ETHAN DIONNE (NPI# 1588013908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588013908 |
| Entity Type | Individual |
| Full Name | ETHAN DIONNE |
| Credential | PA-C |
| Practice Address |
354 Merrimack St Ste 1 Lawrence MA 01843-1755 |
| Practice Telephone | 9786872321 |
| Practice Fax Number | 9787227239 |
| Mailing Telephone | 9786872321 |
| Mailing Fax Number | 9787227239 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-11-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA5740 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA5740 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
354 MERRIMACK ST STE 1 |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01843-1755 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710987615 | Michael C Connelly | Anesthesiology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2005-07-21 |
| 1134729825 | New England Neurological-bilh, LLC | Anesthesiology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2020-10-30 |
| 1508483231 | Elise Marie Juliano | Nurse Practitioner | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2020-06-29 |
| 1841854551 | New England Neurological-bilh, LLC | Anesthesiology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2019-04-29 |
| 1790248912 | Maddie Lynch | Physician Assistant | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2019-04-14 |
| 1760926653 | Robert Lapierre | Physician Assistant | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2016-12-12 |
| 1902255870 | Jeffrey Alan Gluckstein | Psychiatry & Neurology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2016-06-10 |
| 1255774162 | Hassaan Hasan Bashir | Psychiatry & Neurology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2013-04-10 |
| 1831333608 | Maosong Qi | Internal Medicine | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2009-04-24 |
| 1720101843 | Lanny Y Xue | Psychiatry & Neurology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2007-04-06 |
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| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699795112 | Kenneth Brian Filsinger | Physician Assistant | 1112 W 6th St Ste 124, Lawrence, KS 66044-2249 | 2006-07-20 |
| 1023675923 | Robert Gregory Hill | Physician Assistant | 354 Merrimack St, Lawrence, MA 01843-1754 | 2019-05-26 |
| 1790248912 | Maddie Lynch | Physician Assistant | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2019-04-14 |
| 1760926653 | Robert Lapierre | Physician Assistant | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2016-12-12 |
| 1124393095 | Mallory E Larkin | Physician Assistant | 1112 W 6th St, Suite124, Lawrence, KS 66044-2215 | 2012-03-12 |
| 1619250768 | Racquel Z Szabo | Physician Assistant | 1130 W 4th St Ste 3202, Lawrence, KS 66044-1328 | 2011-09-26 |
| 1902111297 | Erin E Meyer | Physician Assistant | 1112 W 6th St, #124, Lawrence, KS 66044-2215 | 2010-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627106 | Taia Maria Tieland | Physician Assistant | 9 Hunting St Apt 1, Cambridge, MA 02141-1010 | 2020-07-24 |
| 1003434275 | Antonious Jonah Abraham | Physician Assistant | 99 Corn Rd, Bolton, MA 01740-1055 | 2020-07-13 |
| 1407479272 | Mackenzie Malcolm Gray | Physician Assistant | 35 Pynchon Rd, Holyoke, MA 01040-1514 | 2020-05-27 |
| 1780235333 | Emily Fregeau | Physician Assistant | 1 Canal St Unit 518, Boston, MA 02114-2053 | 2019-09-25 |
| 1992369524 | Jaclyn Hynes | Physician Assistant | 234 Otis St, Hingham, MA 02043-4504 | 2019-04-29 |
| 1376002931 | Jack City, LLC | Physician Assistant | 290 Pleasant St Apt 212, Watertown, MA 02472-2429 | 2019-03-13 |
| 1578021911 | Ashley Piemonte | Physician Assistant | 15 1/2 Russell St Apt 1, Charlestown, MA 02129-2492 | 2019-03-05 |
| 1407323686 | Nicole Burke Tingley | Physician Assistant | 123 Summer St Ste 277, Worcester, MA 01608-1216 | 2018-10-25 |
| 1386111706 | Nicole Laura Solman | Physician Assistant | 16 Deerhaven Rd, Lincoln, MA 01773-1806 | 2018-10-24 |
| 1881160943 | Philip Apraku Bondzie | Physician Assistant | 266 Sportsmans Trl, Whitman, MA 02382-1726 | 2018-10-16 |
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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.