MARK JOSEPH MANCINELLI (NPI# 1093757932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093757932 |
| Entity Type | Individual |
| Full Name | MARK JOSEPH MANCINELLI |
| Credential | D.C. |
| Practice Address |
100 Corporate Pl Suite 103 Peabody MA 01960-3865 |
| Mailing Address |
15 Sylvan Cir Lynnfield MA 01940-1534 |
| Practice Telephone | 7817189920 |
| Mailing Telephone | 7815924235 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 930 | MA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | CHIROPRACTOR | MASS # 930 | 01 |
| Street Address |
100 CORPORATE PL SUITE 103 |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-3865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376536680 | Gregory Francis Surman | Physical Therapist | 100 Corporate Pl, Suite 103, Peabody, MA 01960-3865 | 2005-08-23 |
| 1730561853 | Mekks Home Health Care LLC | Home Health | 100 Corporate Pl, Suite 301, Peabody, MA 01960-3865 | 2015-06-25 |
| 1861599136 | Thomas R Cookson Inc | Physical Therapist | 100 Corporate Pl, Suite 103, Peabody, MA 01960-3865 | 2006-09-20 |
| 1831182716 | Michelle Cullinane | Physical Therapist | 100 Corporate Pl, Suite 103, Peabody, MA 01960-3865 | 2005-08-25 |
| 1023001344 | Thomas Russell Cookson | Physical Therapist | 100 Corporate Pl, Suite 103, Peabody, MA 01960-3865 | 2005-08-23 |
| 1376536698 | Rena Dierdre Walsh-noring | Physical Therapist | 100 Corporate Pl, Suite 103, Peabody, MA 01960-3865 | 2005-08-23 |
| 1255324570 | Susan Koenig | Physical Therapist | 100 Corporate Pl, Suite 103, Peabody, MA 01960-3865 | 2005-08-23 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255548715 | Todd C Buckley PC | Chiropractor | 379 Lowell St, Peabody, MA 01960-2720 | 2007-05-16 |
| 1740377712 | Michael Charles Davekos | Chiropractor | 13 Margin St, Peabody, MA 01960-1925 | 2006-10-09 |
| 1669567160 | Todd C Buckley | Chiropractor | 379 Lowell Street, Peabody, MA 01960 | 2006-10-03 |
| 1811088503 | Wayne W Reetz | Chiropractor | 2 Mount Pleasant Drive, Peabody, MA 01960 | 2006-09-27 |
| 1629098272 | Timothy E O'leary | Chiropractor | 49 Central St, Peabody, MA 01960-4375 | 2006-07-19 |
| 1285692335 | Scott M. Kline | Chiropractor | 15 Chestnut St, Back On Track Chiropractic, Peabody, MA 01960 | 2006-05-01 |
| 1235251604 | Back On Track Chiropractic, LLC | Chiropractor | 15 Chestnut St, Peabody, MA 01960-5429 | 2007-04-04 |
| 1770696700 | Blomerth Chiropractic | Chiropractor | 215 Newbury St, Suite 102, Peabody, MA 01960-2414 | 2006-08-16 |
| 1811903750 | Steven A Blomerth | Chiropractor | 215 Newbury St, Suite 102, Peabody, MA 01960-2414 | 2006-07-31 |
| 1730194424 | Ellen Marie Blomerth | Chiropractor | 215 Newbury St, Suite 102, Peabody, MA 01960-2414 | 2006-07-30 |
| Find all providers in PEABODY | ||||
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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.