| Healthcare South Pc | |
|
97 Libbey Pkwy Suite 204 Weymouth MA 02189-3110 | |
| (781) 803-2786 | |
| (781) 812-1631 |
| Full Name | Healthcare South Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 97 Libbey Pkwy, Weymouth, Massachusetts |
| Authorized Official Name and Position | Patricia Spedden (PRACTICE MANAGER) |
| Authorized Official Contact | 7813836261 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare South Pc 97 Libbey Pkwy Suite 204 Weymouth MA 02189-3110 Ph: (781) 803-2786 | Healthcare South Pc 97 Libbey Pkwy Suite 204 Weymouth MA 02189-3110 Ph: (781) 803-2786 |
| NPI Number | 1396726006 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 11/30/2016 |
| Medicare PECOS PAC ID | 0941273262 |
|---|---|
| Medicare Enrollment ID | O20040816000712 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396726006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
| Provider Name | Donna Zambuto |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1790776169 PECOS PAC ID: 0547166340 Enrollment ID: I20031211000614 |
| Provider Name | Evan Weisman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659304319 PECOS PAC ID: 4587645312 Enrollment ID: I20040527000682 |
| Provider Name | Mary Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396782926 PECOS PAC ID: 9133100779 Enrollment ID: I20040528000265 |
| Provider Name | Stephen K Lane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871584094 PECOS PAC ID: 5092788315 Enrollment ID: I20040816000742 |
| Provider Name | Benjamin C Ryan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154312379 PECOS PAC ID: 0840250155 Enrollment ID: I20041012000825 |
| Provider Name | Mark J Samuelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679502405 PECOS PAC ID: 6901866607 Enrollment ID: I20041018000261 |
| Provider Name | Gina Manzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740231729 PECOS PAC ID: 1759343304 Enrollment ID: I20041027000506 |
| Provider Name | Patricia Koziel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326039728 PECOS PAC ID: 5294701579 Enrollment ID: I20050211000825 |
| Provider Name | Alexis M Klock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215988225 PECOS PAC ID: 8628015401 Enrollment ID: I20050413000482 |
| Provider Name | Cheryl M Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962493189 PECOS PAC ID: 9436190444 Enrollment ID: I20050519001022 |
| Provider Name | Elise J Crichfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225029622 PECOS PAC ID: 4486697679 Enrollment ID: I20050608000773 |
| Provider Name | Brian H Mcphillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710978119 PECOS PAC ID: 1951344167 Enrollment ID: I20050608000927 |
| Provider Name | Steven T Golden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063403285 PECOS PAC ID: 1951333111 Enrollment ID: I20050908000598 |
| Provider Name | Regina W Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740271113 PECOS PAC ID: 5799790887 Enrollment ID: I20060210000211 |
| Provider Name | John D Pinney |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952391021 PECOS PAC ID: 3274541792 Enrollment ID: I20060324000525 |
| Provider Name | Sarah J Oconnell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093721698 PECOS PAC ID: 3678579687 Enrollment ID: I20061016000238 |
| Provider Name | Kelli A Kennedy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992739650 PECOS PAC ID: 4587664511 Enrollment ID: I20061222000023 |
| Provider Name | Scott P Corkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578560488 PECOS PAC ID: 7911977038 Enrollment ID: I20070912000508 |
| Provider Name | Maria B Connor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144252248 PECOS PAC ID: 0547233843 Enrollment ID: I20080408000771 |
| Provider Name | Kevin J Corbett |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1174504823 PECOS PAC ID: 4284713066 Enrollment ID: I20080505000662 |
| Provider Name | Alexander Marcus |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982695102 PECOS PAC ID: 9234203050 Enrollment ID: I20080728000679 |
| Provider Name | Margaret Carolan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710978143 PECOS PAC ID: 6305998196 Enrollment ID: I20090708000473 |
| Provider Name | Katie L Mcbrine |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659548303 PECOS PAC ID: 3577618594 Enrollment ID: I20090827000096 |
| Provider Name | Thomas Johnston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073504445 PECOS PAC ID: 1052453685 Enrollment ID: I20100120000687 |
| Provider Name | Jon R Jolles |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235120601 PECOS PAC ID: 2860536125 Enrollment ID: I20100224000656 |
| Provider Name | Sofia Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932307840 PECOS PAC ID: 1951594019 Enrollment ID: I20101021000204 |
| Provider Name | Kathleen W Levin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992965826 PECOS PAC ID: 2264600097 Enrollment ID: I20110722000284 |
| Provider Name | Julian Huang |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073504296 PECOS PAC ID: 4789855222 Enrollment ID: I20110914000285 |
| Provider Name | Jeanette Susanne Parris |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508857970 PECOS PAC ID: 4789855248 Enrollment ID: I20110914000411 |
| Provider Name | Patricia I Tai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184615528 PECOS PAC ID: 9638341332 Enrollment ID: I20110930000051 |
| Provider Name | Hannah P Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740561109 PECOS PAC ID: 8921271966 Enrollment ID: I20111107000797 |
| Provider Name | Sarah A Mcsweeney Ryan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659381903 PECOS PAC ID: 3476710286 Enrollment ID: I20120207000304 |
| Provider Name | Courtney Wasson Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104171545 PECOS PAC ID: 4880843226 Enrollment ID: I20121001000038 |
| Provider Name | Jeffrey S Gorodetsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780613935 PECOS PAC ID: 2668424573 Enrollment ID: I20151113000959 |
| Provider Name | Kathleen M. Mcdevitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497049282 PECOS PAC ID: 3971896820 Enrollment ID: I20160729000881 |
| Provider Name | Allison M Ledoux |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366889933 PECOS PAC ID: 0749403533 Enrollment ID: I20160922002178 |
| Provider Name | Christopher Charles Sullivan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235374638 PECOS PAC ID: 3476827700 Enrollment ID: I20170925002613 |
| Provider Name | Daniel Lustick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588216857 PECOS PAC ID: 2567799554 Enrollment ID: I20190814001277 |
| Provider Name | Bryan L Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457883621 PECOS PAC ID: 4385917186 Enrollment ID: I20200818003440 |
| Provider Name | Eun Chung Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730795238 PECOS PAC ID: 2567874282 Enrollment ID: I20201221002784 |
| Provider Name | Michael L Cummings |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285630970 PECOS PAC ID: 6709969868 Enrollment ID: I20220301002614 |
| Provider Name | Meghan Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407574833 PECOS PAC ID: 8820464191 Enrollment ID: I20221012001964 |
| Provider Name | Nicole Eileen Desimone |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386331973 PECOS PAC ID: 2264894500 Enrollment ID: I20230817002299 |
Ocean Medical Systems Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 Libbey Industrial Pkwy Ste 100, Weymouth, MA 02189 Phone: 781-624-4950 | |
Hingham Weymouth Family Medical Assoc Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 795 Bridge Street, Weymouth, MA 02191 Phone: 781-337-4105 Fax: 781-337-6239 | |
Coastal Medical Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Fogg Rd, Box 97, Weymouth, MA 02190 Phone: 781-624-8719 Fax: 781-682-5627 | |
Nirphemy Dambreville-lundy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 Gas Light Dr, 8, Weymouth, MA 02190 Phone: 781-985-3592 | |
Integrated Care Partners, Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 884 Washington St Fl 2, Weymouth, MA 02189 Phone: 617-909-5283 | |
Weymouth Pediatrics Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 851 Main St, Suite25, Weymouth, MA 02190 Phone: 781-335-3012 |