| 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. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 02/09/2009 |
| Medicare PECOS PAC ID | 4486699568 |
|---|---|
| Medicare Enrollment ID | O20050621000256 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821193145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| 261QC1500X | Clinic/center - Community Health | 4WAE (Massachusetts) | Secondary |
| Provider Name | Marilyn B Gordon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598716698 PECOS PAC ID: 9739150905 Enrollment ID: I20040802001455 |
| Provider Name | Kenneth G Terkelsen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336142504 PECOS PAC ID: 2769453430 Enrollment ID: I20040804001868 |
| Provider Name | Stephanie S Prior |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336120567 PECOS PAC ID: 8325011091 Enrollment ID: I20040819000766 |
| Provider Name | Alice E Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720180532 PECOS PAC ID: 7810955002 Enrollment ID: I20041220000785 |
| Provider Name | Charles D Malis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891766176 PECOS PAC ID: 0345297263 Enrollment ID: I20050404000361 |
| Provider Name | Sibel N Bessim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1528165685 PECOS PAC ID: 2163460932 Enrollment ID: I20050421000887 |
| Provider Name | Maryanne Bombaugh |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962477224 PECOS PAC ID: 9335180827 Enrollment ID: I20050516000043 |
| Provider Name | Ronald F Backer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083735146 PECOS PAC ID: 6507809241 Enrollment ID: I20050603000733 |
| Provider Name | Jay G Stearns |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073576096 PECOS PAC ID: 4486699386 Enrollment ID: I20050622000109 |
| Provider Name | Marina A Rabin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649269838 PECOS PAC ID: 2365488491 Enrollment ID: I20050629000581 |
| Provider Name | Nazanin J Ronan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720076466 PECOS PAC ID: 7416984125 Enrollment ID: I20050725000912 |
| Provider Name | Kristy K Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417939661 PECOS PAC ID: 0547292112 Enrollment ID: I20050902000470 |
| Provider Name | Allegra Mcelroy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003023284 PECOS PAC ID: 9133165178 Enrollment ID: I20051011000802 |
| Provider Name | Paulina M Fernandes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205817269 PECOS PAC ID: 8224053962 Enrollment ID: I20051011001017 |
| Provider Name | Munir Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851367312 PECOS PAC ID: 4486674066 Enrollment ID: I20051128000636 |
| Provider Name | Diane Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245386671 PECOS PAC ID: 4284658352 Enrollment ID: I20060117000792 |
| Provider Name | Laura E Kanter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174501183 PECOS PAC ID: 9234224734 Enrollment ID: I20070928000166 |
| Provider Name | Beverly J Loudin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083699268 PECOS PAC ID: 0547346132 Enrollment ID: I20080324000279 |
| Provider Name | Mary A Hettich Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790810257 PECOS PAC ID: 9739267998 Enrollment ID: I20080429000335 |
| Provider Name | Nevine Henin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982672473 PECOS PAC ID: 9335219849 Enrollment ID: I20080610000018 |
| Provider Name | David S Tager |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972569622 PECOS PAC ID: 3173513074 Enrollment ID: I20090311000147 |
| Provider Name | Arshiya Seth |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538347018 PECOS PAC ID: 8921292491 Enrollment ID: I20101028000647 |
| Provider Name | James Patrick Mcguire |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659456044 PECOS PAC ID: 7113011701 Enrollment ID: I20110525000805 |
| Provider Name | Matthew Waterbury |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811242746 PECOS PAC ID: 8224287651 Enrollment ID: I20120928000583 |
| Provider Name | Milene Chioatto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013343417 PECOS PAC ID: 9032019997 Enrollment ID: I20150311000976 |
| Provider Name | Barbara Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528398807 PECOS PAC ID: 2860719424 Enrollment ID: I20150320000106 |
| Provider Name | Samantha Louis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588002695 PECOS PAC ID: 2466772215 Enrollment ID: I20150520000064 |
| Provider Name | Thomas Andrea |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669881041 PECOS PAC ID: 8921315714 Enrollment ID: I20150910002015 |
| Provider Name | Lisa Ann Adams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235404336 PECOS PAC ID: 9638487788 Enrollment ID: I20151009000462 |
| Provider Name | Kate B Drumond |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649533795 PECOS PAC ID: 2567610843 Enrollment ID: I20151023002373 |
| Provider Name | Kathleen R Denham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457783581 PECOS PAC ID: 1052619996 Enrollment ID: I20160411000577 |
| Provider Name | Eve M Sierra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093159998 PECOS PAC ID: 1850530668 Enrollment ID: I20160428001303 |
| Provider Name | Sharon Cicchetti Rousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538105903 PECOS PAC ID: 0941421085 Enrollment ID: I20170124001896 |
| Provider Name | Samuel S Kothalanka |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992147607 PECOS PAC ID: 3971895004 Enrollment ID: I20170808002101 |
| Provider Name | Robert Eaton Burr |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1770533788 PECOS PAC ID: 4981625902 Enrollment ID: I20171030003486 |
| Provider Name | Nancy Regan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730460346 PECOS PAC ID: 4385905827 Enrollment ID: I20180226002494 |
| Provider Name | Barbara J Gionet Hasson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740554609 PECOS PAC ID: 9830351154 Enrollment ID: I20180514001245 |
| Provider Name | Aaron Maloy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922501824 PECOS PAC ID: 2567727530 Enrollment ID: I20180522000255 |
| Provider Name | Lisa Estelle White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891162707 PECOS PAC ID: 2961702022 Enrollment ID: I20180626000897 |
| Provider Name | Rummana S Aslam |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1528103983 PECOS PAC ID: 9830351436 Enrollment ID: I20181102001954 |
| Provider Name | Jocelyn Hulburt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174019590 PECOS PAC ID: 4284988569 Enrollment ID: I20181127000615 |
| Provider Name | Kathleen Cornell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801265947 PECOS PAC ID: 4688976954 Enrollment ID: I20191125002105 |
| Provider Name | Emily Elgert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336791680 PECOS PAC ID: 2961810650 Enrollment ID: I20210419000939 |
| Provider Name | Fanny Vanessa Giron Galeano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134626690 PECOS PAC ID: 7416205836 Enrollment ID: I20210715003026 |
| Provider Name | Lyla Blake-gumbs |
|---|---|
| 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 | Arletha Nicole Kincaid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881245058 PECOS PAC ID: 9638501174 Enrollment ID: I20211123000913 |
| Provider Name | Alyssa Caggiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689283368 PECOS PAC ID: 9335554930 Enrollment ID: I20220819001328 |
| Provider Name | Karoline Sieracki Rede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437701687 PECOS PAC ID: 7214312966 Enrollment ID: I20220915001930 |
| Provider Name | Ryan Paul Golden |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255866042 PECOS PAC ID: 9436520848 Enrollment ID: I20230123002200 |
| Provider Name | Riley Ashe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043923451 PECOS PAC ID: 4486027034 Enrollment ID: I20230301000610 |
| Provider Name | Dena Wiseman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1972050029 PECOS PAC ID: 4183902125 Enrollment ID: I20240205003492 |
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 |