DR. CAROLYN J. SPORN I (NPI# 1386690451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386690451 |
| Entity Type | Individual |
| Full Name | DR. CAROLYN J. SPORN I |
| Practice Address |
Lahey Hospital & Medical Center 41 Mall Road Burlington MA 01805-0001 |
| Practice Telephone | 7817448100 |
| Practice Fax Number | 7817445213 |
| Mailing Telephone | 7817448100 |
| Mailing Fax Number | 7817445213 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 253295 | MA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | D0058461 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 386060400 | 05 |
| Street Address |
LAHEY HOSPITAL & MEDICAL CENTER 41 MALL ROAD |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982695664 | Thomas M Ruenger | Dermatology | Lahey Hospital & Medical Center, 67 S. Bedford Street, Burlington, MA 01805-5108 | 2005-11-02 |
| 1609346394 | Kristell Ann Kloack | Nurse Practitioner | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2018-11-26 |
| 1851868657 | Constance C Orlando | Nurse Anesthetist, Certified Registered | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2018-10-30 |
| 1346729860 | Andrea K Janda | Physician Assistant | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2018-08-07 |
| 1518444603 | Ngozi Otaluka | Nurse Practitioner | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2018-07-23 |
| 1427553072 | Rachel M Morra | Physician Assistant | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2018-03-27 |
| 1619485885 | Patrick Titterington | Optometrist | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2018-01-22 |
| 1235643214 | Katherine Leigh Sohm | Nurse Practitioner | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2017-11-29 |
| 1831612217 | Abigail D West | Registered Nurse | Lahey Hospital & Medical Center, 41 Mall Rd, Burlington, MA 01805-0001 | 2017-07-18 |
| 1073065587 | Livia Kelly | Registered Nurse | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2016-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922449115 | Luay Mrad | Emergency Medicine | 111 Colchester Ave # 222wp2, Burlington, VT 05401-1473 | 2013-07-16 |
| 1629330410 | Fraser Colin Mackay | Emergency Medicine | Lahey Hospital & Medical Center 41 Mall Rd, Burlington, MA 01805-0001 | 2012-06-08 |
| 1437424868 | Traci Marlene Little | Emergency Medicine | 2287 May Dr, Burlington, NC 27215-5350 | 2012-03-19 |
| 1730309899 | Tristram C Dammin | Emergency Medicine | 41 Mall Raod, Burlington, MA 01805-0001 | 2007-04-30 |
| 1841355195 | Philip S Carney Jr. | Emergency Medicine | 333 Emerson St, Burlington, WI 53105-2113 | 2006-12-27 |
| 1174616643 | James Donald Strickland | Emergency Medicine | 2708 Sturbridge Court, Burlington, NC 27215 | 2006-10-02 |
| 1710914312 | Howard L Leibrand | Emergency Medicine | 3800 S Burlington Blvd, Burlington, WA 98233-3314 | 2006-06-27 |
| 1184666315 | Mark Anthony Gendreau | Emergency Medicine | Lahey Hospital & Medical Ctr, 41 Mall Rd, Burlington, MA 01805-0001 | 2006-06-12 |
| 1144210113 | Jerry L Tolbert | Emergency Medicine | 1838 Florence Pike, Suite B, Burlington, KY 41005-7996 | 2005-10-21 |
| 1336135359 | Robb Jay Wiegand | Emergency Medicine | 1240 Huffman Mill Rd, Alamance Regional Medical Center, Burlington, NC 27215-8700 | 2005-09-26 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
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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.