LGH MEDICAL GROUP, INC (NPI# 1053598367) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053598367 |
| Entity Type | Organization |
| Organization Name | LGH MEDICAL GROUP, INC |
| Practice Address |
295 Varnum Ave Lowell MA 01854 |
| Mailing Address |
295 Varnum Ave Lowell MA 01854-2134 |
| Practice Telephone | 9787887143 |
| Mailing Telephone | 9787887143 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Authorized Official Name | MR. RICHARD JEFFCOTE (CGO) |
| Authorized Official Telephone | 9789376350 |
| Is Organization Subpart | Y |
| Parent Organization Name | LGH CORP. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | LGH MEDICAL GROUP, INC. | 295 Varnum Avenue, Lowell, MA 01854 |
| Street Address |
295 VARNUM AVE |
| City | LOWELL |
| State | MA |
| Zip Code | 01854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931597 | Jonas J Berman | Radiology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2005-06-02 |
| 1437758125 | Amy Marie Dellogono | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-10-22 |
| 1720686108 | Emily Rose Claude | Family Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-10-16 |
| 1265041305 | The Lowell General Hospital | Emergency Medical Technician, Paramedic | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-07-24 |
| 1639714744 | Shara A King | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-12 |
| 1861036451 | Obhg Massachusetts - Lowell PC | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-06 |
| 1871147264 | Ronald Wilson Makarutsa | Registered Nurse | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-07-24 |
| 1780236786 | Andrea Jennifer Desmond | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-07-10 |
| 1235791831 | Nicole Nolan | Pharmacist | 295 Varnum Ave, Lowell, MA 01854-2193 | 2019-07-03 |
| 1578123253 | Alec Garabedian | Nurse Anesthetist, Certified Registered | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-06-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205037 | The Practice Ob/gyn Steward, PC | Obstetrics & Gynecology | 275 Varnum Ave Ste 103, Lowell, MA 01854-2109 | 2020-08-12 |
| 1629143235 | The Woman's Wellness Center, P.C. | Obstetrics & Gynecology | 317 W. Commercial Avenue, Lowell, IN 46356-2215 | 2006-11-21 |
| 1902831969 | Carlos A Madrid Jr. | Obstetrics & Gynecology | 275 Varnum Anenue, Apt. #208, Lowell, MA 01854 | 2006-07-11 |
| 1619419082 | The Practice - Ob/gyn, P.C. | Obstetrics & Gynecology | 275 Varnum Ave, 103, Lowell, MA 01854-2141 | 2016-11-16 |
| 1043669823 | Janelle Kristen Whitney-nguyen | Obstetrics & Gynecology | 161 Jackson St, Lowell, MA 01852-2103 | 2016-06-12 |
| 1538459656 | Richard Thomas Burke | Obstetrics & Gynecology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2011-04-11 |
| 1326337098 | Elizabeth Mikhael Emberley | Obstetrics & Gynecology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2011-04-04 |
| 1891962478 | Ibrahim Joulak | Obstetrics & Gynecology | 275 Varnum Ave, 103, Lowell, MA 01854-2141 | 2008-05-13 |
| 1609047695 | Nonnie M. Estella, Md P.C. | Obstetrics & Gynecology | 295 Varnum Ave, 3rd Floor Hanchett Building, Lowell, MA 01854-2134 | 2008-03-18 |
| 1427245422 | John C. Hughes, M.d. | Obstetrics & Gynecology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2007-10-03 |
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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.