MARBLEHEAD PEDIATRICS (NPI# 1386794584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386794584 |
| Entity Type | Organization |
| Organization Name | MARBLEHEAD PEDIATRICS |
| Practice Address |
70 Atlantic Ave Marblehead MA 01945-3042 |
| Practice Telephone | 7816317800 |
| Practice Fax Number | 7816314319 |
| Mailing Telephone | 7816317800 |
| Mailing Fax Number | 7816314319 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2013-12-19 |
| Authorized Official Name | DR. RICHARD M MILLER (VICE-PRESIDENT) |
| Authorized Official Telephone | 7816317800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9718338 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | MARBLEHEAD PEDIATRICS, INC. | 70 Atlantic Ave., Marblehead, MA 01945 |
| Street Address |
70 ATLANTIC AVE |
| City | MARBLEHEAD |
| State | MA |
| Zip Code | 01945-3042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144290537 | Philomena A Asante | Pediatrics | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2006-01-26 |
| 1598219578 | Hillary Seth Johnson | Nurse Practitioner | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2016-08-08 |
| 1740646637 | Outpatient Center of Adam Ciccio, Lmhc, P.C. | Counselor | 70 Atlantic Ave, Unit 8, Marblehead, MA 01945-3042 | 2016-01-07 |
| 1457483307 | Geraldine A Yuhas | Nurse Practitioner | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2007-03-09 |
| 1629100599 | Rebecca Lynn Ehrenberg | Nurse Practitioner | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2007-03-09 |
| 1467520361 | Tracey G Green | Acupuncturist | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2006-12-01 |
| 1821017195 | Cheryl Ann Kerns | Pediatrics | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2006-07-18 |
| 1770540908 | Charles M Louden | Pediatrics | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2006-05-01 |
| 1235194713 | Richard Michael Miller | Pediatrics | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801372271 | Jill Barri Schwartz | Social Worker | 49 Gerald Rd, Marblehead, MA 01945 | 2018-07-18 |
| 1588075550 | Seaport Chiropractic | Point of Service | 28 Bessom Street, Marblehead, MA 01945 | 2014-05-13 |
| 1295163905 | Jennifer Ann Downey Wolcott | Counselor | 12 Driftwood Rd, Marblehead, MA 01945 | 2013-10-16 |
| 1710320825 | Darcy Gilbo | Mechanotherapist | Integrative Muscular Therapy 40 Tioga Way, Suite 110, Marblehead, MA 01945 | 2013-04-09 |
| 1346597283 | Adam Ciccio | Counselor | 70 Atlantic Avenue, Unit 8, Marblehead, MA 01945 | 2012-08-09 |
| 1346511862 | Mary Macary Demakes | Registered Nurse | 183 Pleasant St, Marblehead, MA 01945 | 2012-01-13 |
| 1164704896 | Amanda Tripp Hayes | Counselor | 2 Cypress St, Marblehead, MA 01945 | 2011-09-20 |
| 1053544817 | Marblehead Community Charter Public School | Local Education Agency (LEA) | 17 Lime Street, Marblehead, MA 01945 | 2009-08-27 |
| 1992973416 | Stuart M Sandfield | Dentist | 47 Atlantic Ave, Marblehead, MA 01945 | 2008-02-19 |
| 1841311065 | Howard Rosenkrantz | Dentist | 203 Humphrey St, Marblehead, MA 01945 | 2007-04-03 |
| Find all providers in zip 01945 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114252053 | Carol Sowers Kessler | Pediatrics | 36 Overlook Rd, Marblehead, MA 01945-1419 | 2009-10-09 |
| 1295808434 | Richard Vonrueden | Pediatrics | 1 Mary Ln, Marblehead, MA 01945-2356 | 2006-11-16 |
| 1144290537 | Philomena A Asante | Pediatrics | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2006-01-26 |
| 1114356284 | David Tortorella Md LLC | Pediatrics | 238 Washington St, Marblehead, MA 01945-3367 | 2013-11-08 |
| 1821017195 | Cheryl Ann Kerns | Pediatrics | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2006-07-18 |
| 1770540908 | Charles M Louden | Pediatrics | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2006-05-01 |
| 1235194713 | Richard Michael Miller | Pediatrics | 70 Atlantic Ave, Marblehead, MA 01945-3042 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265030720 | Mebe Massachusetts | Pediatrics | 51 Pleasant St # 1002, Malden, MA 02148-4904 | 2020-10-15 |
| 1801407564 | Catherine M. Vu Morrissey | Pediatrics | 451 Centre St, Milton, MA 02186-4118 | 2020-08-14 |
| 1962025379 | Elizabeth Mary Messineo | Pediatrics | 40 Greenhill Rd, Westwood, MA 02090-2704 | 2020-05-20 |
| 1639790280 | Allison Seats | Pediatrics | 265 Hyde Park Ave Apt 1rf, Boston, MA 02130-4222 | 2020-05-05 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1346871183 | Pm Pediatrics of New England | Pediatrics | 99 Commerce Way, Woburn, MA 01801-5199 | 2020-01-30 |
| 1346871381 | Heather Mccaslin Kempczinski | Pediatrics | 360 Beacon St Apt 1, Boston, MA 02116-1063 | 2020-01-29 |
| 1396388278 | Taylor Cinelli | Pediatrics | 203 John Scott Blvd, Norton, MA 02766-2616 | 2019-10-23 |
| 1972145290 | Lauren Nicole Mabe | Pediatrics | 45 Gordon St Apt 3, Allston, MA 02134-2458 | 2019-10-09 |
| 1417508946 | Devin Veronica Parker | Pediatrics | 2 Crescent St, Plympton, MA 02367-1400 | 2019-09-25 |
| Find all providers with the same taxonomy | ||||
| City | MARBLEHEAD |
| Zip Code | 01945 |
Please comment or provide details below to improve the information on MARBLEHEAD PEDIATRICS.
| 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.