EILEEN R FISK (NPI# 1588601199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588601199 |
| Entity Type | Individual |
| Full Name | EILEEN R FISK |
| Credential | M.D. |
| Practice Address |
269 Union St Lynn MA 01901-1314 |
| Mailing Address |
269 Union St Lynn Community Health Center Lynn MA 01901-1314 |
| Practice Telephone | 7815813900 |
| Mailing Telephone | 7815813900 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 208473 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
269 UNION ST |
| City | LYNN |
| State | MA |
| Zip Code | 01901-1314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033111711 | Melinda D Jones | Nurse Practitioner | 269 Union St, Lynn, MA 01901-1314 | 2005-08-12 |
| 1245830900 | Angel Felix Rosado Mencia | Dentist | 269 Union St, Lynn, MA 01901-1314 | 2020-10-30 |
| 1114525342 | Nerla Batraville | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-10-09 |
| 1497352736 | Gaelle A Wagnac | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-10-08 |
| 1679170153 | Melissa Chenard | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-10-07 |
| 1174137665 | Stacey Marie Anzalone | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-09-02 |
| 1801409511 | Devin Green | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-08-24 |
| 1891306643 | Theresa Goretti | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-08-14 |
| 1306467972 | Aishetu Kutigi Abubakar | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-05-05 |
| 1508487505 | Jennifer Gonzalez | Registered Nurse | 269 Union St, Lynn, MA 01901-1314 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427515923 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 173 Oxford Street, Lowel Level, Suite P, Lynn, MA 01901 | 2019-02-21 |
| 1730680125 | Sarah Sawulski | Registered Nurse | 269 Union Stree01901t, Lynn, MA 01901 | 2018-02-22 |
| 1184142895 | Adrienne Wood | Case Manager/Care Coordinator | 100 Willow Street, Lynn, MA 01901 | 2017-09-01 |
| 1831613199 | Marie Linda Yannaco-grant | Social Worker | 62 Market Street, Lynn, MA 01901 | 2017-07-28 |
| 1942723457 | Michael Xinyu Miao | Physical Therapy Assistant | 1 Market Street, 3rd Floor, Lynn, MA 01901 | 2017-07-18 |
| 1730544743 | Pediatric Dental Professionals LLC | Dentist | 391 Lynn Way, Bldg A, Lynn, MA 01901 | 2015-12-17 |
| 1346667748 | Emily G. Joseph | Social Worker | 112 Market Street, 2nd Floor, Lynn, MA 01901 | 2014-03-24 |
| 1548510621 | Serena M Smith | Counselor | 181 Union Street, Suite J, Lynn, MA 01901 | 2012-09-14 |
| 1043575624 | Timothy J Bossie | Optometrist | 20 Central Avenue, Lynn, MA 01901 | 2012-07-10 |
| 1689946923 | Lynn Dental Center | Dentist | 232 Union Street, Lynn, MA 01901 | 2012-02-02 |
| Find all providers in zip 01901 | ||||
| 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 |
|---|---|---|---|---|
| 1730207630 | Walter L. Harrison,m.d.,inc | Pediatrics | 34 Lynnfield St, Lynn, MA 01904-2224 | 2007-03-27 |
| 1598892192 | Marc D Levine | Pediatrics | Lynn Community Hlth Ctr, 269 Union Street, Lynn, MA 01902 | 2007-02-28 |
| 1811342835 | Daniella Cecilia Nacad | Pediatrics | 269 Union St, Lynn, MA 01901 | 2016-04-27 |
| 1952527244 | Xuan Le | Pediatrics | 269 Union St, Lynn, MA 01901 | 2007-04-17 |
| 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 |
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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.