Pai Participant Ma Pc | |
111 Orient Ave East Boston MA 02128-1006 | |
(617) 596-2100 | |
Not Available |
Full Name | Pai Participant Ma Pc |
---|---|
Speciality | Internal Medicine |
Location | 111 Orient Ave, East Boston, Massachusetts |
Authorized Official Name and Position | Jill Ford (SR. MANAGER OF CREDENTIALINGF) |
Authorized Official Contact | 4846676032 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pai Participant Ma Pc Po Box Po Box 639676 Cincinnati OH 45263-9676 Ph: (859) 291-4800 | Pai Participant Ma Pc 111 Orient Ave East Boston MA 02128-1006 Ph: (617) 596-2100 |
NPI Number | 1932984317 |
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Provider Enumeration Date | 08/25/2023 |
Last Update Date | 08/25/2023 |
Medicare PECOS PAC ID | 9537513684 |
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Medicare Enrollment ID | O20230925000533 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932984317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Ellen M Westman |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922092782 PECOS PAC ID: 7214839406 Enrollment ID: I20040127000569 |
Provider Name | Claes M Nilsson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912006065 PECOS PAC ID: 2365435351 Enrollment ID: I20040406000501 |
Provider Name | Nancy Huggins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245307743 PECOS PAC ID: 9032109087 Enrollment ID: I20040513000365 |
Provider Name | Debra A Hussey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801855432 PECOS PAC ID: 6709847247 Enrollment ID: I20041019000932 |
Provider Name | Mark S Ostrem |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811985633 PECOS PAC ID: 6305803958 Enrollment ID: I20041215000212 |
Provider Name | Deborah A O'keefe |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538159579 PECOS PAC ID: 0244297802 Enrollment ID: I20041215000284 |
Provider Name | Paul A Bizinkauskas |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1578521415 PECOS PAC ID: 6406806322 Enrollment ID: I20050128000223 |
Provider Name | Mark J Messenger |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1194726471 PECOS PAC ID: 0840261863 Enrollment ID: I20050405000302 |
Provider Name | Denise Ann Petrella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669527354 PECOS PAC ID: 4284663592 Enrollment ID: I20050808000301 |
Provider Name | Heather A Bryant Mckenney |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912111733 PECOS PAC ID: 5193750016 Enrollment ID: I20050929000444 |
Provider Name | John M Stevenson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043284789 PECOS PAC ID: 5991787210 Enrollment ID: I20060126000558 |
Provider Name | Joy L Osborne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952542607 PECOS PAC ID: 1557375920 Enrollment ID: I20060206000750 |
Provider Name | John J Oneil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619963592 PECOS PAC ID: 3173538345 Enrollment ID: I20060208000655 |
Provider Name | Ramon Espinosa |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245287838 PECOS PAC ID: 1456360189 Enrollment ID: I20060407000375 |
Provider Name | Julia M Carson |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1548279953 PECOS PAC ID: 0941205694 Enrollment ID: I20061002000381 |
Provider Name | Irene I Tsirozidou |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912964610 PECOS PAC ID: 2466544119 Enrollment ID: I20070825000007 |
Provider Name | Erica Mcisaac |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457530032 PECOS PAC ID: 6103915038 Enrollment ID: I20071130000080 |
Provider Name | Beth A Connell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225228562 PECOS PAC ID: 8921188152 Enrollment ID: I20071231000129 |
Provider Name | Vivienne Yumasi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528242203 PECOS PAC ID: 6406938703 Enrollment ID: I20080125000175 |
Provider Name | Alireza Toossi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780871970 PECOS PAC ID: 4688764541 Enrollment ID: I20081017000329 |
Provider Name | Didie C Watsop |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1215113279 PECOS PAC ID: 9436217866 Enrollment ID: I20081029000069 |
Provider Name | Shaohua Deng |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174760326 PECOS PAC ID: 5294899738 Enrollment ID: I20090129000067 |
Provider Name | David Chiang |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1124219506 PECOS PAC ID: 2769533793 Enrollment ID: I20090702000024 |
Provider Name | Saira Nisar |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114182680 PECOS PAC ID: 1850438714 Enrollment ID: I20091026000304 |
Provider Name | Rosemary A Storer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659422004 PECOS PAC ID: 1850435132 Enrollment ID: I20100224000799 |
Provider Name | Timothy Odonnell |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346206091 PECOS PAC ID: 5395877625 Enrollment ID: I20100721000767 |
Provider Name | Julius Tabe |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801093356 PECOS PAC ID: 8729104963 Enrollment ID: I20100925000052 |
Provider Name | Deepthi Pandraju |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1073734901 PECOS PAC ID: 6800081464 Enrollment ID: I20101109001488 |
Provider Name | Carissa Marie Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20101117001009 |
Provider Name | Shideh Amirifeli |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1083763890 PECOS PAC ID: 2062600877 Enrollment ID: I20101221000569 |
Provider Name | Fabian Delgado |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1629277454 PECOS PAC ID: 4082802368 Enrollment ID: I20101230000977 |
Provider Name | Richard M Pfeiffer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235432501 PECOS PAC ID: 6709067705 Enrollment ID: I20110224000124 |
Provider Name | Vishal Kuchaculla |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1386837342 PECOS PAC ID: 5799832853 Enrollment ID: I20110325000565 |
Provider Name | Julie Mcgondel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487924445 PECOS PAC ID: 4789847369 Enrollment ID: I20120517000453 |
Provider Name | Marielle Pitts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518215490 PECOS PAC ID: 0840441879 Enrollment ID: I20121121000234 |
Provider Name | Stephanie I Cody |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1205098522 PECOS PAC ID: 6204986151 Enrollment ID: I20130311000311 |
Provider Name | Paul Phillip Bergeron |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1316931355 PECOS PAC ID: 3577594399 Enrollment ID: I20130321000363 |
Provider Name | Nelson K Aweh |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891923199 PECOS PAC ID: 0749423507 Enrollment ID: I20130826000835 |
Provider Name | Amanda Hernandez |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1891062691 PECOS PAC ID: 4880847102 Enrollment ID: I20130910000234 |
Provider Name | Nnamdi O Amaechina |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1144531518 PECOS PAC ID: 7810123106 Enrollment ID: I20131114001122 |
Provider Name | Marie-helene Almonor |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972661064 PECOS PAC ID: 6103832365 Enrollment ID: I20140523000566 |
Provider Name | Scott B Mccarthy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720488935 PECOS PAC ID: 3870715162 Enrollment ID: I20141121001153 |
Provider Name | David S Westrin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285035576 PECOS PAC ID: 6305168410 Enrollment ID: I20141201000241 |
Provider Name | Judith Bellevue |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972908143 PECOS PAC ID: 5092030858 Enrollment ID: I20150219000887 |
Provider Name | Chirin Al Dalati |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1003166885 PECOS PAC ID: 9638489867 Enrollment ID: I20151030000651 |
Provider Name | Karri A Crowley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780060426 PECOS PAC ID: 6305156027 Enrollment ID: I20151110000942 |
Provider Name | Anthony Bartley |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922362003 PECOS PAC ID: 1355645383 Enrollment ID: I20160211000133 |
Provider Name | Kenya Hanspard |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932170305 PECOS PAC ID: 9739072984 Enrollment ID: I20160318000840 |
Provider Name | Ashley Ko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821462045 PECOS PAC ID: 2668762667 Enrollment ID: I20160603000373 |
Provider Name | Samila Francois |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134588106 PECOS PAC ID: 6305137779 Enrollment ID: I20160615002610 |
Provider Name | Mario C Corpuz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649529033 PECOS PAC ID: 2163714379 Enrollment ID: I20160708001155 |
Provider Name | Alicyn M Walsh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245689652 PECOS PAC ID: 0345534715 Enrollment ID: I20160808001292 |
Provider Name | Michael Joseph Mentakis |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811988033 PECOS PAC ID: 7416987763 Enrollment ID: I20161017000292 |
Provider Name | Fariyda Mulrain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831644129 PECOS PAC ID: 2466730114 Enrollment ID: I20161031001748 |
Provider Name | Stephen Vanderels |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336507193 PECOS PAC ID: 6709165343 Enrollment ID: I20161122001432 |
Provider Name | Carrie Ames |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801341391 PECOS PAC ID: 3476832064 Enrollment ID: I20161123000807 |
Provider Name | Melissa R Willette |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922550557 PECOS PAC ID: 6406137207 Enrollment ID: I20170110003377 |
Provider Name | Susan C Powers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174800957 PECOS PAC ID: 7911210836 Enrollment ID: I20170828003960 |
Provider Name | Stella Uchendu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891232906 PECOS PAC ID: 9436416492 Enrollment ID: I20171129000733 |
Provider Name | Cherie Wildrick |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083151260 PECOS PAC ID: 3476810300 Enrollment ID: I20171201001724 |
Provider Name | Cornelius N Bela |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962912964 PECOS PAC ID: 2062771942 Enrollment ID: I20180123000903 |
Provider Name | Caroline Namuzinda Mawanda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154821114 PECOS PAC ID: 4082979000 Enrollment ID: I20180522002709 |
Provider Name | Pardeep Aujla |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932490687 PECOS PAC ID: 7012137417 Enrollment ID: I20180531000426 |
Provider Name | Claude Lyne Valcin |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144459876 PECOS PAC ID: 5294972238 Enrollment ID: I20180607000684 |
Provider Name | Rabiah Rafique |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396009775 PECOS PAC ID: 6103136221 Enrollment ID: I20190123002361 |
Provider Name | Albert J Proia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134613185 PECOS PAC ID: 4082962717 Enrollment ID: I20190201001063 |
Provider Name | Eghosa Idumwonyi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1265894919 PECOS PAC ID: 1951698059 Enrollment ID: I20190925002175 |
Provider Name | Jamie Rodgers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730732199 PECOS PAC ID: 5597199737 Enrollment ID: I20191223000619 |
Provider Name | Lianna Partee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750936126 PECOS PAC ID: 9234568718 Enrollment ID: I20200403002297 |
Provider Name | Zahra Shariff |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538260492 PECOS PAC ID: 8527084128 Enrollment ID: I20201029002322 |
Provider Name | Natalia Allison-bjoerloew |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689936890 PECOS PAC ID: 6204086812 Enrollment ID: I20201118002510 |
Provider Name | Mehwash Naseem |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1528405677 PECOS PAC ID: 3678702958 Enrollment ID: I20201202002251 |
Provider Name | Robert Tavares |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871199638 PECOS PAC ID: 4284047382 Enrollment ID: I20210111000837 |
Provider Name | Tatiana Andrade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336731819 PECOS PAC ID: 5698182350 Enrollment ID: I20210324001437 |
Provider Name | Taylor L Pacheco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467043661 PECOS PAC ID: 3678980042 Enrollment ID: I20210331001902 |
Provider Name | Paola Sheila Buchanan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104423482 PECOS PAC ID: 1850700865 Enrollment ID: I20210504001033 |
Provider Name | Bryan Mccullough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821662719 PECOS PAC ID: 2860891611 Enrollment ID: I20210527000176 |
Provider Name | Kathleen Bentley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114513694 PECOS PAC ID: 9830598622 Enrollment ID: I20210527001552 |
Provider Name | Elizabeth Zordok |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831763978 PECOS PAC ID: 9931501137 Enrollment ID: I20210727002665 |
Provider Name | Alexandra K Weinstein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679249957 PECOS PAC ID: 1759788276 Enrollment ID: I20210927002284 |
Provider Name | Nicole Tzvetkova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366117764 PECOS PAC ID: 6406244755 Enrollment ID: I20211019002815 |
Provider Name | Sarah Mcdevitt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538833751 PECOS PAC ID: 1153719059 Enrollment ID: I20211026002463 |
Provider Name | Donna J Remmes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760082366 PECOS PAC ID: 0840688578 Enrollment ID: I20211028001648 |
Provider Name | Shannon M Beck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114536463 PECOS PAC ID: 7214327733 Enrollment ID: I20211124000056 |
Provider Name | Yingqi Zhang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013673151 PECOS PAC ID: 5092105197 Enrollment ID: I20211203001876 |
Provider Name | Abbie Paley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710478854 PECOS PAC ID: 0042547804 Enrollment ID: I20220124001439 |
Provider Name | Sulakshna Dhamija |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629383153 PECOS PAC ID: 0244474112 Enrollment ID: I20220216000625 |
Provider Name | John Bonnes |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1568724219 PECOS PAC ID: 5799030623 Enrollment ID: I20220311001594 |
Provider Name | Deanna Jo Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689273054 PECOS PAC ID: 6305232943 Enrollment ID: I20220406002507 |
Provider Name | Karen Magit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083223630 PECOS PAC ID: 1759777360 Enrollment ID: I20220407002016 |
Provider Name | Elizabeth Dow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962157537 PECOS PAC ID: 7719365097 Enrollment ID: I20220526002006 |
Provider Name | Ashley Leddy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861095473 PECOS PAC ID: 5395158851 Enrollment ID: I20220804000201 |
Provider Name | Bridget Ross-fitzgibbons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144688102 PECOS PAC ID: 2961782826 Enrollment ID: I20221130000146 |
Provider Name | Kristine Nordstrom |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285695668 PECOS PAC ID: 0446217764 Enrollment ID: I20221220000452 |
Provider Name | Brenda Schlesinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457664450 PECOS PAC ID: 5395922603 Enrollment ID: I20230118000883 |
Provider Name | Christine Miranda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184295917 PECOS PAC ID: 1951773514 Enrollment ID: I20230207002799 |
Provider Name | Jarrod Murphy Nero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881086296 PECOS PAC ID: 9032439187 Enrollment ID: I20230210001165 |
Provider Name | Jessica Fichter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447643986 PECOS PAC ID: 5698087732 Enrollment ID: I20230324000821 |
Provider Name | Obianuju Ihechukwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588101570 PECOS PAC ID: 8224403258 Enrollment ID: I20230405001137 |
Provider Name | Yekaterina Kukharchuk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285332270 PECOS PAC ID: 8921463704 Enrollment ID: I20230501000595 |
Provider Name | Maybelle B Mbiatem |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437888096 PECOS PAC ID: 5193181337 Enrollment ID: I20230515001193 |
Provider Name | Peggy Claude Mathieu-martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144984733 PECOS PAC ID: 8224494885 Enrollment ID: I20230524001234 |
Provider Name | Brittany Tobin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477831550 PECOS PAC ID: 1557506599 Enrollment ID: I20230626000379 |
Provider Name | Christine Michelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811257215 PECOS PAC ID: 3476719055 Enrollment ID: I20230628004018 |
Provider Name | Ramon Trinidad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20230720002251 |
Provider Name | Betty Gyamfi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093098923 PECOS PAC ID: 1759686579 Enrollment ID: I20230727003250 |
Provider Name | Kelli Renee White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538304266 PECOS PAC ID: 8729269998 Enrollment ID: I20230728001463 |
Provider Name | Victor Okwukaogu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578287546 PECOS PAC ID: 2466814587 Enrollment ID: I20230821003341 |
Provider Name | Salie Davila-torres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720678261 PECOS PAC ID: 2264847268 Enrollment ID: I20230908001181 |
Provider Name | Jessica Thorman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508429630 PECOS PAC ID: 0042553455 Enrollment ID: I20230909000023 |
Provider Name | Tawna Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831639020 PECOS PAC ID: 9537418611 Enrollment ID: I20230909000041 |
Provider Name | Leonora Conte |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841521176 PECOS PAC ID: 3476698234 Enrollment ID: I20230913000234 |
Provider Name | Akosua Neferteti Obeng-aduasare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598311896 PECOS PAC ID: 7911238571 Enrollment ID: I20230914001717 |
Provider Name | Mary Obiyo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396457537 PECOS PAC ID: 2163877564 Enrollment ID: I20231004002238 |
Provider Name | Farrah Fleurima |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588356067 PECOS PAC ID: 7618322728 Enrollment ID: I20231010001994 |
Provider Name | Shana Roushia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699313825 PECOS PAC ID: 9830526466 Enrollment ID: I20231211001369 |
Provider Name | Irena Urszula Lisek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053905166 PECOS PAC ID: 1951751254 Enrollment ID: I20231228003455 |
Provider Name | Amanda Brogna |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275204000 PECOS PAC ID: 0648622274 Enrollment ID: I20240119002615 |
Provider Name | Hollie Kimble |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578962106 PECOS PAC ID: 5799905584 Enrollment ID: I20240222000994 |
Provider Name | Musa Mugenyi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417722612 PECOS PAC ID: 7214224401 Enrollment ID: I20240424001372 |
Provider Name | Amanda Marie Majoros |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699140020 PECOS PAC ID: 5395048235 Enrollment ID: I20240503000534 |
Provider Name | Kelly Barlow |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235498080 PECOS PAC ID: 1254589567 Enrollment ID: I20240530001038 |
Medical Associates Of Ebnhc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4780 | |
Neighborhealth Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756 | |
Excel Physical Therapy, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Neptune Rd Suite 171, East Boston, MA 02128 Phone: 617-895-7684 | |
Internal Medical Associates-ebnhc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756 | |
North Suffolk Community Services Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14 Porter St, East Boston, MA 02128 Phone: 617-569-3189 Fax: 617-569-7890 | |
Central Square Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Central Sq, East Boston, MA 02128 Phone: 617-202-9036 | |
Concentra Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Harborside Dr, East Boston, MA 02128 Phone: 617-265-6500 Fax: 617-568-6573 |