DIMITRA A MANESIS (NPI# 1023074952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023074952 |
| Entity Type | Individual |
| Full Name | DIMITRA A MANESIS |
| Credential | M.D. |
| Practice Address |
2 Essex Center Dr Internal Medicine Peabody MA 01960-2902 |
| Mailing Address |
147 Milk St Provider Enrollment - 9th Floor Boston MA 02109-4806 |
| Practice Telephone | 9789774000 |
| Mailing Telephone | 6175598374 |
| Mailing Fax Number | 6174213487 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | 52313 | MA | Allopathic & Osteopathic Physicians |
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
52313 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0120871 | 05 |
| Street Address |
2 ESSEX CENTER DR INTERNAL MEDICINE |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972596054 | Barbara E. Dinenno | Physical Therapist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2005-08-24 |
| 1013515048 | Meaghan Clarke | Physical Therapist | 2 Essex Center Dr, Peabody, MA 01960-2926 | 2020-10-12 |
| 1902385008 | Darina Carcerano | Nurse Practitioner | 2 Essex Center Dr, Peabody, MA 01960 | 2018-08-09 |
| 1457859969 | Michelle Kristen Ambler | Social Worker | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2018-01-30 |
| 1679023873 | Barry C Jones | Pharmacist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2016-10-11 |
| 1740637669 | Julianne Sullivan | Nurse Practitioner | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2016-05-20 |
| 1194194951 | Tena Maria Rallis | Dermatology | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2015-09-22 |
| 1790102291 | Timothy Karthas | Podiatrist | 2 Essex Center Dr, Peabody, MA 01960-2926 | 2014-03-21 |
| 1265778294 | Svetlana M Moheydeen | Special Hospital | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2012-12-19 |
| 1295093045 | Andrea R Morris | Optometrist | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2012-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699889261 | Alexander Katz | Family Medicine | 6 Essex Center Dr Ste 211, Peabody, MA 01960-2906 | 2006-08-19 |
| 1699921866 | Damian Kelvin Luther Archer | Family Medicine | 89 Foster St, Peabody, MA 01960-8925 | 2008-08-07 |
| 1912912700 | Alain A. Chaoui Md PC | Family Medicine | 1 Roosevelt Ave, Peabody, MA 01960-2200 | 2006-07-30 |
| 1164442919 | Erickson Health Medical Group of Massachusetts PC | Family Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-07-21 |
| 1023057551 | Aliza D Acker-bernstein | Family Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-06-06 |
| 1255370243 | Azra J Ali | Family Medicine | 89 Foster St, Peabody, MA 01960-8925 | 2006-06-05 |
| 1528014305 | Margaret S Simons | Family Medicine | One Roosevelt Ave, Peabody, MA 01960 | 2006-05-25 |
| 1023064789 | Alain Albert Chaoui | Family Medicine | 1 Roosevelt Ave, Suite 201, Peabody, MA 01960-2200 | 2006-05-25 |
| 1316998305 | Heritage Medical Associates, P.a. | Family Medicine | 500 W 4th St, Peabody, KS 66866-1103 | 2006-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966806 | Eliana Decastro Cuellar | Family Medicine | 1030 President Ave Ste 1001, Fall River, MA 02720-5923 | 2020-09-12 |
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1588290324 | Lighthouse Primary Care PC | Family Medicine | 315 Main St Ste 101, North Reading, MA 01864-1326 | 2020-03-12 |
| 1730714106 | Berkshire Whole Health PC | Family Medicine | 8 Pine St, Stockbridge, MA 01262-9706 | 2020-03-06 |
| 1578100889 | Kelly Ramappa | Family Medicine | 96 Temple St, West Newton, MA 02465-2307 | 2019-12-05 |
| 1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
| 1154962942 | Molly Rose Lodigiani | Family Medicine | 275 Cypress St Apt 105, Brookline, MA 02445-6774 | 2019-10-02 |
| 1699316539 | Luisa Alejandra Centeno Silva | Family Medicine | 4785 Washington St # 2, West Roxbury, MA 02132-2113 | 2019-10-02 |
| 1609427962 | Jessica Blanchard | Family Medicine | 100 Leominster Rd, Sterling, MA 01564-2156 | 2019-09-26 |
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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.