Provider Demographics
| NPI: | 1487877692 |
|---|---|
| Name: | ATRIUS HEALTH, INC. |
| Entity type: | Organization |
| Organization Name: | ATRIUS HEALTH, INC. |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | STEVE |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | STRONGWATER |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 617-559-8042 |
| Mailing Address - Street 1: | 275 GROVE ST |
| Mailing Address - Street 2: | SUITE 3-300 |
| Mailing Address - City: | AUBURNDALE |
| Mailing Address - State: | MA |
| Mailing Address - Zip Code: | 02466-2272 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 617-559-8374 |
| Mailing Address - Fax: | 617-421-3487 |
| Practice Address - Street 1: | 111 GROSSMAN DR |
| Practice Address - Street 2: | |
| Practice Address - City: | BRAINTREE |
| Practice Address - State: | MA |
| Practice Address - Zip Code: | 02184-4997 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 781-849-1000 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-04-10 |
| Last Update Date: | 2022-06-20 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 1223P0106X | Dental Providers | Dentist | Oral and Maxillofacial Pathology | Group - Multi-Specialty |
| No | 207KA0200X | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy | Group - Multi-Specialty |
| No | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | Group - Multi-Specialty | |
| No | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease | Group - Multi-Specialty |
| No | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | Group - Multi-Specialty |
| No | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology | Group - Multi-Specialty |
| No | 207VX0000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Obstetrics | Group - Multi-Specialty |
| No | 207W00000X | Allopathic & Osteopathic Physicians | Ophthalmology | Group - Multi-Specialty | |
| No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Multi-Specialty | |
| No | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | Group - Multi-Specialty |
| No | 2085B0100X | Allopathic & Osteopathic Physicians | Radiology | Body Imaging | Group - Multi-Specialty |
| No | 208600000X | Allopathic & Osteopathic Physicians | Surgery | Group - Multi-Specialty | |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| MA | M16863 | Other | BLUE CROSS |
| MA | 42734 | Other | BEACON HEALTH PLAN |
| MA | 0014246 | Other | NEIGHBORHOOD HEALTH PLAN |
| MA | 0014246 | Other | NEIGHBORHOOD HEALTH PLAN |
| MA | 42734 | Other | BEACON HEALTH PLAN |
| MA | M20461 | Medicare PIN | |
| MA | PT0137 | Medicare PIN |