MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION (NPI# 1396062246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396062246 |
| Entity Type | Organization |
| Organization Name | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION |
| Other Organization Name | MGH DENTAL GROUP - DANVERS |
| Practice Address |
104 Endicott St Suite 101 Danvers MA 01923-3623 |
| Practice Telephone | 9788826600 |
| Practice Fax Number | 9788826677 |
| Mailing Telephone | 9788826600 |
| Mailing Fax Number | 9788826677 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |
| Authorized Official Name | DR. AGNES LAU (CHIEF, MGH DIVISION OF DENTISTRY) |
| Authorized Official Telephone | 6177261076 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION DBA MGH DENTAL GRO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 16139 | MA | Dental Providers |
| Other Name | Type Code |
|---|---|
| MGH Dental Group - Danvers | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073979423 | Massachusetts General Physicians Organization | General Acute Care Hospital | 55 Fruit St, Founders 880, Boston, MA 02114-2621 | 2016-01-14 |
| 1982848222 | Massachusetts General Physicians Organization | Clinic/Center | 151 Merrimac St, 5th Floor, Boston, MA 02114-4714 | 2009-04-30 |
| 1265583199 | Massachusetts General Physicians Organization | Dentist | 165 Cambridge St, Suite 401, Boston, MA 02114-2783 | 2007-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC | 55 Fruit St Bulfinch 208, Boston, MA 02114-2621 |
| Oregon Corporations, Companies and Business Names | MASSACHUSETTS GENERAL PHYSICIANS ORGANIZATION, INC. | 55 Fruit Street, Boston, MA 2114 |
| Street Address |
104 ENDICOTT ST SUITE 101 |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749410 | Carl Bruce Ledig | Surgery | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2005-09-06 |
| 1720528334 | Scott Roberts | Physician Assistant | 104 Endicott St, Ste. 100, Danvers, MA 01923-3623 | 2017-03-01 |
| 1447657564 | North Shore Ear, Nose & Throat Associates | Otolaryngology | 104 Endicott St, Suite 100, Danvers, MA 01923-3623 | 2014-12-04 |
| 1134526429 | North Shore Ear, Nose & Throat | Otolaryngology | 104 Endicott St, Suire 100, Danvers, MA 01923-3623 | 2014-12-02 |
| 1780927376 | Jonathan Benjamin Wilfong | Internal Medicine | 104 Endicott St, Suite 104, Danvers, MA 01923-3623 | 2013-04-02 |
| 1902156078 | Katie Kirleis | Audiologist | 104 Endicott St, Suite 100, Danvers, MA 01923-3623 | 2012-09-14 |
| 1215238613 | Christiina Marissa Murphy | Physician Assistant | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2010-11-16 |
| 1326352725 | Megan Avey | Audiologist | 104 Endicott St, Suite 100, Danvers, MA 01923-3623 | 2010-07-28 |
| 1154634426 | Maribeth Deltorchio | Audiologist | 104 Endicott St, Suite 100, Danvers, MA 01923-3623 | 2010-07-15 |
| 1275766503 | Cornell Orthotics & Prosthetics Inc | Prosthetic/Orthotic Supplier | 104 Endicott St, Ll3, Danvers, MA 01923-3623 | 2009-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
| Find all providers in zip 01923 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427502608 | Majlinda Vaka | Dentist | 86 Elliott St, Danvers, MA 01923-3439 | 2016-08-05 |
| 1467812149 | Sheldon Sullaway | Dentist | 99 Village Post Rd, Danvers, MA 01923-2616 | 2016-02-24 |
| 1336281633 | Yvonne Richardson Marsh | Dentist | 26 Locust St, Danvers, MA 01923-2271 | 2007-02-13 |
| 1053491373 | Albert J Intonti | Dentist | 2 Orchard Lane, Unit D, Danvers, MA 01923 | 2006-10-17 |
| 1841208113 | Mahshid Mirghassami | Dentist | 140 Commonwealth Avenue, Ste 209, Danvers, MA 01923 | 2006-08-03 |
| 1417974486 | Alan Edmund Keliher | Dentist | 36 Conant St, Danvers, MA 01923-2954 | 2006-07-16 |
| 1881250272 | Delaney Grace Turner | Dentist | 37 Maple St, Danvers, MA 01923-2851 | 2019-05-12 |
| 1902288665 | Jessica Dezube | Dentist | 37 Maple St, Danvers, MA 01923-2851 | 2015-06-18 |
| 1245477678 | Robert R Feudo Dmd LLC | Dentist | 7 Federal St, Danvers, MA 01923-3668 | 2009-01-07 |
| 1164668190 | Dentcare Dental Center, LLP | Dentist | 130 Sylvan St, Danvers, MA 01923-3675 | 2008-12-22 |
| Find all providers in DANVERS | ||||
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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.