PETER R SHECKMAN (NPI# 1013963883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013963883 |
| Entity Type | Individual |
| Full Name | PETER R SHECKMAN |
| Credential | MD |
| Practice Address |
496 Lynnfield St Lynn MA 01904 |
| Mailing Address |
Po Box 930 Salem MA 01970 |
| Practice Telephone | 7815933400 |
| Practice Fax Number | 7814771195 |
| Mailing Telephone | 9788256581 |
| Mailing Fax Number | 9788257070 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207R00000X | Internal Medicine | 38295 | MA | Allopathic & Osteopathic Physicians |
| X | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
38295 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2056046 | 05 |
| Street Address |
496 LYNNFIELD ST |
| City | LYNN |
| State | MA |
| Zip Code | 01904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295796399 | William A Whitfield II | Internal Medicine | 496 Lynnfield St, Suite 107, Lynn, MA 01904-1423 | 2006-03-29 |
| 1710480793 | Philip Gawrys | Nurse Practitioner | 496 Lynnfield St, Lynn, MA 01904-1423 | 2018-03-15 |
| 1750824124 | Charter Health PC | Internal Medicine | 496 Lynnfield St, Suite 104, Lynn, MA 01904-1423 | 2016-12-02 |
| 1154768281 | Oliver Gregory | Internal Medicine | 496 Lynnfield St, Lynn, MA 01904-1423 | 2013-05-30 |
| 1649408360 | Irena Danic | Internal Medicine | 496 Lynnfield St, Lynn, MA 01904-1423 | 2009-07-01 |
| 1447414602 | Smita B Kolli | Family Medicine | 496 Lynnfield St, Lynn, MA 01904-1423 | 2008-07-16 |
| 1669678298 | Hans C Jeppesen | Internal Medicine | 496 Lynnfield St, Suite 104, Lynn, MA 01904-1423 | 2007-06-21 |
| 1649349523 | Harold L Freedman | Orthopaedic Surgery | 496 Lynnfield St, Suite 103, Lynn, MA 01904 | 2006-11-07 |
| 1336254150 | Plastic Surgery Services PC | Plastic Surgery | 496 Lynnfield St, Ste 103 West Medical Bldg, Lynn, MA 01904 | 2006-08-20 |
| 1336253228 | Sheldon J Sevinor | Plastic Surgery | 496 Lynnfield St, Suite 103, Lynn, MA 01904 | 2006-08-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528546991 | Dorothy Perry | Social Worker | Bayridge Hospital 60 Granite St, Lynn, MA 01904 | 2018-07-30 |
| 1700301876 | Chris-ann Dawkins | Behavioral Analyst | 169 Den Quarry Road, Lynn, MA 01904 | 2017-08-09 |
| 1063953594 | Juli M Knight | Specialist/Technologist, Other | 9 Boston St, 2nd Floor, Lynn, MA 01904 | 2017-03-16 |
| 1396972832 | Ryan Gosselin | Internal Medicine | 496 Lynnfield St., Lynn, MA 01904 | 2009-06-11 |
| 1366645665 | Robert E Sloane Md PC | Surgery | 480 Lynnfield Street, Lynn East Medical Bldg, Lynn, MA 01904 | 2007-06-06 |
| 1881895290 | Joseph T. Pinho | Counselor | Children's Friends, 30 Boston St., Lynn, MA 01904 | 2007-05-31 |
| 1033271010 | Prabakar Thyagarajan | Psychiatry & Neurology | 60 Granite Street, Bayridge Hospital, Lynn, MA 01904 | 2006-12-15 |
| 1376616029 | Walter J Nalesnik Jr. | Internal Medicine | 225 Boston Street, 204, Lynn, MA 01904 | 2006-11-17 |
| 1568531515 | Kerry Ann Washburn | Counselor | 30 Boston Street, Children's Friend, Lynn, MA 01904 | 2006-11-06 |
| 1033121033 | Joseph A Wescott | Dentist | 341 Western Avenue, Lynn, MA 01904 | 2006-08-12 |
| Find all providers in zip 01904 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396972832 | Ryan Gosselin | Internal Medicine | 496 Lynnfield St., Lynn, MA 01904 | 2009-06-11 |
| 1376616029 | Walter J Nalesnik Jr. | Internal Medicine | 225 Boston Street, 204, Lynn, MA 01904 | 2006-11-17 |
| 1568464279 | Alexandre Alexeyenko | Internal Medicine | 24 State St, Lynn, MA 01901-1505 | 2005-08-12 |
| 1619979408 | Irina G Natapov | Internal Medicine | 34 State St, Lynn, MA 01901-1505 | 2005-08-11 |
| 1528504651 | All Care Hospice Inc | Internal Medicine | 210 Market St, Lynn, MA 01901-1536 | 2017-01-12 |
| 1750824124 | Charter Health PC | Internal Medicine | 496 Lynnfield St, Suite 104, Lynn, MA 01904-1423 | 2016-12-02 |
| 1902216021 | Marianne Bauer | Internal Medicine | 269 Union St, Lynn, MA 01901-1314 | 2014-04-28 |
| 1154768281 | Oliver Gregory | Internal Medicine | 496 Lynnfield St, Lynn, MA 01904-1423 | 2013-05-30 |
| 1821340332 | Alexeyenko Medical Associates Lynn | Internal Medicine | 24 State St, Lynn, MA 01901-1505 | 2012-10-08 |
| 1144546185 | Mercedes Freije Ibanez | Internal Medicine | 269 Union St, Lynn, MA 01905 | 2010-04-15 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.