enrollment ID: I20190201001063 |
Provider Name | Mussa Mohamed |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770993172 PECOS PAC ID: 3173883774 Enrollment ID: I20190522000649 |
Provider Name | Eghosa Idumwonyi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265894919 PECOS PAC ID: 1951698059 Enrollment ID: I20190925002175 |
Provider Name | Jonathan E Chester |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174085278 PECOS PAC ID: 2961834726 Enrollment ID: I20191115001542 |
Provider Name | Jessica Dias |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033568233 PECOS PAC ID: 9739511445 Enrollment ID: I20191119001558 |
Provider Name | Jamie Rodgers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730732199 PECOS PAC ID: 5597199737 Enrollment ID: I20191223000619 |
Provider Name | Lianna Partee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750936126 PECOS PAC ID: 9234568718 Enrollment ID: I20200403002297 |
Provider Name | Rosemonde Paulo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962059725 PECOS PAC ID: 3577992999 Enrollment ID: I20200407001220 |
Provider Name | Jean-merimee N Kouagheu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689208050 PECOS PAC ID: 3577982198 Enrollment ID: I20201001001074 |
Provider Name | Mehwash Naseem |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528405677 PECOS PAC ID: 3678702958 Enrollment ID: I20201202002251 |
Provider Name | Edwin Agbonavbare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386007631 PECOS PAC ID: 5496168080 Enrollment ID: I20201228000824 |
Provider Name | Tatiana Andrade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336731819 PECOS PAC ID: 5698182350 Enrollment ID: I20210324001437 |
Provider Name | Bryan Mccullough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821662719 PECOS PAC ID: 2860891611 Enrollment ID: I20210527000176 |
Provider Name | Nicole Tzvetkova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366117764 PECOS PAC ID: 6406244755 Enrollment ID: I20211019002815 |
Provider Name | Donna J Remmes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760082366 PECOS PAC ID: 0840688578 Enrollment ID: I20211028001648 |
Provider Name | Shannon M Beck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114536463 PECOS PAC ID: 7214327733 Enrollment ID: I20211124000056 |
Provider Name | Deanna Jo Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689273054 PECOS PAC ID: 6305232943 Enrollment ID: I20220406002507 |
Provider Name | Karen Magit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083223630 PECOS PAC ID: 1759777360 Enrollment ID: I20220407002016 |
Provider Name | Elizabeth Dow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962157537 PECOS PAC ID: 7719365097 Enrollment ID: I20220526002006 |
Provider Name | Ashley Leddy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861095473 PECOS PAC ID: 5395158851 Enrollment ID: I20220804000201 |
Provider Name | Charles H Ondobo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861929465 PECOS PAC ID: 5698044550 Enrollment ID: I20220929000577 |
Provider Name | Kristine Nordstrom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285695668 PECOS PAC ID: 0446217764 Enrollment ID: I20221220000452 |
Provider Name | Yekaterina Kukharchuk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285332270 PECOS PAC ID: 8921463704 Enrollment ID: I20230501000595 |
Provider Name | Maybelle B Mbiatem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437888096 PECOS PAC ID: 5193181337 Enrollment ID: I20230515001193 |
Provider Name | Peggy Claude Mathieu-martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144984733 PECOS PAC ID: 8224494885 Enrollment ID: I20230524001234 |
Provider Name | Patricia Selig |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437888799 PECOS PAC ID: 7113387614 Enrollment ID: I20230715000184 |
Provider Name | Betty Gyamfi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093098923 PECOS PAC ID: 1759686579 Enrollment ID: I20230727003250 |
Provider Name | Victor Okwukaogu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578287546 PECOS PAC ID: 2466814587 Enrollment ID: I20230821003341 |
Provider Name | Musa Mugenyi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417722612 PECOS PAC ID: 7214224401 Enrollment ID: I20240424001372 |
Pappas Rehabilitation Hospital For Children Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Randolph St., Canton, MA 02021 Phone: 781-828-2440 Fax: 781-821-4086 | |
Physicians Group Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 709 Washington St, Canton, MA 02021 Phone: 781-828-5351 | |
Zinaida Levin Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 510 Chapman St, Canton, MA 02021 Phone: 781-575-1266 | |
Point32health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1895 J W Foster Blvd, Canton, MA 02021 Phone: 617-972-1053 Fax: 617-972-1047 | |
Family Medical Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 709 Washington Street, Canton, MA 02021 Phone: 781-828-5351 Fax: 781-821-5471 | |
Sshc, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 275 Turnpike St, Ste 200, Canton, MA 02021 Phone: 781-848-1950 Fax: 781-356-4887 |