MAESTRO OUTREACH MEDICAL SERVICES, LLC (NPI# 1225332885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225332885 |
| Entity Type | Organization |
| Organization Name | MAESTRO OUTREACH MEDICAL SERVICES, LLC |
| Practice Address |
439 S Union St Building 2, Suite # 107 Lawrence MA 01843-2837 |
| Practice Telephone | 9787941158 |
| Practice Fax Number | 9787941507 |
| Mailing Telephone | 9787941158 |
| Mailing Fax Number | 9787941507 |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2010-12-27 |
| Authorized Official Name | GEORGE M KIONGERA (PRESIDENT & CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9789733749 |
| Authorized Official Credential | NP |
| Is Organization Subpart | Y |
| Parent Organization Name | MAESTRO-CONNECTIONS HEALTH SYSTEMS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 364SP0811X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Chronically Ill |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
439 S UNION ST BUILDING 2, SUITE # 107 |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01843-2837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093793564 | Claudia A Arrigg | Specialist | 439 S Union St, Heritage Place #1101, Lawrence, MA 01843-2800 | 2006-01-05 |
| 1881294742 | Jessica Amaral | Occupational Therapist | 439 S Union St, Lawrence, MA 01843-2837 | 2020-10-29 |
| 1487132833 | Susan O'connor | Social Worker | 439 S Union St, Lawrence, MA 01843-2837 | 2018-07-29 |
| 1033609177 | Sovannimul Bou | Social Worker | 439 S Union St, Lawrence, MA 01843-2837 | 2018-05-15 |
| 1346750734 | Rebecca S Graves | Social Worker | 439 S Union St, Lawrence, MA 01843-2837 | 2017-10-11 |
| 1356850762 | Sydney Alexzandria Vaughn | Counselor | 439 S Union St, Lawrence, MA 01843-2837 | 2017-09-28 |
| 1750890141 | Dhariana Marie Rodriguez | Counselor | 439 S Union St, Lawrence, MA 01843-2837 | 2017-09-28 |
| 1093224560 | Joel S Tirone | Counselor | 439 S Union St, Lawrence, MA 01843-2837 | 2017-09-27 |
| 1437679792 | Lesly Cano | Student in an Organized Health Care Education/Training Program | 439 S Union St, Lawrence, MA 01843-2837 | 2017-06-27 |
| 1073043998 | Joseph Frank Spinale | Counselor | 439 S Union St, Lawrence, MA 01843-2837 | 2017-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466703 | Jean A Schrow | Student in an Organized Health Care Education/Training Program | 350 Merrimack Street Bldg 5, Lawrence, MA 01843 | 2020-01-23 |
| 1053959049 | Carolyn O'connor | Occupational Therapist | 439 S. Union St, Bldg. 1, Ste. 110, Lawrence, MA 01843 | 2019-12-20 |
| 1578120754 | My Dental Lawrence Pllc | Clinic/Center | My Dental Lawrence Pllc, 465 South Broadway, Lawrence, MA 01843 | 2019-05-23 |
| 1336600071 | Michelle Ann Guillette | Counselor | 360 Merrimack St Bldg. 9, Entrance H, Lawrence, MA 01843 | 2019-03-26 |
| 1629540158 | Kathleen D Coale | Physical Therapist | Heritage Place, Building 1, Suite 101, 439 South Union Street, Lawrence, MA 01843 | 2018-12-21 |
| 1306334933 | Jannice Mari Adorno | Community/Behavioral Health | 34 Farnham Street, Lawrence, MA 01843 | 2018-04-30 |
| 1710489935 | Maureen Lyn Deangelis | Social Worker | Robert Frost Elementary School, 33 Hamlet Street, Lawrence, MA 01843 | 2018-03-03 |
| 1215448733 | Henry Joseph De Lima | Social Worker | 360 Merrimack Street, Bldg 9, 3rd Floor, Lawernce, MA 01843 | 2017-10-24 |
| 1710404090 | Awilda M Pimentel | Counselor | 111 River Pointe Way, Lawrence, MA 01843 | 2017-08-28 |
| 1215454772 | Yu Yu Chen | Counselor | 439 S.union St, Suite 116, Lawrence, MA 01843 | 2017-08-25 |
| Find all providers in zip 01843 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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 Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932175049 | Tanya Deanne Campus | Family Medicine | 150 Park St, Lawrence, MA 01841-2517 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316081003 | John F Donaldson | Family Medicine | 14 Roundwood Rd, Natick, MA 01760-2131 | 2007-02-16 |
| 1811053440 | Jerome Lewis Avorn | Family Medicine | Brigham and Women's Hospital Division of Pharmaco, 1620 Tremont Street, Boston, MA 02120 | 2006-12-28 |
| 1386685188 | Curtis Mock | Family Medicine | 23 Kelton St, Rehoboth, MA 02769-2530 | 2006-06-10 |
| 1932147444 | Stephanie L Groll | Family Medicine | 274 Spring St, Marshfield, MA 02050-5828 | 2006-06-04 |
| 1922057017 | Murali Ramadurai | Family Medicine | 83 Littlefield Rd, Newton, MA 02459-3010 | 2006-05-08 |
| 1669446597 | Bruce Steven Finke | Family Medicine | 45 Vernon St, Northampton, MA 01060-2845 | 2006-02-15 |
| 1427022672 | Fahim A Kazi | Family Medicine | 98 Shaker Rd, East Longmeadow, MA 01028 | 2006-02-15 |
| 1831160860 | Daphne Eleanor Schneider | Family Medicine | 236 Highland Ave, 2nd Floor, Somerville, MA 02143-1495 | 2006-01-28 |
| 1396723110 | David Wahl | Family Medicine | 62 Market St, Lynn, MA 01902 | 2006-01-03 |
| 1417943382 | Richard Peter Brunswick | Family Medicine | 43 Center St, Suite 302, Northampton, MA 01060-3063 | 2005-09-26 |
| Find all providers with the same taxonomy | ||||
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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.