Charter Health Pc | |
55 Highland Ave Ste 304 Salem MA 01970-2100 | |
(978) 354-4611 | |
Not Available |
Full Name | Charter Health Pc |
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Speciality | Internal Medicine |
Location | 55 Highland Ave Ste 304, Salem, Massachusetts |
Authorized Official Name and Position | Hans C Jeppesen (CEO) |
Authorized Official Contact | 7633506598 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Charter Health Pc 55 Highland Ave Ste 304 Salem MA 01970-2100 Ph: (978) 354-4611 | Charter Health Pc 55 Highland Ave Ste 304 Salem MA 01970-2100 Ph: (978) 354-4611 |
NPI Number | 1750824124 |
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Provider Enumeration Date | 12/02/2016 |
Last Update Date | 12/13/2021 |
Medicare PECOS PAC ID | 1153604079 |
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Medicare Enrollment ID | O20170220000311 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750824124 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 249997 (Massachusetts) | Primary |
Provider Name | Kristin Mary Taylor |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700834389 PECOS PAC ID: 8426049826 Enrollment ID: I20040524000722 |
Provider Name | Paige K Katzenstein |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1548389448 PECOS PAC ID: 8426025776 Enrollment ID: I20040915000631 |
Provider Name | Nancy M Pearlman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669446266 PECOS PAC ID: 2668412958 Enrollment ID: I20050505000871 |
Provider Name | Charles Rosenbaum |
---|---|
Provider Type | Practitioner - Hematology/oncology |
Provider Identifiers | NPI Number: 1922049147 PECOS PAC ID: 3577503457 Enrollment ID: I20050510000829 |
Provider Name | Deborah J Geary |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881644417 PECOS PAC ID: 2567407307 Enrollment ID: I20050622001172 |
Provider Name | Karen Maney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881675528 PECOS PAC ID: 7517931322 Enrollment ID: I20050624000129 |
Provider Name | Julie P Phaneuf |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316991623 PECOS PAC ID: 5092750224 Enrollment ID: I20050628000185 |
Provider Name | Bethann Rowlands |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457416786 PECOS PAC ID: 1355371139 Enrollment ID: I20050822000575 |
Provider Name | Richard A Hochman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1457324709 PECOS PAC ID: 2769412550 Enrollment ID: I20050822000624 |
Provider Name | Hamid Golkari |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1225077639 PECOS PAC ID: 2860405008 Enrollment ID: I20060711000217 |
Provider Name | Megan Bradley Callahan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1881662864 PECOS PAC ID: 8123021722 Enrollment ID: I20060822000171 |
Provider Name | Awais Alam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1376580993 PECOS PAC ID: 0547265175 Enrollment ID: I20061003000410 |
Provider Name | Diana M Arena |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609986074 PECOS PAC ID: 3173628435 Enrollment ID: I20070413000579 |
Provider Name | Irene I Tsirozidou |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912964610 PECOS PAC ID: 2466544119 Enrollment ID: I20070825000007 |
Provider Name | Savitha R Tudi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073722294 PECOS PAC ID: 7214020502 Enrollment ID: I20070831000363 |
Provider Name | Swati Kodali |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396934667 PECOS PAC ID: 3375632979 Enrollment ID: I20071205000085 |
Provider Name | Denise K Gafanhao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912035650 PECOS PAC ID: 4284716978 Enrollment ID: I20080204000339 |
Provider Name | Harriet Kasozi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770777963 PECOS PAC ID: 7315009990 Enrollment ID: I20081216000028 |
Provider Name | Ann P Trollinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396890851 PECOS PAC ID: 3678620549 Enrollment ID: I20090409000657 |
Provider Name | Pamela Nankoole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780919811 PECOS PAC ID: 7719179597 Enrollment ID: I20101012000772 |
Provider Name | Maura A Gray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134350424 PECOS PAC ID: 1355476854 Enrollment ID: I20101109000882 |
Provider Name | Alla Tibbetts |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386807329 PECOS PAC ID: 8224206453 Enrollment ID: I20110714000264 |
Provider Name | Amy Splawska |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023306867 PECOS PAC ID: 8921278052 Enrollment ID: I20110829000681 |
Provider Name | Hans C Jeppesen |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669678298 PECOS PAC ID: 5092886077 Enrollment ID: I20120331000003 |
Provider Name | Julie Mcgondel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487924445 PECOS PAC ID: 4789847369 Enrollment ID: I20120517000453 |
Provider Name | Julie Rainville |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104089572 PECOS PAC ID: 3072763168 Enrollment ID: I20121026000080 |
Provider Name | Jatinder Aujla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275700825 PECOS PAC ID: 7214000207 Enrollment ID: I20121226000197 |
Provider Name | Inyene E Essien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598015422 PECOS PAC ID: 8224282355 Enrollment ID: I20130125000242 |
Provider Name | Susan M Koen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932142411 PECOS PAC ID: 4688656416 Enrollment ID: I20131002000215 |
Provider Name | Meghan Clements |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023450392 PECOS PAC ID: 3072740349 Enrollment ID: I20131211001328 |
Provider Name | Alysia M Demartino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194151415 PECOS PAC ID: 4688805583 Enrollment ID: I20140318000445 |
Provider Name | Laura A Berry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083038343 PECOS PAC ID: 6608009097 Enrollment ID: I20140509001507 |
Provider Name | Norman P Lucier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790738656 PECOS PAC ID: 0840225710 Enrollment ID: I20140626002130 |
Provider Name | Diane D Furey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154729283 PECOS PAC ID: 7416273206 Enrollment ID: I20150314000082 |
Provider Name | Anne S Zlevor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841574472 PECOS PAC ID: 2163645516 Enrollment ID: I20150410001101 |
Provider Name | Nicole A Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821423237 PECOS PAC ID: 0941512917 Enrollment ID: I20150706000086 |
Provider Name | Richard Evans Bagg |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285917914 PECOS PAC ID: 6305151051 Enrollment ID: I20150811003392 |
Provider Name | Joanne E Theodate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831571561 PECOS PAC ID: 3577866565 Enrollment ID: I20160126000591 |
Provider Name | Elizabeth B Shortsleeve |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700169711 PECOS PAC ID: 3173755402 Enrollment ID: I20160304001643 |
Provider Name | Kenya Hanspard |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932170305 PECOS PAC ID: 9739072984 Enrollment ID: I20160318000840 |
Provider Name | Paul Pricop |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689031908 PECOS PAC ID: 0042519605 Enrollment ID: I20160503001244 |
Provider Name | Oleksandr V Barchuk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427419381 PECOS PAC ID: 7517258627 Enrollment ID: I20160621001698 |
Provider Name | Santosh R Poudel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1023377884 PECOS PAC ID: 5799924288 Enrollment ID: I20160624000183 |
Provider Name | Shayla Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457608713 PECOS PAC ID: 8628356359 Enrollment ID: I20161031001015 |
Provider Name | Maria Dalomba |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548704828 PECOS PAC ID: 2769764331 Enrollment ID: I20170117001726 |
Provider Name | Jenya Appleton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679923775 PECOS PAC ID: 7214210079 Enrollment ID: I20170202000450 |
Provider Name | Gresilla Fondi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790235257 PECOS PAC ID: 7719256841 Enrollment ID: I20170706000571 |
Provider Name | Ngoc Anh Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861932691 PECOS PAC ID: 3577835107 Enrollment ID: I20170817000035 |
Provider Name | Gurpreet Saini |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326582396 PECOS PAC ID: 3173895638 Enrollment ID: I20170817001721 |
Provider Name | Samantha Nugent |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841737251 PECOS PAC ID: 5294001251 Enrollment ID: I20171019001931 |
Provider Name | Gail Ann Palladino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285964346 PECOS PAC ID: 3971862202 Enrollment ID: I20180112002142 |
Provider Name | Patricia Ann Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841538667 PECOS PAC ID: 8022336205 Enrollment ID: I20180406001902 |
Provider Name | John D Kplorfia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265959191 PECOS PAC ID: 9638433642 Enrollment ID: I20180427000813 |
Provider Name | Melanie Roy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497287064 PECOS PAC ID: 8820343791 Enrollment ID: I20180618000526 |
Provider Name | Mukti J Patel-prineas |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083932990 PECOS PAC ID: 0840439840 Enrollment ID: I20181030002821 |
Provider Name | Melissa Ann Ayer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770059248 PECOS PAC ID: 6709130776 Enrollment ID: I20181109000336 |
Provider Name | Alla M Guenin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1275802324 PECOS PAC ID: 0345563987 Enrollment ID: I20181207001086 |
Provider Name | Rabiah Rafique |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396009775 PECOS PAC ID: 6103136221 Enrollment ID: I20190123002361 |
Provider Name | Jean David Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467928184 PECOS PAC ID: 5496092330 Enrollment ID: I20190130001445 |
Provider Name | Maureen Kathryn Winters |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861963696 PECOS PAC ID: 5395083232 Enrollment ID: I20190219001159 |
Provider Name | Kathleen M Noe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578129581 PECOS PAC ID: 7719210996 Enrollment ID: I20190603000494 |
Provider Name | Rohit Rattan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598017097 PECOS PAC ID: 0547577082 Enrollment ID: I20190617001661 |
Provider Name | Anjani Agarwala |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861053993 PECOS PAC ID: 8325472582 Enrollment ID: I20191220000583 |
Provider Name | Beatrice Kamya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124683545 PECOS PAC ID: 2264866086 Enrollment ID: I20200102000663 |
Provider Name | Jodi M Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225644420 PECOS PAC ID: 9133533888 Enrollment ID: I20210121000038 |
Provider Name | Ijeoma Elizabeth Ojiaku |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255916870 PECOS PAC ID: 5496154692 Enrollment ID: I20210520000370 |
Provider Name | Katina Herron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871092817 PECOS PAC ID: 3173876422 Enrollment ID: I20211118001831 |
Provider Name | Catherine Nankanja |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205488830 PECOS PAC ID: 7113313966 Enrollment ID: I20220405001103 |
Provider Name | Jonadab Erhahon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073240149 PECOS PAC ID: 4385015288 Enrollment ID: I20230131002116 |
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