Basic Information
| Provider Information | |||||||||
| NPI: | 1982702957 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FILIPEK-MOSKAL | ||||||||
| FirstName: | KASIA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | FILIPEK-MOSKAL | ||||||||
| OtherFirstName: | JOLANTA | ||||||||
| OtherMiddleName: | KATARZYNA | ||||||||
| OtherNamePrefix: | |||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 8 COMMERCE BLVD | ||||||||
| Address2: | STE 300 | ||||||||
| City: | MIDDLEBORO | ||||||||
| State: | MA | ||||||||
| PostalCode: | 023461030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5083502350 | ||||||||
| FaxNumber: | 5083502318 | ||||||||
| Practice Location | |||||||||
| Address1: | 8 COMMERCE BLVD STE 300 | ||||||||
| Address2: | |||||||||
| City: | MIDDLEBORO | ||||||||
| State: | MA | ||||||||
| PostalCode: | 023461030 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7742609400 | ||||||||
| FaxNumber: | 7742609405 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/21/2006 | ||||||||
| LastUpdateDate: | 02/13/2019 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
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| NPIReactivationDate: | |||||||||
| ProviderGenderCode: | F | ||||||||
| AuthorizedOfficialLastName: | |||||||||
| AuthorizedOfficialFirstName: | |||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | |||||||||
| AuthorizedOfficialTelephone: | |||||||||
| IsSoleProprietor: | N | ||||||||
| IsOrganizationSubpart: | |||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | |||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | |||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 212230 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 25-01136 | 01 | MA | UNITED HEALTHCARE | OTHER | 5083143001 | 01 | MA | CIGNA | OTHER | 1982702957 | 01 | MA | NETWORK HEALTH | OTHER | 1982702957 | 01 | MA | UNICARE | OTHER | 304104 | 01 | MA | HARVARD PILGRIM | OTHER | 0166600 | 05 | MA | MEDICAID | J245878 | 01 | MA | BLUE CROSS BLUE SHIELD | OTHER | 11081223 | 01 | MA | CAQH | OTHER | 1982702957 | 01 | MA | GREAT WEST HEALTHCARE | OTHER | 212230 | 01 | MA | TUFTS | OTHER | 060067563 | 01 | MA | MEDICARE ID | OTHER | 2661382 | 01 | MA | AETNA | OTHER |