| Lahey Clinic, Inc. | |
|
41 Mall Rd Burlington MA 01805-0001 | |
| (781) 744-8000 | |
| Not Available |
| Full Name | Lahey Clinic, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 41 Mall Rd, Burlington, Massachusetts |
| Authorized Official Name and Position | David L Longworth (CEO) |
| Authorized Official Contact | 7817448097 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lahey Clinic, Inc. 41 Mall Rd Burlington MA 01805-0001 Ph: (781) 744-8085 | Lahey Clinic, Inc. 41 Mall Rd Burlington MA 01805-0001 Ph: (781) 744-8000 |
| NPI Number | 1669491601 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 03/04/2021 |
| Medicare PECOS PAC ID | 2264336528 |
|---|---|
| Medicare Enrollment ID | O20050210000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669491601 | NPI | - | NPPES |
| 30005078 | Medicaid | NH | |
| 9770585 | Medicaid | MA | |
| 9729097 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2778 (New Hampshire) | Primary |
| Provider Name | Bruce G Hook |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1366533028 PECOS PAC ID: 7214992759 Enrollment ID: I20041124000263 |
| Provider Name | James A Betti |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1457315426 PECOS PAC ID: 1456395383 Enrollment ID: I20051024001069 |
| Provider Name | Christopher T Pyne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275569972 PECOS PAC ID: 0840206918 Enrollment ID: I20060227000469 |
| Provider Name | Susan M Tucker |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578664462 PECOS PAC ID: 8123126711 Enrollment ID: I20070605000517 |
| Provider Name | Yanping Kong |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1205981057 PECOS PAC ID: 2466534854 Enrollment ID: I20080124000057 |
| Provider Name | Han-ting Lin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1114019148 PECOS PAC ID: 6204914542 Enrollment ID: I20080428000057 |
| Provider Name | David Canes |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841246576 PECOS PAC ID: 4587763867 Enrollment ID: I20081029000566 |
| Provider Name | Chad Wotkowicz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003884578 PECOS PAC ID: 0749207801 Enrollment ID: I20090720000308 |
| Provider Name | Arthur P Mourtzinos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649238577 PECOS PAC ID: 6901822592 Enrollment ID: I20090724000216 |
| Provider Name | Egbert D. Baumgart |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821269754 PECOS PAC ID: 0345396701 Enrollment ID: I20090926000053 |
| Provider Name | Ghulam Chaudhry |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1932196938 PECOS PAC ID: 2961447289 Enrollment ID: I20120209000422 |
| Provider Name | Colleen Summers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184934978 PECOS PAC ID: 2668652397 Enrollment ID: I20130708000183 |
| Provider Name | Gautam Gadey |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1134354962 PECOS PAC ID: 3779789102 Enrollment ID: I20131115001337 |
| Provider Name | Julie O Dennis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336293760 PECOS PAC ID: 4284850504 Enrollment ID: I20140826001255 |
| Provider Name | Lara Maclachlan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1992964183 PECOS PAC ID: 8022258573 Enrollment ID: I20141007001499 |
| Provider Name | Jonathan Stuart Silver |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1033153176 PECOS PAC ID: 5799755948 Enrollment ID: I20150106000033 |
| Provider Name | Matthew Reynolds |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1437172939 PECOS PAC ID: 5890946073 Enrollment ID: I20150227001104 |
| Provider Name | Michelle B Widmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255685889 PECOS PAC ID: 0143473710 Enrollment ID: I20150505001907 |
| Provider Name | Gary W Cushing |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1578661583 PECOS PAC ID: 6800877242 Enrollment ID: I20150928001437 |
| Provider Name | Zachary S Spigelman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1063470011 PECOS PAC ID: 6406838614 Enrollment ID: I20171129003337 |
| Provider Name | Chintan Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710240395 PECOS PAC ID: 3173879673 Enrollment ID: I20180713001593 |
| Provider Name | Caroline Cristina Nitschmann |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1538483003 PECOS PAC ID: 7719144120 Enrollment ID: I20190606000377 |
| Provider Name | Andrew Christopher Wiechert |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1235455684 PECOS PAC ID: 2668630047 Enrollment ID: I20190607001657 |
| Provider Name | Guy Kulbak |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1609103746 PECOS PAC ID: 5092022111 Enrollment ID: I20200326002783 |
| Provider Name | Rachel R Soffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790919918 PECOS PAC ID: 5496885816 Enrollment ID: I20220428001721 |
Lahey Clinic, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
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