SOUMYA CHANDRASEKARAN (NPI# 1942484431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942484431 |
| Entity Type | Individual |
| Full Name | SOUMYA CHANDRASEKARAN |
| Credential | M.D |
| Practice Address |
100 Cummings Ctr Ste 166d Beverly MA 01915 |
| Mailing Address |
37 Friend St Lynn MA 01902-3068 |
| Practice Telephone | 9787123379 |
| Mailing Telephone | 7817220040 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2019-02-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 225854 | MA | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
235582 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110080036A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 9 Buffum St, Lynn, MA 019023965 | 7817220040 |
| Street Address |
100 CUMMINGS CTR STE 166D |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627482 | Gia Scola | Registered Nurse | 100 Cummings Ctr Ste 166d, Beverly, MA 01915-6135 | 2019-12-30 |
| 1144867896 | Catherine Frontiero | Licensed Practical Nurse | 100 Cummings Ctr Ste 166d, Beverly, MA 01915-6135 | 2019-12-02 |
| 1225673296 | Nancy Waldron | Registered Nurse | 100 Cummings Ctr Ste 166d, Beverly, MA 01915-6135 | 2019-11-13 |
| 1477198448 | Diane Marie Knight-barkowski | Registered Nurse | 100 Cummings Ctr Ste 166d, Beverly, MA 01915-6135 | 2019-11-13 |
| 1710443809 | Melissa Ann Moore | Social Worker | 100 Cummings Ctr Ste 166d, Beverly, MA 01915-6135 | 2019-02-14 |
| 1982169041 | Gina Vitale | Physical Therapy Assistant | 100 Cummings Ctr Ste 166d, Beverly, MA 01915-6135 | 2019-02-04 |
| 1326503681 | Carol Wood | Occupational Therapist | 100 Cummings Ctr Ste 166d, Beverly, MA 01915-6135 | 2019-01-31 |
| 1548724057 | Danielle Lee Cote | Physical Therapy Assistant | 100 Cummings Ctr Ste 166d, Beverly, MA 01915-6135 | 2019-01-29 |
| 1992073753 | Patricia Ann Decotis | Social Worker | 100 Cummings Ctr Ste 166d, Beverly, MA 01915 | 2011-12-08 |
| 1316106297 | Liesbeth Tryzelaar | Internal Medicine | 100 Cummings Ctr Ste 166d, Beverly, MA 01915-6135 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| 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 |
|---|---|---|---|---|
| 1730780370 | Helena Santos-martins, Md, PC | Internal Medicine | 100 Cummings Ctr Ste 106-q, Beverly, MA 01915-6115 | 2020-11-02 |
| 1508244195 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Beverly 75 Herrick St, Lahey Institute of Urology, Beverly, MA 01915 | 2015-05-14 |
| 1003158635 | Humera Kausar | Internal Medicine | Lahey Infectious Disease, Beverly, 85 Herrick Street, Beverly, MA 01915 | 2013-03-21 |
| 1407010705 | Wei Yang | Internal Medicine | 77 Herrick St Ste 101, The Medical Group Inc, Beverly, MA 01915-3012 | 2008-07-15 |
| 1871630111 | Thomas E Sullivan | Internal Medicine | 6 Brackenbury Ln, Beverly, MA 01915-3822 | 2007-01-30 |
| 1407960305 | Ullrich Schwertschlag | Internal Medicine | 3 Stone Ridge Rd, Beverly, MA 01915-2173 | 2006-08-18 |
| 1144237215 | Carl E Johnson | Internal Medicine | 87 Herrick St, Beverly, MA 01915-2773 | 2006-08-02 |
| 1386665321 | Agnieszka Maria Heith | Internal Medicine | 152 Conant St, Beverly, MA 01915-1600 | 2006-07-23 |
| 1205882966 | Bushra Khan | Internal Medicine | 152 Conant Street, Lahey Beverly, Beverly, MA 01915-2511 | 2006-05-25 |
| 1134184161 | Walid G Bader | Internal Medicine | 77 Herrick St, Suite 101, Beverly, MA 01915-2734 | 2006-04-20 |
| Find all providers in BEVERLY | ||||
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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.