Adam Matthew Gagnon

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

259 Samuel Barnet Blvd
Unit 2
New Bedford, MA 02745-1214

Phone

(508) 995-3251

NPI assigned

Dec 26, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Institute for Family Centered Services

  • Community/Behavioral Health Agency
  • Henrico, VA
  • NPI 1558613232
  NPD (past)

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356480000000",
    "number": "1811233612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 CORY ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202812",
            "telephone_number": "774-644-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 SAMUEL BARNET BLVD",
            "address_2": "UNIT 2",
            "city": "NEW BEDFORD",
            "state": "MA",
            "postal_code": "027451214",
            "telephone_number": "508-995-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "ADAM",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Furtado, M.S. CCC-SLP
• Fusion Physical Therapy Inc
• G.Carrier D.M.D., S. Walsh Jr.D.D.S., C. Marco D.M.D. Inc.
• Cecilia Gafitanu, M.D.
• Brittany Lee Gage
• Denise Gagnon, CPNP
• Vojin Gajic, M.D.
• Brendalee Galarza
• Erin M Galego, OTRL
• Tracy Lynn Galindo

• Case Manager/Care Coordinator in New Bedford, MA
• Providers in New Bedford, MA by specialty
• Case Manager/Care Coordinator in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.