Beth Israel Lahey Health Primary Care, Inc. | |
2284 Main Street Lahey Health Primary Care, Concord Concord MA 01742 | |
(978) 369-5575 | |
Not Available |
Full Name | Beth Israel Lahey Health Primary Care, Inc. |
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Speciality | Internal Medicine |
Location | 2284 Main Street, Concord, 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 |
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Beth Israel Lahey Health Primary Care, Inc. 41 Mall Rd Burlington MA 01805-0001 Ph: (781) 744-8330 | Beth Israel Lahey Health Primary Care, Inc. 2284 Main Street Lahey Health Primary Care, Concord Concord MA 01742 Ph: (978) 369-5575 |
NPI Number | 1063873842 |
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Provider Enumeration Date | 03/08/2016 |
Last Update Date | 11/07/2022 |
Medicare PECOS PAC ID | 7719291434 |
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Medicare Enrollment ID | O20160517000441 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063873842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Joseph Peppe |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1619941903 PECOS PAC ID: 2860487147 Enrollment ID: I20040416000540 |
Provider Name | Lisa M Connolly |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487677027 PECOS PAC ID: 7517957624 Enrollment ID: I20040512001049 |
Provider Name | Lori L Goodwin |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497736284 PECOS PAC ID: 5597747766 Enrollment ID: I20040602000624 |
Provider Name | Jana Oettinger |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437184587 PECOS PAC ID: 3678558897 Enrollment ID: I20040622000892 |
Provider Name | Mark J Lemos |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1326131129 PECOS PAC ID: 9234105644 Enrollment ID: I20040908000119 |
Provider Name | Laurie Woods |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295796886 PECOS PAC ID: 8022079060 Enrollment ID: I20041022000364 |
Provider Name | Mark P Gilligan |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1811922917 PECOS PAC ID: 5698739456 Enrollment ID: I20041201000901 |
Provider Name | Michele C Geller |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194772772 PECOS PAC ID: 2365497302 Enrollment ID: I20050314000206 |
Provider Name | Sarkis H Soukiasian |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1790876092 PECOS PAC ID: 2365499969 Enrollment ID: I20050406000215 |
Provider Name | Miguel A Martinez |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1063558427 PECOS PAC ID: 7012954167 Enrollment ID: I20050411001116 |
Provider Name | Mitchell L Kase |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1497701650 PECOS PAC ID: 0840238523 Enrollment ID: I20050422000295 |
Provider Name | Gary I Portnay |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346289345 PECOS PAC ID: 3072560002 Enrollment ID: I20050425000451 |
Provider Name | Austin J Obrien |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104808138 PECOS PAC ID: 1355384694 Enrollment ID: I20050607000901 |
Provider Name | Paula Jo Carbone |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1942318449 PECOS PAC ID: 2062456627 Enrollment ID: I20050614001126 |
Provider Name | Hugh M Taylor |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477639706 PECOS PAC ID: 9436114410 Enrollment ID: I20050630000194 |
Provider Name | Alison Foster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902989403 PECOS PAC ID: 1850328279 Enrollment ID: I20050718000752 |
Provider Name | Daniel J Mccullough |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558397240 PECOS PAC ID: 4082641410 Enrollment ID: I20050718000776 |
Provider Name | Suzanne C Baughn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770626517 PECOS PAC ID: 5597798470 Enrollment ID: I20050912000887 |
Provider Name | Janet Lee Pellegrino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558359737 PECOS PAC ID: 2668487042 Enrollment ID: I20060207000784 |
Provider Name | Debra A Schiebel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689717431 PECOS PAC ID: 3274549373 Enrollment ID: I20060227000702 |
Provider Name | William J Medwid |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134218704 PECOS PAC ID: 4981615689 Enrollment ID: I20060509000811 |
Provider Name | Emily K Chin |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386724896 PECOS PAC ID: 9739188103 Enrollment ID: I20061212000499 |
Provider Name | Pamela M Schwedler |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902991797 PECOS PAC ID: 9537160296 Enrollment ID: I20070123000354 |
Provider Name | Colleen Zamagni |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104035609 PECOS PAC ID: 3870693211 Enrollment ID: I20070713000378 |
Provider Name | Caroline Bevona |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1245225044 PECOS PAC ID: 8022109115 Enrollment ID: I20070803000107 |
Provider Name | Shannon L Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417158296 PECOS PAC ID: 5597859272 Enrollment ID: I20070926000320 |
Provider Name | Caroline M O'connell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992995195 PECOS PAC ID: 4981799525 Enrollment ID: I20070927000690 |
Provider Name | Maria L Sellitto |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295911337 PECOS PAC ID: 3678657723 Enrollment ID: I20080227000642 |
Provider Name | Thomas M Ruenger |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1982695664 PECOS PAC ID: 0446321103 Enrollment ID: I20080624000403 |
Provider Name | John W Dickason |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932148020 PECOS PAC ID: 3779654371 Enrollment ID: I20080625000012 |
Provider Name | David A Dohan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1336108638 PECOS PAC ID: 5294782231 Enrollment ID: I20080903000204 |
Provider Name | Anna I Livson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902845993 PECOS PAC ID: 9739255597 Enrollment ID: I20080903000259 |
Provider Name | Cynthia L Sershen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366614497 PECOS PAC ID: 7113064437 Enrollment ID: I20091019000606 |
Provider Name | Eileen M Boches |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750615092 PECOS PAC ID: 0648317990 Enrollment ID: I20091020000187 |
Provider Name | Roberta L Morrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326271123 PECOS PAC ID: 2668511148 Enrollment ID: I20091121000090 |
Provider Name | Daneil Kuftinec |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1801081609 PECOS PAC ID: 3375631336 Enrollment ID: I20100327000305 |
Provider Name | Adam Lipworth |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1174650501 PECOS PAC ID: 4385768100 Enrollment ID: I20100901000035 |
Provider Name | Jaipal Gandhi |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1629219639 PECOS PAC ID: 3173717881 Enrollment ID: I20101027000034 |
Provider Name | Frederic S Resnic |
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Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1740231281 PECOS PAC ID: 5597946384 Enrollment ID: I20110228000331 |
Provider Name | Sini Poulose |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1700885639 PECOS PAC ID: 3274591151 Enrollment ID: I20110902000229 |
Provider Name | Timothy S Draper |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1750541181 PECOS PAC ID: 8426228214 Enrollment ID: I20110906000321 |
Provider Name | Shiloe Souza Burzinski |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1134310311 PECOS PAC ID: 0042481673 Enrollment ID: I20110912000532 |
Provider Name | Yahaida Rimola-dejesus |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588827851 PECOS PAC ID: 3971774290 Enrollment ID: I20110919000262 |
Provider Name | Katherine C Caughel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164700878 PECOS PAC ID: 2567633407 Enrollment ID: I20110926000266 |
Provider Name | Kristy M Cahill |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528228608 PECOS PAC ID: 5294907598 Enrollment ID: I20111010000592 |
Provider Name | Andrew W Whetstone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073793444 PECOS PAC ID: 8628231305 Enrollment ID: I20120516000166 |
Provider Name | Patricia A Sheridan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356484273 PECOS PAC ID: 2961665492 Enrollment ID: I20120521000554 |
Provider Name | Eve G Amendola |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790068823 PECOS PAC ID: 9234395690 Enrollment ID: I20120730000626 |
Provider Name | Karra M Cheever |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083992622 PECOS PAC ID: 0143476002 Enrollment ID: I20120808000417 |
Provider Name | Patricia A Jacques |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164713251 PECOS PAC ID: 3577712207 Enrollment ID: I20121012000384 |
Provider Name | Autumn M Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336471309 PECOS PAC ID: 2567613250 Enrollment ID: I20121106000042 |
Provider Name | Laurence A Gordon |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1174574198 PECOS PAC ID: 0840281457 Enrollment ID: I20130115000015 |
Provider Name | Terese Landry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437460045 PECOS PAC ID: 6002040086 Enrollment ID: I20131004000498 |
Provider Name | Matthew C. Plosker |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558682211 PECOS PAC ID: 3678707684 Enrollment ID: I20131007000558 |
Provider Name | Philip Formica |
---|---|
Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
Provider Identifiers | NPI Number: 1184883209 PECOS PAC ID: 2668607243 Enrollment ID: I20131107000707 |
Provider Name | Maryanne M Senna |
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Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1326276726 PECOS PAC ID: 1456587641 Enrollment ID: I20131118000709 |
Provider Name | Michael Levy |
---|---|
Provider Type | Practitioner - Interventional Cardiology |
Provider Identifiers | NPI Number: 1366681207 PECOS PAC ID: 6406029008 Enrollment ID: I20131212001624 |
Provider Name | Jennifer Ann Akeley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083042915 PECOS PAC ID: 6709014996 Enrollment ID: I20140115001076 |
Provider Name | Erin P Bursey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316375728 PECOS PAC ID: 0345479812 Enrollment ID: I20140203000292 |
Provider Name | Danane Chhor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124469499 PECOS PAC ID: 4981835410 Enrollment ID: I20140327000095 |
Provider Name | Marc Manganiello |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1801059837 PECOS PAC ID: 3577782341 Enrollment ID: I20140910001820 |
Provider Name | Monica Belletete |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831593193 PECOS PAC ID: 7113243825 Enrollment ID: I20150224000050 |
Provider Name | Katie Wallace |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952703092 PECOS PAC ID: 2062733686 Enrollment ID: I20150609000054 |
Provider Name | Alessandro Cancelliere |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1073888236 PECOS PAC ID: 3678887460 Enrollment ID: I20150807013329 |
Provider Name | Angela M Freniere |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1104189307 PECOS PAC ID: 1456579192 Enrollment ID: I20150812008074 |
Provider Name | Jessica Stevenson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1912266982 PECOS PAC ID: 6103133178 Enrollment ID: I20150923003059 |
Provider Name | Leslie Elizabeth Allen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154706240 PECOS PAC ID: 5092023762 Enrollment ID: I20150929002128 |
Provider Name | Heidi Prieur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750765046 PECOS PAC ID: 8820306269 Enrollment ID: I20151005000391 |
Provider Name | Yanina Barbalat |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1306160213 PECOS PAC ID: 0042436701 Enrollment ID: I20160114002181 |
Provider Name | Jason Marchi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578938379 PECOS PAC ID: 7911206115 Enrollment ID: I20160421002122 |
Provider Name | Amanda Coffey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376998914 PECOS PAC ID: 6103119268 Enrollment ID: I20160727000268 |
Provider Name | Paul Daniel Silveri |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487917811 PECOS PAC ID: 6608196373 Enrollment ID: I20160729001347 |
Provider Name | Alison Louise Green |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508157371 PECOS PAC ID: 2365662418 Enrollment ID: I20160908002250 |
Provider Name | Sokunthirith Thach |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922341148 PECOS PAC ID: 1951620285 Enrollment ID: I20161020001379 |
Provider Name | Robert Waugh |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1003950569 PECOS PAC ID: 7113043183 Enrollment ID: I20161021000742 |
Provider Name | Erica Jesi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093267205 PECOS PAC ID: 1052692589 Enrollment ID: I20161221001386 |
Provider Name | Richard Kevin Heneghan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316243587 PECOS PAC ID: 1850205329 Enrollment ID: I20170324001369 |
Provider Name | Elizabeth S Gomez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992177026 PECOS PAC ID: 7012216799 Enrollment ID: I20170411000097 |
Provider Name | Elizabeth C Scannell |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1629310016 PECOS PAC ID: 7214208586 Enrollment ID: I20170804000233 |
Provider Name | Adam J Wulkan |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1174865901 PECOS PAC ID: 0840561890 Enrollment ID: I20170809001890 |
Provider Name | Laura Boulter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407370216 PECOS PAC ID: 1850664293 Enrollment ID: I20170906001648 |
Provider Name | Jennifer L Burzyk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407230493 PECOS PAC ID: 7315255452 Enrollment ID: I20171002000434 |
Provider Name | Melanie L Klein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285159400 PECOS PAC ID: 8527333889 Enrollment ID: I20171012001463 |
Provider Name | Sarah Glaser |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316463805 PECOS PAC ID: 7315213394 Enrollment ID: I20171018002115 |
Provider Name | Nicholas George Avgerinos |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265852867 PECOS PAC ID: 7012228794 Enrollment ID: I20171024002902 |
Provider Name | Shelby E Gifford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386161933 PECOS PAC ID: 8224394721 Enrollment ID: I20171116002109 |
Provider Name | Patrick Titterington |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619485885 PECOS PAC ID: 6800158551 Enrollment ID: I20180319000488 |
Provider Name | Casey O'reilly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265936736 PECOS PAC ID: 0840555140 Enrollment ID: I20180606003013 |
Provider Name | Melanie Roy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497287064 PECOS PAC ID: 8820343791 Enrollment ID: I20180618000526 |
Provider Name | Zachary Schwager |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1174932446 PECOS PAC ID: 9032465513 Enrollment ID: I20180713001469 |
Provider Name | Danielle A Shanley |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1710369863 PECOS PAC ID: 4385948918 Enrollment ID: I20180801002572 |
Provider Name | Nidhi B Sharma |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407134745 PECOS PAC ID: 9638399983 Enrollment ID: I20190109000598 |
Provider Name | Emily L Opolski |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194224436 PECOS PAC ID: 8123364833 Enrollment ID: I20190116001953 |
Provider Name | Charles J Emerson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760947683 PECOS PAC ID: 8426399726 Enrollment ID: I20190415002613 |
Provider Name | Lauren Chiarenza Lomonaco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063077030 PECOS PAC ID: 7012240823 Enrollment ID: I20190611001169 |
Provider Name | Edward Martinez |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1578983524 PECOS PAC ID: 9739304478 Enrollment ID: I20190809000650 |
Provider Name | Louisa E Codier |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518512250 PECOS PAC ID: 2769814136 Enrollment ID: I20191125000128 |
Provider Name | Meghan Elizabeth Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235776998 PECOS PAC ID: 1355775925 Enrollment ID: I20200107003234 |
Provider Name | Anna E Read |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215563531 PECOS PAC ID: 4082035548 Enrollment ID: I20200609001696 |
Provider Name | Dawn E Buxbaum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184951303 PECOS PAC ID: 9133540537 Enrollment ID: I20200610000783 |
Provider Name | Neera Nathan |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1811343361 PECOS PAC ID: 9032402490 Enrollment ID: I20200722003502 |
Provider Name | Tiana Ingersoll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811534761 PECOS PAC ID: 7416367156 Enrollment ID: I20201107000058 |
Provider Name | Meghan E Beskid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891396024 PECOS PAC ID: 2860891199 Enrollment ID: I20210519000228 |
Provider Name | Kerri Carleton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669013884 PECOS PAC ID: 2466851589 Enrollment ID: I20210521002165 |
Provider Name | Tiffany Sun |
---|---|
Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
Provider Identifiers | NPI Number: 1245620921 PECOS PAC ID: 1355615337 Enrollment ID: I20210830002429 |
Provider Name | Adam Ludvigson |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1689093080 PECOS PAC ID: 6103042874 Enrollment ID: I20210901001168 |
Provider Name | Molly Klinka |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548939572 PECOS PAC ID: 6002205192 Enrollment ID: I20211110003032 |
Provider Name | Rachel Hilshey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487329744 PECOS PAC ID: 7719374875 Enrollment ID: I20220420002302 |
Provider Name | Sylvana Brickley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487163945 PECOS PAC ID: 8325305519 Enrollment ID: I20220607001554 |
Provider Name | Kelly Mueller |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1487148458 PECOS PAC ID: 0244587863 Enrollment ID: I20220816000486 |
Provider Name | Laura Gaudette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336635580 PECOS PAC ID: 7719231026 Enrollment ID: I20220906001217 |
Provider Name | Justine Deslauriers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265166979 PECOS PAC ID: 4880079110 Enrollment ID: I20220922000538 |
Provider Name | Amy O'brien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427782358 PECOS PAC ID: 9032595145 Enrollment ID: I20220927002453 |
Provider Name | Emily Rose Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710551502 PECOS PAC ID: 1557731916 Enrollment ID: I20221228002775 |
Provider Name | Erinn M Murphy |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1295362580 PECOS PAC ID: 6103246384 Enrollment ID: I20230517000837 |
Provider Name | Nikolai Klebanov |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1386202158 PECOS PAC ID: 1557693710 Enrollment ID: I20230710002250 |
Provider Name | Tanzeem Alam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821773136 PECOS PAC ID: 8921461781 Enrollment ID: I20230825002225 |
Provider Name | Pranjali Sonis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1427686799 PECOS PAC ID: 0143674788 Enrollment ID: I20230929002331 |
Provider Name | Jenny L Mamtora |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457974396 PECOS PAC ID: 8628424090 Enrollment ID: I20231023000995 |
Provider Name | Allison E Ouellette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487435244 PECOS PAC ID: 7113374612 Enrollment ID: I20231106000528 |
Provider Name | Meredith Veneziano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336912575 PECOS PAC ID: 8921456161 Enrollment ID: I20231128002289 |
Provider Name | Aliki Kallas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770368094 PECOS PAC ID: 3971953290 Enrollment ID: I20231229000124 |
Provider Name | Divya Sharma |
---|---|
Provider Type | Practitioner - Dermatology |
Provider Identifiers | NPI Number: 1306296157 PECOS PAC ID: 5799070025 Enrollment ID: I20240326003947 |
Provider Name | Megan Weidemann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962013581 PECOS PAC ID: 1355753146 Enrollment ID: I20240506001525 |
Evernorth Care Providers - Delaware Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Baker Ave Ste 300, Concord, MA 01742 Phone: 773-292-4800 Fax: 312-564-4059 | |
Options In Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1536 Main St Apt B, Concord, MA 01742 Phone: 978-505-3698 | |
Mass General Brigham Community Physicians Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 80 Beharrell St, Concord, MA 01742 Phone: 781-259-9292 Fax: 781-259-0747 | |
Concord Internal Medicine Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2284 Main St, Concord, MA 01742 Phone: 978-369-5575 Fax: 978-371-9189 | |
Concord Primary Care,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 131 Old Road To 9 Acre Cor, Suite 810 Jcb, Concord, MA 01742 Phone: 978-318-0007 Fax: 978-318-0056 | |
Integrity Medical Post Acute Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 300 Baker Ave Ste 300, Concord, MA 01742 Phone: 248-303-0257 Fax: 800-316-4501 |