GREGORY R. BLAHA (NPI# 1902998776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902998776 |
| Entity Type | Individual |
| Full Name | GREGORY R. BLAHA |
| Credential | MD, PHD |
| Practice Address |
One Essex Center Drive Lahey Clinic Peabody MA 01960-2901 |
| Practice Telephone | 9785384400 |
| Practice Fax Number | 9785384724 |
| Mailing Telephone | 9785384400 |
| Mailing Fax Number | 9785384724 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 221050 | MA | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
221050 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110037878A | 05 |
| Street Address |
ONE ESSEX CENTER DRIVE LAHEY CLINIC |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477509206 | Jeffrey Owen Clayman | Internal Medicine | One Essex Center Drive, Lahey Clinic Peabody, Peabody, MA 01960 | 2006-05-25 |
| 1518053859 | Stella Y Chow | Internal Medicine | One Essex Center Drive, Lahey Clinic North, Peabody, MA 01960-2901 | 2006-10-05 |
| 1649373986 | Jennifer C Braimon | Internal Medicine | One Essex Center Drive, Lahey Clinic, Peabody, MA 01960-2901 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740644012 | Noreen Shaikh | Ophthalmology | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2016-04-12 |
| 1346648136 | Microsurgical Eye Consultants | Ophthalmology | 31 Centennial Dr, Peabody, MA 01960-7901 | 2014-12-11 |
| 1639248305 | Jeffrey A Sorkin | Ophthalmology | 31 Centennial Dr, Peabody, MA 01960-7901 | 2006-11-07 |
| 1568544344 | William B Orenberg | Ophthalmology | 31 Centennial Dr, Peabody, MA 01960-7901 | 2006-10-20 |
| 1467540328 | Dennis F Stoler | Ophthalmology | 31 Centennial Dr, Peabody, MA 01960-7901 | 2006-10-10 |
| 1972695138 | Susan M Macdonald | Ophthalmology | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2006-09-28 |
| 1871684795 | Shiyoung Roh | Ophthalmology | 1 Essex Center Dr, Peabody, MA 01960-2901 | 2006-09-27 |
| 1578664462 | Susan Mary Tucker | Ophthalmology | 1 Essex Center Dr, Lahey Clinic, Peabody, MA 01960-2901 | 2006-09-26 |
| 1972521896 | Nabil I. Jarudi | Ophthalmology | 2 Essex Center Dr, Peabody, MA 01960-2902 | 2006-07-18 |
| 1588623888 | Richard C Rodman | Ophthalmology | 31 Centennial Dr, Peabody, MA 01960-7901 | 2006-03-23 |
| Find all providers in PEABODY | ||||
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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.