Perpetual Health Clinic, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

PERPETUAL HEALTH CLINIC, INC.

Practice address

1467 Main St
Suite 2
Athol, MA 01331-2652

Phone

(978) 249-9736

Fax

(978) 249-3922

NPI assigned

May 22, 2006

Organization subpart

Yes

Parent organization

PERPETUAL HEALTH CLINIC, INC.As reported in NPPES

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

Authorized official

Name

Dr. Danilo Tolentino Funa, M.D.

Title

President / Ceo

Phone

(978) 249-9736

Specialties & licenses 1

Addresses

Other identifiers 8

Part of

Jose M Amparo MD PC

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Amparo, MD

  • Internal Medicine Physician
  • Athol, MA
  • NPI 1710004585
  NPD (past)
• Margaret G Calcari, APRN BC

  • Adult Health Nurse Practitioner
  • Baldwinville, MA
  • NPI 1255407003
  NPD (past)
• Raeann Leblanc

  • Primary Care Nurse Practitioner
  • Athol, MA
  • NPI 1215153382
  NPD (past)
• Amy Beth King, NP

  • Gerontology Nurse Practitioner
  • Peterborough, NH
  • NPI 1558685693
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1447205315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 MAIN ST",
            "address_2": "SUITE 2",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312652",
            "telephone_number": "978-249-9736",
            "fax_number": "978-249-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1467 MAIN ST",
            "address_2": "SUITE 2",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013312652",
            "telephone_number": "978-249-9736",
            "fax_number": "978-249-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERPETUAL HEALTH CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERPETUAL HEALTH CLINIC, INC.",
        "enumeration_date": "2006-05-22",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "FUNA",
        "authorized_official_first_name": "DANILO",
        "authorized_official_middle_name": "TOLENTINO",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "978-249-9736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "W10097102",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD",
            "identifier": "AA50132",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "24262",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELDS",
            "identifier": "M19127",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "080233",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1197895",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3132929",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "97195701",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique O'Malley
• Amanda Beth Pagar Wein, LICSW
• Corinna Pare
• Emil Alfred Pauli, D.M..D.
• Yanibel Perez
• Physicians of North Worcester County
• Richard Pineo, FNP-C
• Planeye, LLC
• Planoptical, LLC
• Dovrah B Plotkin

• Primary Care Clinic/Center in Athol, MA
• Providers in Athol, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.