| Tufts Medical Center Community Care, Inc | |
|
325 Wood Rd Suite 210 Braintree MA 02184-2413 | |
| (781) 356-3336 | |
| Not Available |
| Full Name | Tufts Medical Center Community Care, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 325 Wood Rd, Braintree, Massachusetts |
| Authorized Official Name and Position | Nathan J. Gagne (CFO) |
| Authorized Official Contact | 7813563336 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tufts Medical Center Community Care, Inc 325 Wood Rd Suite 210 Braintree MA 02184-2413 Ph: (781) 356-3336 | Tufts Medical Center Community Care, Inc 325 Wood Rd Suite 210 Braintree MA 02184-2413 Ph: (781) 356-3336 |
| NPI Number | 1063805687 |
|---|---|
| Provider Enumeration Date | 03/06/2015 |
| Last Update Date | 09/14/2020 |
| Medicare PECOS PAC ID | 4981915659 |
|---|---|
| Medicare Enrollment ID | O20150622001934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063805687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Cheryl Soderlund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205964665 PECOS PAC ID: 4688666043 Enrollment ID: I20040402001105 |
| Provider Name | Renee M Goetzler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134118508 PECOS PAC ID: 5597747808 Enrollment ID: I20040602000126 |
| Provider Name | Pratiksha K Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215902929 PECOS PAC ID: 5698751493 Enrollment ID: I20040624000548 |
| Provider Name | Daniel F Driscoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942290853 PECOS PAC ID: 1759369721 Enrollment ID: I20040708000187 |
| Provider Name | Cynthia P Maguire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376565275 PECOS PAC ID: 8426085085 Enrollment ID: I20050726000149 |
| Provider Name | Marvin Diaz Lacayo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477590214 PECOS PAC ID: 6709899024 Enrollment ID: I20060802000511 |
| Provider Name | Marta Onyskiv |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619081510 PECOS PAC ID: 9335143163 Enrollment ID: I20060908000146 |
| Provider Name | Nathaniel F Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336132745 PECOS PAC ID: 7517968803 Enrollment ID: I20070130000204 |
| Provider Name | Natalia Rosenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598763310 PECOS PAC ID: 6608810320 Enrollment ID: I20100519000401 |
| Provider Name | Susan Ross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659407245 PECOS PAC ID: 1557544632 Enrollment ID: I20110328000287 |
| Provider Name | Burt Whitney Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033211065 PECOS PAC ID: 5890738264 Enrollment ID: I20120828000195 |
| Provider Name | Srinivas Bodapati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841465655 PECOS PAC ID: 5698820637 Enrollment ID: I20121108000395 |
| Provider Name | Karthik Ravindran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992025712 PECOS PAC ID: 2062656416 Enrollment ID: I20130925000192 |
| Provider Name | Yueling Moran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891079836 PECOS PAC ID: 2769616473 Enrollment ID: I20131014000264 |
| Provider Name | Shiva Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437226651 PECOS PAC ID: 5799854527 Enrollment ID: I20140401002075 |
| Provider Name | Seung Jae Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700040516 PECOS PAC ID: 8820267578 Enrollment ID: I20141213000094 |
| Provider Name | Paul Richard Swoboda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598898363 PECOS PAC ID: 2062404239 Enrollment ID: I20150126001740 |
| Provider Name | Diane Ellen Joyce-otis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881867026 PECOS PAC ID: 7012237399 Enrollment ID: I20150528000898 |
| Provider Name | Shawn Shroff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306105283 PECOS PAC ID: 5496065724 Enrollment ID: I20151117000727 |
| Provider Name | Stephanie Claire Perron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538501515 PECOS PAC ID: 7810276151 Enrollment ID: I20161109001998 |
| Provider Name | Karishma Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194135509 PECOS PAC ID: 1052611696 Enrollment ID: I20170911001095 |
| Provider Name | Dmitry Prizand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437680618 PECOS PAC ID: 2769740901 Enrollment ID: I20171218001699 |
| Provider Name | Liam Jette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184005431 PECOS PAC ID: 3971892605 Enrollment ID: I20181017002057 |
| Provider Name | Yulia Rapoport |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376041905 PECOS PAC ID: 9739420241 Enrollment ID: I20190410002358 |
| Provider Name | Andrea Nicole Wing |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316440399 PECOS PAC ID: 3173888948 Enrollment ID: I20190723000526 |
| Provider Name | Carla Lombard Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124213368 PECOS PAC ID: 1759705908 Enrollment ID: I20200721001323 |
| Provider Name | Sarah Hannah Lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780209890 PECOS PAC ID: 6800206509 Enrollment ID: I20201109002520 |
| Provider Name | Cordelia W Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215476494 PECOS PAC ID: 0143578864 Enrollment ID: I20210609003334 |
| Provider Name | Julie Ngo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922632645 PECOS PAC ID: 9638574155 Enrollment ID: I20210823000504 |
| Provider Name | Rejane Guerrier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063687275 PECOS PAC ID: 8426247388 Enrollment ID: I20211025000665 |
| Provider Name | Nitika Bansal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821470691 PECOS PAC ID: 8729396098 Enrollment ID: I20211028002007 |
| Provider Name | Christopher Charles Fragale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275751794 PECOS PAC ID: 4486883337 Enrollment ID: I20220325001039 |
| Provider Name | Andrew Gallagher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518429588 PECOS PAC ID: 4880078898 Enrollment ID: I20220824003635 |
| Provider Name | Roger Lu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003479205 PECOS PAC ID: 6608250626 Enrollment ID: I20220825000320 |
Blue Hills Medical Associates Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 Wood Rd, Suite 203, Braintree, MA 02184 Phone: 781-849-1111 | |
Urgent Help Chelmsford Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 485 Granite St, Braintree, MA 02184 Phone: 781-848-2273 | |
Blue Hills Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 Wood Rd Ste 203, Braintree, MA 02184 Phone: 781-849-1111 Fax: 781-794-2280 | |
Rehabilitation Medical Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 Pond St, Braintree, MA 02184 Phone: 781-848-1300 Fax: 781-356-1829 | |
South Shore Center For Tone Management Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 Pond St, Braintree, MA 02184 Phone: 781-348-2202 Fax: 781-348-3989 | |
Hope Advanced Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Braintree Hill Office Park Ste 200, Braintree, MA 02184 Phone: 781-573-3977 |