Katie Wallace (NPI# 1952703092, PAC ID# 2062733686) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1952703092 |
| PAC ID by PECOS | 2062733686 |
| Professional Enrollment ID | I20150609000054 |
| Full Name | Katie Wallace |
| Organization Legal Name | WINCHESTER PHYSICIAN ASSOCIATES INC |
| Address |
140 Haverhill St Andover MA 01810-1550 |
| Phone Number | 9784701616 |
| Gender | F |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4486540994 |
| Number of Group Practice Members | 112 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220105 | WINCHESTER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 140 Haverhill St, Andover, MA 01810-1550 | 9784701616 | WINCHESTER PHYSICIAN ASSOCIATES INC |
| 203 Main St, North Reading, MA 01864-3103 | 9786641990 | WINCHESTER PHYSICIAN ASSOCIATES INC |
| Organization Legal Name | WINCHESTER PHYSICIAN ASSOCIATES INC |
| Physicians | 124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Fagan | Nurse Practitioner | Winchester Physician Associates Inc | 2345 Main St, Tewksbury, MA 01876-3125 |
| Jessica A Albrinck | Nurse Practitioner | Winchester Physician Associates Inc | 500 Salem St, Wilmington, MA 01887-1200 |
| Nicolette M Zitano | Nurse Practitioner | Winchester Physician Associates Inc | 11 Shore Rd, Winchester, MA 01890-2821 |
| Richard E Benetti | Internal Medicine | Winchester Physician Associates Inc | 88 Montvale Ave, Stoneham, MA 02180-3643 |
| Marie T. Waslh Condon | Family Medicine | Winchester Physician Associates Inc | 203 Main St, North Reading, MA 01864-3103 |
| Corinne M Prigo | Nurse Practitioner | Winchester Physician Associates Inc | 100 Andover Bypass St, Suite 300, North Andover, MA 01845-5820 |
| Edward P Curcio Iii | Emergency Medicine | Winchester Physician Associates Inc | 7 Alfred St, Suite 170, Woburn, MA 01801-1900 |
| Sherry A Graham | Family Medicine | Winchester Physician Associates Inc | 46 Woburn St, Reading, MA 01867-2901 |
| Saritha Bolla | Hematology/oncology | Winchester Physician Associates Inc | 200 Unicorn Park Dr, Woburn, MA 01801-3324 |
| Jose Guerra | Family Medicine | Winchester Physician Associates Inc | 203 Main St, North Reading, MA 01864-3103 |
| Street Address |
140 HAVERHILL ST |
| City | ANDOVER |
| State | MA |
| Zip | 01810-1550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eduardo S Haddad | Nephrology | Riverside Nephrology PC | 140 Haverhill St, Andover, MA 01810-1550 |
| Stephen M Zappala | Urology | 140 Haverhill St, Andover, MA 01810-1550 | |
| Mihaela C Templer | Family Medicine | Winchester Physician Associates Inc | 140 Haverhill St, Andover, MA 01810-1550 |
| Raouf Sayegh | Nephrology | 140 Haverhill St, Andover, MA 01810-1550 | |
| Prathima Chaloori | Family Medicine | Steward Medical Group Inc | 140 Haverhill St, Andover, MA 01810-1550 |
| Robert C. Herron | Family Medicine | Winchester Physician Associates Inc | 140 Haverhill St, Andover, MA 01810-1550 |
| Andrew Lubin | Internal Medicine | Winchester Physician Associates Inc | 140 Haverhill St, Andover, MA 01810-1550 |
| Jonathan D Mandell | General Surgery | Andover Surgical Associates, Inc. | 140 Haverhill St, Andover, MA 01810-1550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele Devlin | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Jill Gaspar | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Andover, MA 01810-1071 |
| Heather Mcclintock | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Lisa M Gagne Hansford | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Donna Ferlito Brown | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Kristen M Keane | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Joan L Dumais | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Lauren Giuffre | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Kay Harvey | Physical Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Kristin Ricardi | Occupational Therapy | Excella Healthcare Inc. | 35 New England Business Ctr Dr, Suite 207, Andover, MA 01810-1071 |
| Find all physicians in zip 01810 | |||
| City | ANDOVER |
| Zip Code | 01810 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ANDOVER + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.