DR. PRESCOTT P LEE (NPI# 1083615462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083615462 |
| Entity Type | Individual |
| Full Name | DR. PRESCOTT P LEE |
| Credential | MD |
| Practice Address |
100 Brooksby Village Dr Peabody MA 01960-1438 |
| Mailing Address |
701 Maiden Choice Ln Baltimore MD 21228-5968 |
| Practice Telephone | 9785367850 |
| Practice Fax Number | 9785367051 |
| Mailing Telephone | 4104022257 |
| Mailing Fax Number | 4104022264 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2010-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
231263 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| EVERCARE | 0430282 | 01 | |
| MA | 110084444A | 05 | |
| TRICARE | 522239464 | 01 | |
| BCBS | 1083615462 | 01 |
| Street Address |
100 BROOKSBY VILLAGE DR |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962407536 | Randolph S. Powers | Family Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2005-06-20 |
| 1881104032 | Caroline Margaret Sims | Social Worker | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2017-10-02 |
| 1639447006 | Erickson Health Medical Group of Massachusetts, P.c . | Assisted Living Facility | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2011-12-13 |
| 1215229620 | Sarah Robertson | Nurse Practitioner | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2011-05-04 |
| 1265688352 | Erickson Health Medical Group of Ma | Durable Medical Equipment & Medical Supplies | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2008-08-08 |
| 1669656187 | Donna M Agave | Nurse Practitioner | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2007-12-19 |
| 1992852099 | Dennis A Tuck | Podiatrist | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2007-01-04 |
| 1326115106 | Main Street Pharmacy, LLC | Pharmacy | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-11-29 |
| 1154337681 | Ajaykumar S Patel | Internal Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-08-01 |
| 1164442919 | Erickson Health Medical Group of Massachusetts PC | Family Medicine | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-07-21 |
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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 |
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| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1942799937 | Behlau Medical Pllc | Internal Medicine | 221 Conant Rd, Westwood, MA 02090-1019 | 2018-05-04 |
| 1376938993 | Jehan F. Chowdhury | Internal Medicine | 800 Washington St # 7010, Boston, MA 02111 | 2015-03-31 |
| 1285036434 | Sarimer Sanchez | Internal Medicine | 55 Fruit St # Street5, Boston, MA 02114 | 2014-09-18 |
| 1932494663 | Maureen Robin Tierney | Internal Medicine | 5 Captain Towne Road, East Sandwich, MA 02537 | 2011-06-10 |
| 1770816506 | Total Wellness Centers, LLC | Internal Medicine | 244 Main Street Annex, Northampton, MA 01061-0032 | 2009-09-11 |
| 1932343563 | Glenn Laurence Cooper | Internal Medicine | 196 Old Connecticut Path, Wayland, MA 01778-3124 | 2009-04-27 |
| 1114189651 | Steven Scott Mccallister | Internal Medicine | 134 Coolidge Ave, Watertown, MA 02472-2815 | 2008-06-26 |
| 1538326996 | Eirini Iliaki | Internal Medicine | 45 Roberts Rd, Cambridge, MA 02138-3227 | 2008-05-21 |
| 1679762835 | Cecile L Tremblay | Internal Medicine | Mgh Gray 5, I.d. Unit, 55 Fruit Street, Boston, MA 02114 | 2007-10-23 |
| 1821289489 | Robert M Roth | Internal Medicine | 275 Grove St Ste 1-110, Mckesson Health Solutions, Auburndale, MA 02466-2275 | 2007-08-07 |
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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.