| Mass General Brigham Community Physicians Inc. | |
|
1 Parkway Haverhill MA 01830 | |
| (978) 521-3200 | |
| (978) 469-5363 |
| Full Name | Mass General Brigham Community Physicians Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Parkway, Haverhill, Massachusetts |
| Authorized Official Name and Position | David P Connolly (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 8572822028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mass General Brigham Community Physicians Inc. 399 Revolution Dr Ste 100 Somerville MA 02145-1446 Ph: (857) 282-2028 | Mass General Brigham Community Physicians Inc. 1 Parkway Haverhill MA 01830 Ph: (978) 521-3200 |
| NPI Number | 1891112637 |
|---|---|
| Provider Enumeration Date | 03/18/2014 |
| Last Update Date | 08/10/2021 |
| Certification Date | 08/10/2021 |
| Medicare PECOS PAC ID | 1759273436 |
|---|---|
| Medicare Enrollment ID | O20150723007726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891112637 | NPI | - | NPPES |
| Provider Name | Charae J D'ambra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912199217 PECOS PAC ID: 4688588569 Enrollment ID: I20031114000500 |
| Provider Name | Jennifer L Fournier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801898275 PECOS PAC ID: 2264425933 Enrollment ID: I20040407000853 |
| Provider Name | Jessica R Schoonmaker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568467355 PECOS PAC ID: 1254325707 Enrollment ID: I20040408001261 |
| Provider Name | Elizabeth Rocco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073597530 PECOS PAC ID: 1052207719 Enrollment ID: I20040413000467 |
| Provider Name | Lisa A Marchand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013919497 PECOS PAC ID: 4587659826 Enrollment ID: I20040416001000 |
| Provider Name | Wei Du |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144214206 PECOS PAC ID: 3274529029 Enrollment ID: I20040426000451 |
| Provider Name | Sunny Srivastava |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083693360 PECOS PAC ID: 8426049214 Enrollment ID: I20040520000753 |
| Provider Name | Patrick Whitney Hanks |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114911906 PECOS PAC ID: 2264423573 Enrollment ID: I20040524000858 |
| Provider Name | Scott D Abel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124020201 PECOS PAC ID: 7517940521 Enrollment ID: I20040610001182 |
| Provider Name | German Iosif |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457355208 PECOS PAC ID: 1456334481 Enrollment ID: I20040610001315 |
| Provider Name | Sonja K Raslavicus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154496982 PECOS PAC ID: 5294713699 Enrollment ID: I20040712001122 |
| Provider Name | Catherine Teresa Mulqueen |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760421598 PECOS PAC ID: 7911986187 Enrollment ID: I20040720000665 |
| Provider Name | Joshua L Tarkan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1922104884 PECOS PAC ID: 5799755252 Enrollment ID: I20040730000587 |
| Provider Name | Emily J Dulude |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1477661791 PECOS PAC ID: 0547231367 Enrollment ID: I20040804001557 |
| Provider Name | George M Dominiak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023065299 PECOS PAC ID: 5799757266 Enrollment ID: I20040806000525 |
| Provider Name | Michael F Mastromatteo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023002045 PECOS PAC ID: 7719951482 Enrollment ID: I20040819001602 |
| Provider Name | Sherry A Graham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104811611 PECOS PAC ID: 8426022666 Enrollment ID: I20040823001400 |
| Provider Name | Jean M Tabit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740271683 PECOS PAC ID: 8921074881 Enrollment ID: I20040902000821 |
| Provider Name | Andrew T Chan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1982600144 PECOS PAC ID: 4688643547 Enrollment ID: I20040928000279 |
| Provider Name | Susan O'horo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114903408 PECOS PAC ID: 2961462403 Enrollment ID: I20041019000153 |
| Provider Name | Beverly A Brennan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174519730 PECOS PAC ID: 1759345242 Enrollment ID: I20041115000897 |
| Provider Name | Miriam Neuman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1689668675 PECOS PAC ID: 5294790846 Enrollment ID: I20041123000839 |
| Provider Name | Allan I Hoffman |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1689668410 PECOS PAC ID: 5092770941 Enrollment ID: I20041123000985 |
| Provider Name | Maria E Kounlabouth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669537387 PECOS PAC ID: 6800853755 Enrollment ID: I20041213000854 |
| Provider Name | Himanshu Gupta |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669466538 PECOS PAC ID: 9133186406 Enrollment ID: I20041217000736 |
| Provider Name | Patricia A Scala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760442230 PECOS PAC ID: 7315995818 Enrollment ID: I20050111001016 |
| Provider Name | Michael Thiim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902801509 PECOS PAC ID: 5597714535 Enrollment ID: I20050118000368 |
| Provider Name | Ahmer Ibrahim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477557106 PECOS PAC ID: 0547211211 Enrollment ID: I20050210000200 |
| Provider Name | Michele C Geller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194772772 PECOS PAC ID: 2365497302 Enrollment ID: I20050314000206 |
| Provider Name | Loretta Givens |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1790767994 PECOS PAC ID: 0749260677 Enrollment ID: I20050317000793 |
| Provider Name | Kenneth G Adams |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1720082787 PECOS PAC ID: 4981659737 Enrollment ID: I20050323000737 |
| Provider Name | David E. Gossman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962508796 PECOS PAC ID: 9133194186 Enrollment ID: I20050330000979 |
| Provider Name | Karen A Mello |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1992700934 PECOS PAC ID: 9032164892 Enrollment ID: I20050331000032 |
| Provider Name | Stephen P Beaudoin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902808124 PECOS PAC ID: 5890740641 Enrollment ID: I20050411000970 |
| Provider Name | Gregory Johnson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922049402 PECOS PAC ID: 0547209660 Enrollment ID: I20050428000384 |
| Provider Name | Bryan D Stone |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1720095144 PECOS PAC ID: 6305838152 Enrollment ID: I20050502000975 |
| Provider Name | Samuel C Tong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1700832136 PECOS PAC ID: 3375584774 Enrollment ID: I20050516000916 |
| Provider Name | Jonas J Berman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215931597 PECOS PAC ID: 1759325061 Enrollment ID: I20050617000208 |
| Provider Name | Daniel R Gale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1447244512 PECOS PAC ID: 0648214890 Enrollment ID: I20050617000575 |
| Provider Name | Maureen Ann Sunnerberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770547424 PECOS PAC ID: 5294770079 Enrollment ID: I20050622000743 |
| Provider Name | Monica S Dube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417058801 PECOS PAC ID: 2062457427 Enrollment ID: I20050627000144 |
| Provider Name | M Christian Semine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467446476 PECOS PAC ID: 5698768851 Enrollment ID: I20050722000295 |
| Provider Name | Isaac Pourati |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1083661318 PECOS PAC ID: 8123056512 Enrollment ID: I20050727000794 |
| Provider Name | Joan M Hultgren |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1538145685 PECOS PAC ID: 6800824145 Enrollment ID: I20050728000898 |
| Provider Name | Olga J Smulders Meyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356325831 PECOS PAC ID: 3971531880 Enrollment ID: I20050802000224 |
| Provider Name | Mark E Gale |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1174518294 PECOS PAC ID: 9830129758 Enrollment ID: I20050819000298 |
| Provider Name | Danielle D Sugrue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255327888 PECOS PAC ID: 4981639952 Enrollment ID: I20050928000695 |
| Provider Name | William J Meikrantz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144288549 PECOS PAC ID: 3678592854 Enrollment ID: I20051116000939 |
| Provider Name | Emily M Powers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154330645 PECOS PAC ID: 2567490477 Enrollment ID: I20060208000644 |
| Provider Name | Julie A Sugarbaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851550289 PECOS PAC ID: 3577579440 Enrollment ID: I20060301000621 |
| Provider Name | George F Kwass |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1043242191 PECOS PAC ID: 9436165156 Enrollment ID: I20060303000374 |
| Provider Name | Timothy J Hough |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992799761 PECOS PAC ID: 2062445711 Enrollment ID: I20060626000005 |
| Provider Name | Bruce Stewart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1487645669 PECOS PAC ID: 5890707228 Enrollment ID: I20060628000302 |
| Provider Name | Emily Y Liu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1891759650 PECOS PAC ID: 9830148022 Enrollment ID: I20060803000095 |
| Provider Name | Pamela J Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720031925 PECOS PAC ID: 3779554340 Enrollment ID: I20060815000178 |
| Provider Name | Anne A Moran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1407880727 PECOS PAC ID: 6406877257 Enrollment ID: I20060905000367 |
| Provider Name | John Murray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1043274590 PECOS PAC ID: 6800890880 Enrollment ID: I20060905000568 |
| Provider Name | Jakub T Reczek |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972540474 PECOS PAC ID: 6103820006 Enrollment ID: I20060907000415 |
| Provider Name | Kellie A Hemme |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356391171 PECOS PAC ID: 0941204416 Enrollment ID: I20060914000474 |
| Provider Name | Barry T Bickley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568456457 PECOS PAC ID: 7214935956 Enrollment ID: I20061113000495 |
| Provider Name | Sangeeta S Nadkarni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245332667 PECOS PAC ID: 7315946894 Enrollment ID: I20061211000347 |
| Provider Name | Kelly J Czworka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104984251 PECOS PAC ID: 7113928441 Enrollment ID: I20070129000631 |
| Provider Name | Claudia S Reynders |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669466678 PECOS PAC ID: 2860425519 Enrollment ID: I20070221000196 |
| Provider Name | Amy K Mccarron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538272489 PECOS PAC ID: 6305941717 Enrollment ID: I20070413000166 |
| Provider Name | Goslyn R Sylvan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851341861 PECOS PAC ID: 7113022120 Enrollment ID: I20070420000004 |
| Provider Name | Paula W Boulanger |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154323251 PECOS PAC ID: 3971558735 Enrollment ID: I20070619000529 |
| Provider Name | Ana J Espinosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1932399078 PECOS PAC ID: 4880786532 Enrollment ID: I20070825000038 |
| Provider Name | Jamie L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285825562 PECOS PAC ID: 2062509888 Enrollment ID: I20071025000670 |
| Provider Name | Raouf Sayegh |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568557460 PECOS PAC ID: 3971603424 Enrollment ID: I20071029000271 |
| Provider Name | Tapasya Srivastava |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467573527 PECOS PAC ID: 6204925258 Enrollment ID: I20071129000069 |
| Provider Name | Kenneth P Fowler |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1699849166 PECOS PAC ID: 4183704067 Enrollment ID: I20080104000167 |
| Provider Name | Madhavi Challagulla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023132800 PECOS PAC ID: 5890879134 Enrollment ID: I20080226000508 |
| Provider Name | Marcia C.t Chatfield |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316048739 PECOS PAC ID: 1254315385 Enrollment ID: I20080229000381 |
| Provider Name | Trina E Chang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073649786 PECOS PAC ID: 5890870885 Enrollment ID: I20080315000030 |
| Provider Name | James Bass |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1780673616 PECOS PAC ID: 9436236064 Enrollment ID: I20080408000113 |
| Provider Name | John B Hein |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1649298050 PECOS PAC ID: 8628097078 Enrollment ID: I20080429000416 |
| Provider Name | Nelson Matos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912983750 PECOS PAC ID: 4981783255 Enrollment ID: I20080512000563 |
| Provider Name | Amber Marie Klein-adam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689860173 PECOS PAC ID: 3678656121 Enrollment ID: I20080602000062 |
| Provider Name | Zulmarie Roig |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1508856626 PECOS PAC ID: 2961573977 Enrollment ID: I20080619000092 |
| Provider Name | Maryellen Ruth Sun |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861661092 PECOS PAC ID: 4082789011 Enrollment ID: I20080826000376 |
| Provider Name | Suzanne M Damiani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558380717 PECOS PAC ID: 8921012485 Enrollment ID: I20080912000038 |
| Provider Name | Shusmita Dhar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255467965 PECOS PAC ID: 1658448469 Enrollment ID: I20080920000042 |
| Provider Name | Michael Abele |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720050099 PECOS PAC ID: 4385711076 Enrollment ID: I20080922000592 |
| Provider Name | Marcia A Sikorski |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1023267846 PECOS PAC ID: 8729147632 Enrollment ID: I20081119000362 |
| Provider Name | Joseph M Barry |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1578581708 PECOS PAC ID: 3476648551 Enrollment ID: I20081209000522 |
| Provider Name | Marianne Connelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164671194 PECOS PAC ID: 8628131869 Enrollment ID: I20090114000034 |
| Provider Name | Michael Geary |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356514269 PECOS PAC ID: 4981767035 Enrollment ID: I20090115000252 |
| Provider Name | Andreya M Wein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619152618 PECOS PAC ID: 7113003773 Enrollment ID: I20090128000573 |
| Provider Name | Lauren A Kres |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679711568 PECOS PAC ID: 9032275474 Enrollment ID: I20090310000140 |
| Provider Name | Mary T Schwartz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699782763 PECOS PAC ID: 2365533536 Enrollment ID: I20090318000223 |
| Provider Name | John M King |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790771269 PECOS PAC ID: 3971660556 Enrollment ID: I20090326000101 |
| Provider Name | Jeanine A Ward |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770708570 PECOS PAC ID: 5991858151 Enrollment ID: I20090805000473 |
| Provider Name | Erik Nine |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215139852 PECOS PAC ID: 8426124033 Enrollment ID: I20090813000539 |
| Provider Name | Sarah Whitehead |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1538118336 PECOS PAC ID: 7719884592 Enrollment ID: I20090914000160 |
| Provider Name | Colm J Mcmahon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1437391588 PECOS PAC ID: 5294881702 Enrollment ID: I20090925000113 |
| Provider Name | Elise Connell-boudoya |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497927313 PECOS PAC ID: 8921171802 Enrollment ID: I20091002000323 |
| Provider Name | Anca Staii |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1124210992 PECOS PAC ID: 6406992106 Enrollment ID: I20091012000006 |
| Provider Name | Kevin J Callahan |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962406249 PECOS PAC ID: 9436294584 Enrollment ID: I20100301000937 |
| Provider Name | Pamela Jones |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1871530402 PECOS PAC ID: 0648308742 Enrollment ID: I20100511000750 |
| Provider Name | Leah M Petrosino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902076102 PECOS PAC ID: 2264511062 Enrollment ID: I20100512000317 |
| Provider Name | Jose T Mora |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003904541 PECOS PAC ID: 0547393712 Enrollment ID: I20100809000936 |
| Provider Name | Warren Bodine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851599666 PECOS PAC ID: 4587788724 Enrollment ID: I20100825000509 |
| Provider Name | Jason M Hemming |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184712010 PECOS PAC ID: 8628192507 Enrollment ID: I20100830000274 |
| Provider Name | Raghu R Amaravadi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1295969772 PECOS PAC ID: 5991829624 Enrollment ID: I20100901000229 |
| Provider Name | Wendy Barr |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427050939 PECOS PAC ID: 2567416316 Enrollment ID: I20100925000227 |
| Provider Name | Marshal S Armitage |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801950563 PECOS PAC ID: 0244423143 Enrollment ID: I20101025000104 |
| Provider Name | James Francis Cropper |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144520370 PECOS PAC ID: 5991993768 Enrollment ID: I20101221000016 |
| Provider Name | Amy Francis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699984625 PECOS PAC ID: 5395933733 Enrollment ID: I20101229000311 |
| Provider Name | Rebecca A Konieczny |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891822243 PECOS PAC ID: 8628258183 Enrollment ID: I20110215001219 |
| Provider Name | Garrett J Bomba |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881638955 PECOS PAC ID: 6709856982 Enrollment ID: I20110304000302 |
| Provider Name | Monty S Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1265633663 PECOS PAC ID: 6204014640 Enrollment ID: I20110707000147 |
| Provider Name | Joanna J Conte |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1750589495 PECOS PAC ID: 6507044229 Enrollment ID: I20110707000318 |
| Provider Name | Alice Gm Lee |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1144461351 PECOS PAC ID: 0840468054 Enrollment ID: I20110714000032 |
| Provider Name | Jill A Steinkeler |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1497973580 PECOS PAC ID: 6800066390 Enrollment ID: I20110818000494 |
| Provider Name | Eduardo Velez Calderon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154340271 PECOS PAC ID: 5193764645 Enrollment ID: I20110907001055 |
| Provider Name | Jeremy E. Mirsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245274885 PECOS PAC ID: 7618938929 Enrollment ID: I20110921000718 |
| Provider Name | Eleonora Azenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982983292 PECOS PAC ID: 6406028950 Enrollment ID: I20111006000054 |
| Provider Name | Joy E O'brien |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578841185 PECOS PAC ID: 9436324712 Enrollment ID: I20111215000191 |
| Provider Name | Robin L Kornegay Rougeau |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760465397 PECOS PAC ID: 7416059043 Enrollment ID: I20120223000013 |
| Provider Name | Lijy Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508136946 PECOS PAC ID: 9133387673 Enrollment ID: I20120229000880 |
| Provider Name | Laura J Conwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427381185 PECOS PAC ID: 3274796933 Enrollment ID: I20120517000234 |
| Provider Name | Laura Z Quimby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730304197 PECOS PAC ID: 9830103837 Enrollment ID: I20120702000325 |
| Provider Name | Michael Fishman |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1205093366 PECOS PAC ID: 8426213927 Enrollment ID: I20120709000335 |
| Provider Name | Raja A Rehman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760573182 PECOS PAC ID: 2264456052 Enrollment ID: I20120803000038 |
| Provider Name | Carolyn R Chandler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477800100 PECOS PAC ID: 2163674904 Enrollment ID: I20121130000474 |
| Provider Name | Gregg A Franco |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1003083163 PECOS PAC ID: 0446405716 Enrollment ID: I20130313000226 |
| Provider Name | Mary Susan L Howlett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730423351 PECOS PAC ID: 8628213766 Enrollment ID: I20130321000004 |
| Provider Name | Juliet Afua Nimako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437267283 PECOS PAC ID: 1254358856 Enrollment ID: I20130416000310 |
| Provider Name | Justin R Routhier |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1346401296 PECOS PAC ID: 4688812167 Enrollment ID: I20130522000258 |
| Provider Name | Tracey S Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558602391 PECOS PAC ID: 9931347952 Enrollment ID: I20130604000323 |
| Provider Name | Arnold Cheung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1629282884 PECOS PAC ID: 6709049281 Enrollment ID: I20130813000253 |
| Provider Name | Aiham C Korbage |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1326286097 PECOS PAC ID: 9436393469 Enrollment ID: I20130913000132 |
| Provider Name | Lindsay S Baron |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1972883031 PECOS PAC ID: 3173757119 Enrollment ID: I20131008000043 |
| Provider Name | Gautam Gadey |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134354962 PECOS PAC ID: 3779789102 Enrollment ID: I20131105001362 |
| Provider Name | Jessica M Glynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730317330 PECOS PAC ID: 8224264460 Enrollment ID: I20131119000169 |
| Provider Name | Nicole M Pichette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629410949 PECOS PAC ID: 9739315417 Enrollment ID: I20131203000178 |
| Provider Name | Valerie R Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558794040 PECOS PAC ID: 2062649411 Enrollment ID: I20131211000420 |
| Provider Name | Michael Levy |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366681207 PECOS PAC ID: 6406029008 Enrollment ID: I20131212001624 |
| Provider Name | Jessica L Wisocky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689007924 PECOS PAC ID: 9335378017 Enrollment ID: I20140128001514 |
| Provider Name | Neil M Martin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366451866 PECOS PAC ID: 6204892367 Enrollment ID: I20140212000437 |
| Provider Name | Edward Kiho Sung |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1194953398 PECOS PAC ID: 2769614825 Enrollment ID: I20140603000896 |
| Provider Name | Caroline Murray |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1558598854 PECOS PAC ID: 2163646266 Enrollment ID: I20140611001102 |
| Provider Name | Kristopher J Daley |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1760642011 PECOS PAC ID: 7315189396 Enrollment ID: I20140709000081 |
| Provider Name | Nicole Horst |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1649406117 PECOS PAC ID: 4082842653 Enrollment ID: I20140716000462 |
| Provider Name | Veljko M Popov |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1033371430 PECOS PAC ID: 6002032141 Enrollment ID: I20140724002574 |
| Provider Name | Allison F Dassatti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558760942 PECOS PAC ID: 6204057417 Enrollment ID: I20141031000140 |
| Provider Name | Laura A Enos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114335122 PECOS PAC ID: 0143442350 Enrollment ID: I20141103002022 |
| Provider Name | Devon R Quasha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184918047 PECOS PAC ID: 9830311000 Enrollment ID: I20141104001798 |
| Provider Name | Ashley Paige Theroux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154730505 PECOS PAC ID: 0547480568 Enrollment ID: I20141219000630 |
| Provider Name | Sylvia Massmanian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942618483 PECOS PAC ID: 5991028763 Enrollment ID: I20141231000757 |
| Provider Name | Jennifer Dailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356746556 PECOS PAC ID: 7315261633 Enrollment ID: I20150115000603 |
| Provider Name | Emily Sullivan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427311349 PECOS PAC ID: 4587881651 Enrollment ID: I20150306000228 |
| Provider Name | Elizabeth Ensminger |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1427360361 PECOS PAC ID: 9830418326 Enrollment ID: I20150505001584 |
| Provider Name | Gabriel P Kasper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104233808 PECOS PAC ID: 3577878289 Enrollment ID: I20150810002347 |
| Provider Name | William R Obrien Dibrielle |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1043483837 PECOS PAC ID: 6002034956 Enrollment ID: I20150825002850 |
| Provider Name | Moshe A Rancier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902036676 PECOS PAC ID: 6800046798 Enrollment ID: I20150828000658 |
| Provider Name | Kyle E Morawski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205197084 PECOS PAC ID: 8527209006 Enrollment ID: I20150909001686 |
| Provider Name | Colleen G Donnelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730498098 PECOS PAC ID: 3274716014 Enrollment ID: I20150921001872 |
| Provider Name | Lisa K Gruber |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942291679 PECOS PAC ID: 8224347158 Enrollment ID: I20151015002113 |
| Provider Name | Shiun-ru Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730442013 PECOS PAC ID: 7012148323 Enrollment ID: I20151019001325 |
| Provider Name | Ryan K Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992172589 PECOS PAC ID: 7012218282 Enrollment ID: I20151211000978 |
| Provider Name | Kruti P Parikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801205752 PECOS PAC ID: 0648571190 Enrollment ID: I20151229000802 |
| Provider Name | Anuradha Rameneni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679510838 PECOS PAC ID: 2769471812 Enrollment ID: I20160106001789 |
| Provider Name | Jacqueline Ferrari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831572213 PECOS PAC ID: 4688976541 Enrollment ID: I20160108001496 |
| Provider Name | Rohit Dixit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730568866 PECOS PAC ID: 0648572305 Enrollment ID: I20160112002228 |
| Provider Name | Kimberly Burnham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801260344 PECOS PAC ID: 8527362623 Enrollment ID: I20160210002093 |
| Provider Name | Sharon J Phillips |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285868976 PECOS PAC ID: 2961557236 Enrollment ID: I20160422001396 |
| Provider Name | Pauline M Bishop |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1659505089 PECOS PAC ID: 7618283532 Enrollment ID: I20160524000579 |
| Provider Name | Ashish M Shah |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1538328166 PECOS PAC ID: 8426270521 Enrollment ID: I20160613001630 |
| Provider Name | Mircea C Dobre |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225203151 PECOS PAC ID: 2264653344 Enrollment ID: I20160615001416 |
| Provider Name | Christine E Young |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558452367 PECOS PAC ID: 8426081258 Enrollment ID: I20160802000048 |
| Provider Name | Satu M Salonen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790027548 PECOS PAC ID: 1658503263 Enrollment ID: I20160928001919 |
| Provider Name | Laura Anne Sturgill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962849190 PECOS PAC ID: 9335463793 Enrollment ID: I20161003001652 |
| Provider Name | Anne M Meginniss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609176718 PECOS PAC ID: 3779885371 Enrollment ID: I20161104000097 |
| Provider Name | Mary E Moccia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144778655 PECOS PAC ID: 8921387747 Enrollment ID: I20161118002150 |
| Provider Name | Shadi Miri Ghomizadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922447994 PECOS PAC ID: 9931489077 Enrollment ID: I20161207002669 |
| Provider Name | James P Ennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295286706 PECOS PAC ID: 4981986676 Enrollment ID: I20170112000852 |
| Provider Name | Margaret Childs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215486592 PECOS PAC ID: 7810279577 Enrollment ID: I20170113000486 |
| Provider Name | Maria Dalomba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548704828 PECOS PAC ID: 2769764331 Enrollment ID: I20170117001726 |
| Provider Name | Alida M Rosado-rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255594388 PECOS PAC ID: 4284805490 Enrollment ID: I20170126001242 |
| Provider Name | Lena Lax |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417406976 PECOS PAC ID: 5496038424 Enrollment ID: I20170216001895 |
| Provider Name | Katrina Reiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649609736 PECOS PAC ID: 7810271145 Enrollment ID: I20170303001551 |
| Provider Name | Jill Ciccariello-lavigne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366994667 PECOS PAC ID: 0941585830 Enrollment ID: I20170315001684 |
| Provider Name | Michael Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124430160 PECOS PAC ID: 6901191675 Enrollment ID: I20170714000899 |
| Provider Name | Julie A Zagami |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649704206 PECOS PAC ID: 5698040251 Enrollment ID: I20171006001620 |
| Provider Name | Rozalia M Perroni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477091577 PECOS PAC ID: 4880969039 Enrollment ID: I20171013002297 |
| Provider Name | Amy L Gensale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750891479 PECOS PAC ID: 0941560536 Enrollment ID: I20180130000811 |
| Provider Name | Christopher R Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396146742 PECOS PAC ID: 1951661149 Enrollment ID: I20180208000890 |
| Provider Name | Kelly J O'connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033621156 PECOS PAC ID: 6709146855 Enrollment ID: I20180209000502 |
| Provider Name | Lisa M Fitzgibbons |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467517250 PECOS PAC ID: 1355604828 Enrollment ID: I20180416000287 |
| Provider Name | Catherine Wei |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811335524 PECOS PAC ID: 3072878263 Enrollment ID: I20180516002745 |
| Provider Name | Marielle C Petrilli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689183808 PECOS PAC ID: 4082961990 Enrollment ID: I20180724002591 |
| Provider Name | Spencer Blackman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205914884 PECOS PAC ID: 2567483282 Enrollment ID: I20181003002919 |
| Provider Name | Jennifer Marie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730665084 PECOS PAC ID: 9638421589 Enrollment ID: I20181004001348 |
| Provider Name | Karen P Bravo Sosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760977441 PECOS PAC ID: 4880946557 Enrollment ID: I20181008000994 |
| Provider Name | Raymond P Kelly |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326058181 PECOS PAC ID: 5294704268 Enrollment ID: I20181018002335 |
| Provider Name | Amanda M Jasiak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831670785 PECOS PAC ID: 5991049272 Enrollment ID: I20181128001776 |
| Provider Name | Brittany C Thibault |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033696000 PECOS PAC ID: 1052655099 Enrollment ID: I20181203002072 |
| Provider Name | Luke James Higgins |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1316264328 PECOS PAC ID: 3779732946 Enrollment ID: I20181214000085 |
| Provider Name | Komal Talati |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1104182575 PECOS PAC ID: 5395080154 Enrollment ID: I20181224000253 |
| Provider Name | Michelle R Flanagan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396213633 PECOS PAC ID: 9931446499 Enrollment ID: I20190123000612 |
| Provider Name | Susan Sims |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306161989 PECOS PAC ID: 5991092769 Enrollment ID: I20190620002967 |
| Provider Name | Raj P Shah |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1215377981 PECOS PAC ID: 5890042089 Enrollment ID: I20190624001819 |
| Provider Name | Maria Khalid |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417396128 PECOS PAC ID: 4789803883 Enrollment ID: I20190709002373 |
| Provider Name | Elizabeth Levin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1417214198 PECOS PAC ID: 9537496948 Enrollment ID: I20190808000150 |
| Provider Name | Maureen Frederick |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1225457070 PECOS PAC ID: 6002145737 Enrollment ID: I20190905002805 |
| Provider Name | Allegra Norton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134645997 PECOS PAC ID: 1759611049 Enrollment ID: I20190930002495 |
| Provider Name | John L Maddox |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801887229 PECOS PAC ID: 5698006609 Enrollment ID: I20191004002810 |
| Provider Name | Erin B Houlihan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780166413 PECOS PAC ID: 6507118908 Enrollment ID: I20191009003080 |
| Provider Name | Diane E Hazel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841614104 PECOS PAC ID: 8022340157 Enrollment ID: I20191023000123 |
| Provider Name | Javier Perez-rodriguez |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952612046 PECOS PAC ID: 0648561415 Enrollment ID: I20191216001027 |
| Provider Name | Erin H Gold |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578815486 PECOS PAC ID: 3870927056 Enrollment ID: I20191220001448 |
| Provider Name | Victoria L Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720621873 PECOS PAC ID: 8628402815 Enrollment ID: I20191220001798 |
| Provider Name | Kathryn M Soucy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235772724 PECOS PAC ID: 0446684526 Enrollment ID: I20191224000189 |
| Provider Name | Jonathan M Robbins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669932596 PECOS PAC ID: 5294161188 Enrollment ID: I20200213000847 |
| Provider Name | Gia T Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093225526 PECOS PAC ID: 1052749538 Enrollment ID: I20200316001850 |
| Provider Name | Robert A Hulefeld |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366630485 PECOS PAC ID: 4789763996 Enrollment ID: I20200320001833 |
| Provider Name | Angela S Faro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982240586 PECOS PAC ID: 2860820909 Enrollment ID: I20200324000405 |
| Provider Name | Mahlet Jimma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447809785 PECOS PAC ID: 7113356676 Enrollment ID: I20200403001472 |
| Provider Name | Natalie Jill Oconnor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235778945 PECOS PAC ID: 5799115986 Enrollment ID: I20200501001138 |
| Provider Name | Andrew Reynolds |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821401654 PECOS PAC ID: 2961796644 Enrollment ID: I20200507000112 |
| Provider Name | Joan Hu Burkhardt |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407982184 PECOS PAC ID: 5597909465 Enrollment ID: I20200716003884 |
| Provider Name | Josh Z. Lamkin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073881967 PECOS PAC ID: 3375967847 Enrollment ID: I20200717000569 |
| Provider Name | Yehudith Assouline-dayan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093141228 PECOS PAC ID: 6002043957 Enrollment ID: I20200827002880 |
| Provider Name | Elisa Rose Tedeschi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043832496 PECOS PAC ID: 2860811510 Enrollment ID: I20200929002222 |
| Provider Name | Drisana N Henry |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447677992 PECOS PAC ID: 2860611746 Enrollment ID: I20201014002677 |
| Provider Name | Joseph B Bond |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679968689 PECOS PAC ID: 3678871746 Enrollment ID: I20201019003116 |
| Provider Name | Krystina Kacee Bonilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245847292 PECOS PAC ID: 3274943527 Enrollment ID: I20201028000625 |
| Provider Name | Catherine Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447818539 PECOS PAC ID: 3779994223 Enrollment ID: I20201204001639 |
| Provider Name | Frances Paley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780166280 PECOS PAC ID: 1254670417 Enrollment ID: I20210202001394 |
| Provider Name | Aaron Cohen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477083285 PECOS PAC ID: 8325319908 Enrollment ID: I20210223002041 |
| Provider Name | Michelle R Silkes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447753926 PECOS PAC ID: 2860423654 Enrollment ID: I20210301001773 |
| Provider Name | Sylvia Chang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003853508 PECOS PAC ID: 3678507159 Enrollment ID: I20210301002526 |
| Provider Name | Anna Malyak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417548181 PECOS PAC ID: 7214345024 Enrollment ID: I20210415002145 |
| Provider Name | Sai S Kaza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700310570 PECOS PAC ID: 0941572549 Enrollment ID: I20210419001476 |
| Provider Name | Hilary Lerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811427578 PECOS PAC ID: 6800168584 Enrollment ID: I20210421000928 |
| Provider Name | Jessica M Mcnally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154916120 PECOS PAC ID: 5294144010 Enrollment ID: I20210507001177 |
| Provider Name | Jennifer D Durning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043205677 PECOS PAC ID: 3375571763 Enrollment ID: I20210510001640 |
| Provider Name | Meghan E Beskid |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891396024 PECOS PAC ID: 2860891199 Enrollment ID: I20210519000228 |
| Provider Name | Paul Joseph Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730775610 PECOS PAC ID: 1355740416 Enrollment ID: I20210524001298 |
| Provider Name | Rutuparna Sarangi |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114313806 PECOS PAC ID: 4587959697 Enrollment ID: I20210603001018 |
| Provider Name | Jesse T Brandfass |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1285012955 PECOS PAC ID: 5193010452 Enrollment ID: I20210607001393 |
| Provider Name | Debra Marino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548878960 PECOS PAC ID: 0345640678 Enrollment ID: I20210608003033 |
| Provider Name | Sockviechhea Thou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538760186 PECOS PAC ID: 4385045970 Enrollment ID: I20210702002395 |
| Provider Name | Annapurna Hegde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952924888 PECOS PAC ID: 5890198311 Enrollment ID: I20210721003096 |
| Provider Name | Graham Dresden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881701118 PECOS PAC ID: 3779665005 Enrollment ID: I20210806001932 |
| Provider Name | Brandee Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649656570 PECOS PAC ID: 3476958737 Enrollment ID: I20210824003516 |
| Provider Name | Danielle Irene Bergeron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366720773 PECOS PAC ID: 9830587468 Enrollment ID: I20211101000511 |
| Provider Name | Paige Hildreth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891365037 PECOS PAC ID: 2668861626 Enrollment ID: I20211112000075 |
| Provider Name | Ingrid Caroline Rudie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750996161 PECOS PAC ID: 3870982390 Enrollment ID: I20211122002079 |
| Provider Name | Jessica O'neill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316584741 PECOS PAC ID: 1850728767 Enrollment ID: I20211203000958 |
| Provider Name | Gaurav Parmar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982011763 PECOS PAC ID: 0244450773 Enrollment ID: I20211208001585 |
| Provider Name | Nicole J. Sleiman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831370402 PECOS PAC ID: 6305996687 Enrollment ID: I20220104001597 |
| Provider Name | Mayuri Rapolu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992296644 PECOS PAC ID: 2062752074 Enrollment ID: I20220105001301 |
| Provider Name | Emilie Gruhl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447663927 PECOS PAC ID: 0042431256 Enrollment ID: I20220106000798 |
| Provider Name | Sarah J Santana Perkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295407682 PECOS PAC ID: 8527459247 Enrollment ID: I20220106000982 |
| Provider Name | Akash Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942681457 PECOS PAC ID: 0143537282 Enrollment ID: I20220106002294 |
| Provider Name | John J.w. Fangman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1881645737 PECOS PAC ID: 9335168996 Enrollment ID: I20220124001962 |
| Provider Name | Erin L Maxfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861997983 PECOS PAC ID: 3678965522 Enrollment ID: I20220126002269 |
| Provider Name | Jinhui Joo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457418964 PECOS PAC ID: 4385793553 Enrollment ID: I20220128000544 |
| Provider Name | Pooja Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700346822 PECOS PAC ID: 4981087640 Enrollment ID: I20220813000733 |
| Provider Name | Kimberly D Badessa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750769469 PECOS PAC ID: 5698084465 Enrollment ID: I20220913001358 |
| Provider Name | Heather Lampert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821653486 PECOS PAC ID: 0941536734 Enrollment ID: I20220919001783 |
| Provider Name | Sherin Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740787175 PECOS PAC ID: 2466852967 Enrollment ID: I20220919002050 |
| Provider Name | Tito Joaquin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164983201 PECOS PAC ID: 8426433749 Enrollment ID: I20220922000155 |
| Provider Name | Perry Elizabeth Blank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255958823 PECOS PAC ID: 7315323425 Enrollment ID: I20220927002378 |
| Provider Name | Jessica Andrade |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1023514056 PECOS PAC ID: 4981952256 Enrollment ID: I20220930000856 |
| Provider Name | Sunny Y Kung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780174029 PECOS PAC ID: 7719236744 Enrollment ID: I20221024000720 |
| Provider Name | Erin A Tedford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073237095 PECOS PAC ID: 3476921289 Enrollment ID: I20221129003024 |
| Provider Name | Ye-jin Lee |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457672438 PECOS PAC ID: 2163665779 Enrollment ID: I20221212001470 |
| Provider Name | Disha Shastry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235584418 PECOS PAC ID: 0042554966 Enrollment ID: I20230126002447 |
| Provider Name | Alexandra M Chaisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467165084 PECOS PAC ID: 6002289048 Enrollment ID: I20230222002008 |
| Provider Name | Ruby W Fairchild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023539509 PECOS PAC ID: 8820429772 Enrollment ID: I20230414000487 |
| Provider Name | Kady A Bonica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578272621 PECOS PAC ID: 9133584196 Enrollment ID: I20230426000432 |
| Provider Name | Lauren Tajima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780875922 PECOS PAC ID: 0244699254 Enrollment ID: I20230710001225 |
| Provider Name | Violet Landry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912695149 PECOS PAC ID: 7719347632 Enrollment ID: I20230724001613 |
| Provider Name | Stephen Sylvia |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1891224390 PECOS PAC ID: 4789955477 Enrollment ID: I20230804000167 |
| Provider Name | Jaclyn Hastings |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821523994 PECOS PAC ID: 1557613353 Enrollment ID: I20230821000393 |
| Provider Name | Amrit V Vinod |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477087997 PECOS PAC ID: 5890032379 Enrollment ID: I20230913000189 |
| Provider Name | Shannon M Reddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790462265 PECOS PAC ID: 3274997762 Enrollment ID: I20230918000890 |
| Provider Name | Jason R Goulet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467903252 PECOS PAC ID: 1850749243 Enrollment ID: I20231124000202 |
| Provider Name | Bryan Curnutte |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225561129 PECOS PAC ID: 3779849724 Enrollment ID: I20231211000937 |
| Provider Name | Elena A Dickey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407629835 PECOS PAC ID: 9133563133 Enrollment ID: I20240219000275 |
| Provider Name | Pratiksha Yalakkishettar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912467325 PECOS PAC ID: 7214263409 Enrollment ID: I20240531000770 |
Haverhill Pavilion Behavioral Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 76 Summer St, Haverhill, MA 01830 Phone: 615-861-6000 | |
Ping Cui Md Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 288 Groveland St, C2, Haverhill, MA 01830 Phone: 978-521-8810 Fax: 978-521-8811 | |
Creative Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Summer St, Haverhill, MA 01830 Phone: 978-276-9885 | |
Haverhill Mental Health Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9 Westminster Ave, Haverhill, MA 01830 Phone: 978-457-9799 | |
Team Coordinating Agency, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 Winter St, Haverhill, MA 01830 Phone: 978-373-1181 Fax: 978-374-7605 | |
Lahey Health Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Merrimack St, Haverhill, MA 01830 Phone: 978-373-1126 Fax: 978-373-2347 | |
Still Motion Therapeutic Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 Merrimack St Ste 2, Haverhill, MA 01830 Phone: 617-858-6916 Fax: 617-207-9709 |