NE GASTRO LLC (NPI# 1811343890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811343890 |
| Entity Type | Organization |
| Organization Name | NE GASTRO LLC |
| Practice Address |
52 Stiles Rd Suite 110 Salem NH 03079-4879 |
| Mailing Address |
17 Hearthstone Pl Andover MA 01810-5422 |
| Practice Telephone | 6038985082 |
| Practice Fax Number | 6038905453 |
| Mailing Telephone | 6038985082 |
| Mailing Fax Number | 6038905453 |
| Enumeration Date | 2016-05-10 |
| Last Update Date | 2016-05-10 |
| Authorized Official Name | DR. MAURICE B COHEN (PRESIDENT) |
| Authorized Official Telephone | 6038985082 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
242931 | MA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
9119 | NH | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
11071 | NH | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
16572 | NH | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
207022 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
60421 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30214587 | 05 | |
| MA | 110072718A | 05 |
| Street Address |
52 STILES RD SUITE 110 |
| City | SALEM |
| State | NH |
| Zip Code | 03079-4879 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922199348 | Northeast Gastroenterology Associates, PC | Internal Medicine | 52 Stiles Rd, Suite 110, Salem, NH 03079-4879 | 2006-09-28 |
| 1225494198 | Stephanie Lynch | Physician Assistant | 52 Stiles Rd, Suite 110, Salem, NH 03079-4879 | 2016-01-08 |
| 1982933099 | Sheila M Young | Nurse Practitioner | 52 Stiles Rd, Suite 110, Salem, NH 03079-4807 | 2009-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1578901088 | Connie Yingyi Huang | Internal Medicine | 55 Highland Ave Ste 101, Salem, MA 01970-2100 | 2013-06-06 |
| 1841343969 | Pedro Quizon Dayrit | Internal Medicine | 5 Pointers Auburn Rd, Mannington Medical Office, Salem, NJ 08079-4311 | 2007-01-19 |
| 1922199348 | Northeast Gastroenterology Associates, PC | Internal Medicine | 52 Stiles Rd, Suite 110, Salem, NH 03079-4879 | 2006-09-28 |
| 1851482277 | Maurice B Cohen | Internal Medicine | Northeast Gastroenterology Assoc., PC, 52 Stiles Road Suite 110, Salem, NH 03079 | 2006-09-28 |
| 1700807781 | Gastroentrology Associates of Alliance Inc | Internal Medicine | 1000 W State St, Salem, OH 44460-2019 | 2006-07-22 |
| 1407826563 | Christian A Speer | Internal Medicine | 5125 Skyline Rd S, Gastroenterology, Salem, OR 97306-9427 | 2006-01-23 |
| 1760460943 | Robert D Moylan | Internal Medicine | 1906 Braeburn Dr, Valley Gastroenterology of Sw Va, Salem, VA 24153 | 2006-01-06 |
| 1689652331 | Michael D Buck | Internal Medicine | 875 Oak St Se Ste 3010, Salem, OR 97301 | 2006-01-04 |
| 1144203456 | William Z Kolozsi | Internal Medicine | 2020 E State St, Suite H, Salem, OH 44460-2480 | 2005-11-22 |
| 1619959822 | Sch Professional Corporation | Internal Medicine | 2525 Southeast Blvd, Salem, OH 44460-3464 | 2005-11-15 |
| 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.