SURGICAL SPECIALISTS OF THE NORTH SHORE,INC (NPI# 1619936531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619936531 |
| Entity Type | Organization |
| Organization Name | SURGICAL SPECIALISTS OF THE NORTH SHORE,INC |
| Practice Address |
331 Highland Ave Salem MA 01970-1738 |
| Practice Telephone | 9787452639 |
| Mailing Telephone | 9787452639 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2007-11-05 |
| Authorized Official Name | DR. MARC STUART RUBIN (PRESIDENT) |
| Authorized Official Telephone | 9787452639 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086X0206X |
Surgery Specialization: Surgical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 208C00000X | Colon & Rectal Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9754733 | 05 | |
| MA | BLUE CROSS BLUE SHIELD | M11739 | 01 |
| MA | TUFTS | 600262 | 01 |
| Street Address |
331 HIGHLAND AVE |
| City | SALEM |
| State | MA |
| Zip Code | 01970-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780137422 | Eileen Mary Fagan | Nurse Practitioner | 331 Highland Ave, Salem, MA 01970-7006 | 2016-07-29 |
| 1558672188 | Poongodi Chandrasekaran | Internal Medicine | 331 Highland Ave, Salem, MA 01970-7006 | 2010-06-29 |
| 1437231032 | Raymond William Waitekus | Internal Medicine | 331 Highland Ave, Salem, MA 01970-1738 | 2006-10-20 |
| 1396830469 | Kathleen E Mckinnon | Social Worker | 331 Highland Ave, Salem, MA 01970-7006 | 2006-10-04 |
| 1184646747 | Mario E Motta | Internal Medicine | 331 Highland Ave, Salem, MA 01970-1738 | 2006-07-24 |
| 1427077080 | David F Kahn | Internal Medicine | 331 Highland Ave, Salem, MA 01970-1738 | 2006-07-18 |
| 1023037678 | John C Santos | Internal Medicine | 331 Highland Ave, Salem, MA 01970-1738 | 2006-07-18 |
| 1114946787 | Marc A Forgione | Internal Medicine | 331 Highland Ave, Salem, MA 01970-1738 | 2006-07-18 |
| 1841219409 | Steven Kurzrok | Internal Medicine | 331 Highland Ave, Salem, MA 01970-1738 | 2006-07-18 |
| 1518913383 | John T Szymanski | Internal Medicine | 331 Highland Ave, Salem, MA 01970 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939108 | Sara Jane Garofalo | Social Worker | Bil-behavioral Health Esp, 35 Congress Street, Salem, MA 01970 | 2020-07-06 |
| 1326660267 | Leslie Marie Adams | Counselor | 35 Congress St #214, Salem, MA 01970 | 2020-05-14 |
| 1801435870 | Sarah Katherine Bolte | Counselor | 35 Congress St., Bldg. 2 Suite 351a, Salem, MA 01970 | 2019-12-23 |
| 1548814866 | Amy Carlson-pallazola | Counselor | 35 Congress Street Building 2, Suite 351a, Salem, MA 01970 | 2019-07-25 |
| 1932768850 | Alaina Kinsella | Counselor | 70 Boston Street, Unit 109, Salem, MA 01970 | 2019-06-13 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1467928184 | Jean David Thomas | Nurse Practitioner | Salem Family Health Center, 47 Congress Street, Salem, MA 01970 | 2018-10-20 |
| 1669950267 | Marla P. Meyer | Social Worker | 39 Norman Street, Third Floor, Salem, MA 01970 | 2018-08-06 |
| 1831689009 | Elisa M Castillo | Psychologist | 352 Lafayette Street, Salem, MA 01970 | 2018-05-14 |
| 1073003513 | Ryan Daniel Robichaud-fuentes | Counselor | 1 Salem Green Suite 103, Salem, MA 01970 | 2018-05-10 |
| Find all providers in zip 01970 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205027703 | Samuel J. Williams II | Surgery | 834 Red Ln, Salem, VA 24153-2726 | 2007-08-08 |
| 1548487184 | Carrie Elizabeth Allison | Surgery | 655 Winter St Se, Salem, OR 97301-3919 | 2007-04-18 |
| 1598816639 | John Robert Madison | Surgery | 2094 E State St Ste D, Salem, OH 44460-4409 | 2007-01-16 |
| 1386715753 | Danny E Sankovic | Surgery | 1515 E State Street, Salem, OH 44460 | 2006-11-10 |
| 1588755516 | Arthur J. Innes | Surgery | 6160 Crooked Stick Loop Se, Salem, OR 97306 | 2006-09-27 |
| 1215985148 | William Edris Barnes II | Surgery | 141 Hospital Dr Ste 102, Salem, KY 42078-8043 | 2006-05-04 |
| 1265498307 | John E Patricelli | Surgery | 1 Pointers Auburn Rd, Salem, NJ 08079-4311 | 2006-04-26 |
| 1982606885 | Jonathan Fox Noel | Surgery | 505 W Homer St Ste 102, Salem, IN 47167-1698 | 2005-08-11 |
| 1881694032 | Salem Clinic Corp | Surgery | 8 Bypass Road, Salem, NJ 08079 | 2005-07-29 |
| 1750380713 | Curtis L Lockwood | Surgery | 8 By Pass Rd, Salem, NJ 08079-2054 | 2005-07-20 |
| Find all providers in SALEM | ||||
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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.