BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. (NPI# 1609396803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609396803 |
| Entity Type | Organization |
| Organization Name | BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. |
| Other Organization Name | LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC |
| Practice Address |
Lahey Health Urgent Care Gloucester 298 Washington St. Gloucester MA 01930 |
| Mailing Address |
41 Mall Rd Burlington MA 01805-0001 |
| Practice Telephone | 9782384000 |
| Mailing Telephone | 7817448330 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | DAVID L LONGWORTH (PRESIDENT) |
| Authorized Official Telephone | 7817448097 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | BETH ISRAEL LAHEY HEALTH INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lahey Physician Community Organization I INC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922505072 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 1350 Market Street, 2nd Floor, Beth Israel Lahey Health Primary Care, Inc., Lynnfield, MA 01940 | 2018-04-06 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1174042337 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Lahey Health Primary Care, North Andover, 170 Pleasant St., N. Andover, MA 01845 | 2017-09-19 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1366983322 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Physician Community I Inc, 41 Mall Rd., Burlington, MA 01805-0001 | 2017-03-10 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| 1508244195 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Beverly 75 Herrick St, Lahey Institute of Urology, Beverly, MA 01915 | 2015-05-14 |
| 1528556529 | Beth Israel Lahey Health Primary Care, Inc. | Family Medicine | Lahey Health Primary Care, Lynnfield, 1350 Market Street, 2nd Floor, Lynnfield, MA 01940 | 2018-04-25 |
| Street Address |
LAHEY HEALTH URGENT CARE GLOUCESTER 298 WASHINGTON ST. |
| City | GLOUCESTER |
| State | MA |
| Zip Code | 01930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538592 | Kimberly Moniz | Counselor | 3 & 4 Blackburn Center, Gloucester, MA 01930 | 2018-12-03 |
| 1770066714 | Anneliese Deckert | Counselor | 3 & 4 Blackburn Center Drive, Gloucester, MA 01930 | 2018-09-14 |
| 1497231070 | Erika Ackermann Duffy | Social Worker | Beeman Elementary School, 138 Cherry Street, Gloucester, MA 01930 | 2018-07-17 |
| 1639677958 | Sarah Bethany Stockwell | Counselor | 3 Blackburn Center Drive, Gloucester, MA 01930 | 2018-02-01 |
| 1164931721 | Samantha Carapellucci | Counselor | Children Friend Familes, 33 Commercial Street, Gloucester, MA 01930 | 2017-09-27 |
| 1215455860 | Jennifer Catherine Hynes | Social Worker | 33 Commercial Street, Gloucester, MA 01930 | 2017-09-05 |
| 1952829590 | Jessica Demarjian | Counselor | 24 Glemere Ave, Gloucester, MA 01930 | 2017-09-04 |
| 1033636600 | Anne Kirk Drueding | Social Worker | 29a Emerson Avenue, Gloucester, MA 01930 | 2017-08-24 |
| 1982128211 | Kristen Elizabeth Drischler | Registered Nurse | 29a Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| 1992229207 | Jacqueline Marie Misuraca | Registered Nurse | 29 A Emerson Ave, Gloucester, MA 01930 | 2017-07-28 |
| Find all providers in zip 01930 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1811596216 | Convenientmd LLC | Clinic/Center | 181 Cambridge St, Burlington, MA 01803-2922 | 2020-10-19 |
| 1326669151 | Partners Urgent Care LLC | Clinic/Center | 480 Lynnfield St Ste 1a, Lynn, MA 01904-1419 | 2020-05-04 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1992342075 | Lynn Urgent Care LLC | Clinic/Center | 776 Western Ave, Lynn, MA 01905-2408 | 2019-12-08 |
| 1457902892 | Convenientmd LLC | Clinic/Center | 296 Old Oak Street, Pembroke, MA 02359 | 2019-09-26 |
| 1487203246 | South Shore Health Express, Inc | Clinic/Center | 310 Grove St, Braintree, MA 02184-7224 | 2019-09-05 |
| 1124676598 | Convenientmd LLC | Clinic/Center | 236 Cochituate Rd, Framingham, MA 01701-4627 | 2019-08-29 |
| 1144782467 | Partners Urgent Care, LLC | Clinic/Center | 90 Brigham Way, Westwood, MA 02090 | 2019-04-04 |
| 1942761564 | Convenientmd LLC | Clinic/Center | 245 Hartford Ave, Bellingham, MA 02019-3007 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
| City | GLOUCESTER |
| Zip Code | 01930 |
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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.