JONATHAN BENJAMIN WILFONG (NPI# 1780927376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780927376 |
| Entity Type | Individual |
| Full Name | JONATHAN BENJAMIN WILFONG |
| Credential | M.D. |
| Practice Address |
104 Endicott St Suite 104 Danvers MA 01923-3623 |
| Practice Telephone | 9788826700 |
| Mailing Telephone | 9788826700 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2016-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 266357 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
104 ENDICOTT ST SUITE 104 |
| City | DANVERS |
| State | MA |
| Zip Code | 01923-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497749410 | Carl Bruce Ledig | Surgery | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2005-09-06 |
| 1720528334 | Scott Roberts | Physician Assistant | 104 Endicott St, Ste. 100, Danvers, MA 01923-3623 | 2017-03-01 |
| 1447657564 | North Shore Ear, Nose & Throat Associates | Otolaryngology | 104 Endicott St, Suite 100, Danvers, MA 01923-3623 | 2014-12-04 |
| 1134526429 | North Shore Ear, Nose & Throat | Otolaryngology | 104 Endicott St, Suire 100, Danvers, MA 01923-3623 | 2014-12-02 |
| 1902156078 | Katie Kirleis | Audiologist | 104 Endicott St, Suite 100, Danvers, MA 01923-3623 | 2012-09-14 |
| 1215238613 | Christiina Marissa Murphy | Physician Assistant | 104 Endicott St, Suite 200, Danvers, MA 01923-3623 | 2010-11-16 |
| 1326352725 | Megan Avey | Audiologist | 104 Endicott St, Suite 100, Danvers, MA 01923-3623 | 2010-07-28 |
| 1154634426 | Maribeth Deltorchio | Audiologist | 104 Endicott St, Suite 100, Danvers, MA 01923-3623 | 2010-07-15 |
| 1396062246 | Massachusetts General Physicians Organization | Dentist | 104 Endicott St, Suite 101, Danvers, MA 01923-3623 | 2010-04-30 |
| 1275766503 | Cornell Orthotics & Prosthetics Inc | Prosthetic/Orthotic Supplier | 104 Endicott St, Ll3, Danvers, MA 01923-3623 | 2009-09-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730440033 | Kerry A Hensley | Internal Medicine | 194 R North Street, Danvers, MA 01923-1242 | 2012-06-04 |
| 1316208622 | Jessica L Ricciuto | Internal Medicine | 104 Endicott St Ste 104, Danvers, MA 01923 | 2012-06-04 |
| 1487981007 | Stuart Charles Scheer | Internal Medicine | 1105 Kirkbride Dr, Danvers, MA 01923-1567 | 2009-11-04 |
| 1184950545 | Ralph L Epstein Md PC | Internal Medicine | 50 Reservoir Dr, Danvers, MA 01923-1255 | 2009-10-20 |
| 1447440581 | David J Kahan | Internal Medicine | 480 Maple St Ste 104, Danvers, MA 01923-4065 | 2007-07-25 |
| 1538387899 | Northeast Medical Practices | Internal Medicine | 230 North St, Suite 3, Danvers, MA 01923-1222 | 2007-04-23 |
| 1437203866 | Adrienne Allen | Internal Medicine | 104 Endicot St, Danvers, MA 01923 | 2007-01-23 |
| 1649290776 | Marianne Kidd Moore | Internal Medicine | 192 North St, North Shore Physicians Group, Danvers, MA 01923-1242 | 2006-07-20 |
| 1356397160 | Cerima Durakovic-seremet | Internal Medicine | One Hutchinson Dr, Danvers, MA 01923 | 2006-05-25 |
| 1093767857 | Mauri Roger Cohen | Internal Medicine | 5 Federal Street, Lahey Health Primary Care, Danvers, Danvers, MA 01923 | 2006-05-17 |
| Find all providers in DANVERS | ||||
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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.