Caredoccomm

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CAREDOCCOMM

Practice address

390 Orleans Rd
North Chatham, MA 02650-1154

Phone

(508) 945-4611

Fax

(508) 945-2245

NPI assigned

Oct 24, 2017

Last updated

Oct 24, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. William J Bogdanovich

Title

President

Phone

(508) 945-4611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shirley Frost, NP

  • Nurse Practitioner
  • Norwood, MA
  • NPI 1558431015
  Medicare reassignment NPD
• Linda M Kaczor, PHD, MS

  • Health Service Psychologist
  • Norwell, MA
  • NPI 1447330683
  Medicare reassignment NPD
• Danielle Margaret Leighton, NP

  • Nurse Practitioner
  • South Yarmouth, MA
  • NPI 1598702854
  Medicare reassignment NPD
• Eric Arne Weber, MD

  • Internal Medicine Physician
  • West Yarmouth, MA
  • NPI 1376572966
  Medicare reassignment NPD
• Chanda Dacayana Beaty, NP

  • Adult Health Nurse Practitioner
  • Yarmouth Port, MA
  • NPI 1518221670
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1194236687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025410905",
            "telephone_number": "508-548-8989",
            "fax_number": "508-548-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 ORLEANS RD",
            "city": "NORTH CHATHAM",
            "state": "MA",
            "postal_code": "026501154",
            "telephone_number": "508-945-4611",
            "fax_number": "508-945-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREDOCCOMM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "BOGDANOVICH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-945-4611",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Broad Reach of Chatham Inc. (Broad Reach Outpatient Rehab - OT)
• Broad Reach of Chatham Inc. (Broad Reach Outpatient Rehab.-PT)
• Mary J Brophy, PT
• Kerri Michelle Burke, D.P.T
• Simone C Byrne, MA, BCBA, LABA
• Cecilia G. Moore DPM LLC
• Joanna Ewa Chowanska, PT
• Kylie Joanne Cocozza, CCC-SLP
• Kelsey Lynn Cutts, DPT
• Mary E. Grover, M.S. CCC-SLP

• Internal Medicine Physician in North Chatham, MA
• Providers in North Chatham, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.