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47 Congress St Salem MA 01970-7308 | |
| (978) 744-8388 | |
| (978) 744-0079 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 47 Congress St, Salem, Massachusetts |
| Authorized Official Name and Position | Margaret Brennan (CEO) |
| Authorized Official Contact | 9788251109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
27 Congress St Suite 103 Salem MA 01970-7309 Ph: (978) 744-8388 | 47 Congress St Salem MA 01970-7308 Ph: (978) 744-8388 |
| NPI Number | 1588910384 |
|---|---|
| Provider Enumeration Date | 07/30/2012 |
| Last Update Date | 09/27/2012 |
| Medicare PECOS PAC ID | 4880666452 |
|---|---|
| Medicare Enrollment ID | O20040812001007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588910384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 4M9K (Massachusetts) | Primary |
| Provider Name | Michael D Medlock |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1902887185 PECOS PAC ID: 4880684109 Enrollment ID: I20040517001313 |
| Provider Name | Bari Sue Brodsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467550285 PECOS PAC ID: 0042246373 Enrollment ID: I20050708000756 |
| Provider Name | Heidi S Primason |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942466818 PECOS PAC ID: 5597833616 Enrollment ID: I20081002000442 |
| Provider Name | David W Toth |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1760458772 PECOS PAC ID: 1557253879 Enrollment ID: I20090904000240 |
| Provider Name | Susan M Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679873145 PECOS PAC ID: 9739369265 Enrollment ID: I20110215000816 |
| Provider Name | Allison W Kilcoyne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215053525 PECOS PAC ID: 2668617267 Enrollment ID: I20130403000091 |
| Provider Name | Amer El-haddad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689987885 PECOS PAC ID: 0749416808 Enrollment ID: I20131119001208 |
| Provider Name | Robert Slocum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174639678 PECOS PAC ID: 7315942117 Enrollment ID: I20131210000092 |
| Provider Name | Laura E Mayer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215295878 PECOS PAC ID: 7113149105 Enrollment ID: I20141106001116 |
| Provider Name | Azra Jabeen Ali |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255370243 PECOS PAC ID: 1658518048 Enrollment ID: I20160624000275 |
| Provider Name | Heather Delisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386098960 PECOS PAC ID: 8527354182 Enrollment ID: I20160907002114 |
| Provider Name | Ellen S Reece |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306140280 PECOS PAC ID: 2264729466 Enrollment ID: I20160930001149 |
| Provider Name | Anna M Berrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578616983 PECOS PAC ID: 7517249329 Enrollment ID: I20170131000049 |
| Provider Name | Kara Pesola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326495151 PECOS PAC ID: 8921384231 Enrollment ID: I20170420001120 |
| Provider Name | Catherine Doyle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366840993 PECOS PAC ID: 6608143094 Enrollment ID: I20170607000540 |
| Provider Name | Klavdia Brisson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114338530 PECOS PAC ID: 2365714771 Enrollment ID: I20170821000532 |
| Provider Name | Laura B Holland |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285825406 PECOS PAC ID: 2769709161 Enrollment ID: I20180507001973 |
| Provider Name | George Njoroge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013420272 PECOS PAC ID: 0446556336 Enrollment ID: I20180517002256 |
| Provider Name | Leah S Kims |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619387321 PECOS PAC ID: 2264757087 Enrollment ID: I20180525000904 |
| Provider Name | Susana Pellecer Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275047847 PECOS PAC ID: 3971845348 Enrollment ID: I20190506000330 |
| Provider Name | Romy Nehme |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871907576 PECOS PAC ID: 8628369444 Enrollment ID: I20190725001528 |
| Provider Name | Kathryn V Oas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184181380 PECOS PAC ID: 1658603774 Enrollment ID: I20191022003716 |
| Provider Name | Mary Agyemang Adinkrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265716211 PECOS PAC ID: 8325475692 Enrollment ID: I20200226001077 |
| Provider Name | Gia T Leach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093225526 PECOS PAC ID: 1052749538 Enrollment ID: I20200316001850 |
| Provider Name | Erika E Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366094963 PECOS PAC ID: 5193148633 Enrollment ID: I20200701000151 |
| Provider Name | Cheralyn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568871549 PECOS PAC ID: 5294149548 Enrollment ID: I20210127001568 |
| Provider Name | Elizabeth Barreto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548895741 PECOS PAC ID: 4981013398 Enrollment ID: I20210513002710 |
| Provider Name | Victoria Pena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487293767 PECOS PAC ID: 0446656656 Enrollment ID: I20210913002232 |
| Provider Name | Mary Ann Angela Parente |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609033752 PECOS PAC ID: 5193122521 Enrollment ID: I20210927003270 |
| Provider Name | Rachel Elizabeth Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154900082 PECOS PAC ID: 2365840287 Enrollment ID: I20211007001144 |
| Provider Name | Brittney Pfohl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801149737 PECOS PAC ID: 7214174580 Enrollment ID: I20211215001945 |
| Provider Name | Kristin E Philbrick Darden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942278049 PECOS PAC ID: 7517855133 Enrollment ID: I20220309002728 |
| Provider Name | Mary Prum Taljic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063185742 PECOS PAC ID: 1951796358 Enrollment ID: I20220322001733 |
| Provider Name | Jennifer Amanda Almeida |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902478142 PECOS PAC ID: 5092187864 Enrollment ID: I20230206001063 |
| Provider Name | Zainab Jimada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275297533 PECOS PAC ID: 9931571494 Enrollment ID: I20230810004074 |
| Provider Name | Catherine Adams Mcdonough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801916218 PECOS PAC ID: 1759687502 Enrollment ID: I20230821000456 |
| Provider Name | Sherry Ann Duggan-torrisi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861156663 PECOS PAC ID: 2264886688 Enrollment ID: I20231003002681 |
| Provider Name | Cristina F James |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609503762 PECOS PAC ID: 8628424777 Enrollment ID: I20231025001446 |
| Provider Name | Keziah Catherine Nalukwago |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770201915 PECOS PAC ID: 5395194328 Enrollment ID: I20231215000578 |
| Provider Name | Jailene Angelica Roman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174274385 PECOS PAC ID: 8921457953 Enrollment ID: I20231215000605 |
| Provider Name | Aanuoluwapo Akinjagunla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407516164 PECOS PAC ID: 5597114405 Enrollment ID: I20231218000319 |
| Provider Name | Meghan M Tupper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639944093 PECOS PAC ID: 2062865959 Enrollment ID: I20240126002441 |
| Provider Name | Melissa Judith Glassman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376676502 PECOS PAC ID: 2466892906 Enrollment ID: I20240430004151 |
| Provider Name | Michelle S Mock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811674740 PECOS PAC ID: 5193258747 Enrollment ID: I20241104003046 |
Neuronorwell Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Linden Ave, Salem, MA 01970 Phone: 508-212-2074 | |
Gastrointestinal Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Highland Ave, Ste 304, Salem, MA 01970 Phone: 978-741-4171 Fax: 978-741-4283 | |
Alicorn Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 63 1/2 Jefferson Ave, Salem, MA 01970 Phone: 202-276-3074 | |
North Shore Community Health, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 27 Congress St, Salem, MA 01970 Phone: 978-744-8388 Fax: 978-744-0079 | |
Ryan Zaklin Md Ma Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 84 Highland Ave Ste 311, Salem, MA 01970 Phone: 978-998-0010 |