NORTH SHORE UROLOGICAL ASSOC., INC (NPI# 1083636567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083636567 |
| Entity Type | Organization |
| Organization Name | NORTH SHORE UROLOGICAL ASSOC., INC |
| Practice Address |
75 Herrick Street Parkhurst Medical Building, Suite 219 Beverly MA 01915 |
| Mailing Address |
Parkhurst Medical Building, Suite 219 75 Herrick Street Beverly MA 01915 |
| Practice Telephone | 9789270714 |
| Practice Fax Number | 9789279135 |
| Mailing Telephone | 9789270714 |
| Mailing Fax Number | 9789279135 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2008-06-10 |
| Authorized Official Name | DR. JOHN S LEDBETTER (PRESIDENT) |
| Authorized Official Telephone | 9789270714 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
75 HERRICK STREET PARKHURST MEDICAL BUILDING, SUITE 219 |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043377625 | Charles Mcgregor Troy II | Social Worker | 75 Herrick Street, Parkhurst Medical Bldg Suite 109, Beverly, MA 01915-5900 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1376077552 | Sports Medicine North Orthopaedic Surgery, Inc. | Specialist | 30 Tozer Rd, Beverly, MA 01915-5510 | 2017-04-14 |
| 1619361920 | Brynn Palmer | Specialist | 197 Cabot St Apt 3, Beverly, MA 01915 | 2015-03-25 |
| 1154728384 | Just Breathe Services, LLC | Specialist | 6 Northridge Rd, Beverly, MA 01915-7003 | 2014-12-03 |
| 1609207687 | Michelle Giovanni | Specialist | 11 Dodge St, Beverly, MA 01915-1712 | 2013-12-02 |
| 1417164286 | Kathy L. Abbott | Specialist | 132 Water St, Beverly, MA 01915-5047 | 2007-05-17 |
| 1649337312 | Peter Janney | Specialist | 102 Lothrop St, Beverly, MA 01915-5230 | 2007-01-02 |
| 1083681795 | Christine Kannler | Specialist | 138 Conant St Ste 1, Beverly, MA 01915-1666 | 2006-03-01 |
| 1689668477 | Hubert Johnson | Specialist | 500 Cummings Ctr, Suite 1650, Beverly, MA 01915-6142 | 2005-09-07 |
| 1932685120 | Nancy Brown | Specialist | 6 Echo Ave, Beverly, MA 01915-2417 | 2018-07-11 |
| Find all providers in BEVERLY | ||||
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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.