NORTHEAST PHYSICIAN PRACTICE (NPI# 1750319547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750319547 |
| Entity Type | Organization |
| Organization Name | NORTHEAST PHYSICIAN PRACTICE |
| Other Organization Name | LYNNFIELD PRIMARY |
| Practice Address |
628 Salem St Lynnfield MA 01940-2340 |
| Mailing Address |
Po Box 7091 Beverly MA 01915-0091 |
| Practice Telephone | 7815984424 |
| Practice Fax Number | 7815980630 |
| Mailing Telephone | 9789223568 |
| Mailing Fax Number | 9789223267 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-10-25 |
| Authorized Official Name | KIM ROUILLARD (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 9782361713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lynnfield Primary | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841228632 | Northeast Physician Practice | Specialist | 225 Boston St, Suite 205, Lynn, MA 01904-3137 | 2006-06-29 |
| Street Address |
628 SALEM ST |
| City | LYNNFIELD |
| State | MA |
| Zip Code | 01940-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699763912 | Ruth A Hazen | Pediatrics | 628 Salem St, Lynnfield, MA 01940-2340 | 2005-10-11 |
| 1629625256 | Stephanie Zeller | Nurse Practitioner | 628 Salem St, Lynnfield, MA 01940-2340 | 2019-08-19 |
| 1821437393 | Celeste Dunn | Pediatrics | 628 Salem St, Lynnfield, MA 01940-2340 | 2013-06-18 |
| 1467705350 | Lynnfield Pediatrics | Pediatrics | 628 Salem St, Lynnfield, MA 01940 | 2012-10-17 |
| 1528355856 | Michael Stephen Sirois | Physician Assistant | 628 Salem St, Lynnfield Pediatrics, Lynnfield, MA 01940-2340 | 2011-07-07 |
| 1184957813 | Shreegouri Bharath Savkur | Physician Assistant | 628 Salem St, Lynnfield, MA 01940-2340 | 2009-09-14 |
| 1801088455 | Northeast Medical Practice | Family Medicine | 628 Salem St, Lynnfield, MA 01940-2340 | 2007-08-16 |
| 1003820317 | Dorothy J Ganick | Pediatrics | 628 Salem St, Lynnfield, MA 01940-2340 | 2006-07-29 |
| 1558359711 | John A Schey | Pediatrics | 628 Salem St, Lynnfield, MA 01940-2340 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063077030 | Lauren Chiarenza Lomonaco | Nurse Practitioner | Lahey Health Urgent Care, Lynnfield, 1350 Market Street, 1st Floor, Lynnfield, MA 01940 | 2019-05-06 |
| 1821578006 | Stephanie M Jackson | Nurse Practitioner | 1350 Market Street, 1st Floor, Lynnfield, MA 01940 | 2018-08-17 |
| 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 |
| 1922522747 | Prosthodontic Associates PC | Dentist | 50 Salem St., 3rd Floor, Lynnfield, MA 01940 | 2017-08-02 |
| 1356862080 | Sabine Jean-louis | Nurse Practitioner | 4 Michaels Rd, Lynnfield, MA 01940 | 2017-07-03 |
| 1750734026 | Margaret Maina | Counselor | 375 Broadway Spc 111, Lynnfield, MA 01940 | 2016-07-21 |
| 1528443603 | Elizabeth Ann Watson | Nurse Practitioner | 628 Salem Street, Lynnfield, MA 01940 | 2015-07-30 |
| 1093036691 | North Shore Smiles | Dentist | 1 Post Office Square, Lynnfield Medical, Lynnfield, MA 01940 | 2010-06-17 |
| 1942468707 | Nancy Jo Meehan | Social Worker | 55 Salem St, Lynnfield, MA 01940 | 2008-05-29 |
| 1154526382 | Richard A. Peinert, Md, PC | Specialist | Lynnfield Medical Building, Post Office Square, Lynnfield, MA 01940 | 2007-06-18 |
| Find all providers in zip 01940 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134615040 | Lynnfield Pediatrics, LLC | Clinic/Center | 628 Salem Street, Ste 2, Lynnfield, MA 01940-2340 | 2018-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780246058 | Elaine Skawski Np, LLC | Clinic/Center | 10 Hospital Dr Ste 311, Holyoke, MA 01040-6603 | 2019-07-08 |
| 1306403613 | Compassionate Care Physicians LLC | Clinic/Center | 9 Mill and Main Pl Ste 101, Maynard, MA 01754-2651 | 2019-05-22 |
| 1245721240 | Zaheen Medical Center LLC | Clinic/Center | 231 Sutton St Ste 1a, North Andover, MA 01845-1620 | 2018-05-24 |
| 1982102265 | Jacob Louis Perriello | Clinic/Center | 12 Drew Ave, Weymouth, MA 02189-2226 | 2018-02-01 |
| 1407385834 | Lawrence Health Solutions, LLC | Clinic/Center | 25 Marston St., Suite 105, Lawrence, MA 01841 | 2017-06-08 |
| 1962949925 | Regis College | Clinic/Center | 155 Wheeler Circle, Apt. 273, Stoughton, MA 02072 | 2017-01-27 |
| 1154866234 | Sokharith Mey, Md, Pllc | Clinic/Center | 280 Union St # 402, Lynn, MA 01901-1353 | 2016-12-28 |
| 1558721191 | Harbor Health Services Inc | Clinic/Center | 735 Attucks Lane, Hyannis, MA 02601 | 2016-02-24 |
| 1669830550 | Nirphemy Dambreville-lundy | Clinic/Center | 125 Gas Light Dr, 8, Weymouth, MA 02190-2142 | 2016-02-05 |
| 1891125480 | Western Massachusetts Primary Care PC | Clinic/Center | 405 Armory St, Springfield, MA 01104-2305 | 2013-11-18 |
| Find all providers with the same taxonomy | ||||
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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.