Riad Ettunsi
STEWARD MEDICAL GROUP INC


Address: 140 Lincoln Ave, Haverhill, MA 01830-6700
Phone: 9783742000

Riad Ettunsi (NPI# 1073828893, PAC ID# 4688805906) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1073828893
PAC ID by PECOS 4688805906
Professional Enrollment ID I20140328001457
Full Name Riad Ettunsi
Organization Legal Name STEWARD MEDICAL GROUP INC
Address 140 Lincoln Ave
Haverhill
MA 01830-6700
Phone Number 9783742000
Gender M
Graduation Year 2002
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 2860688728
Number of Group Practice Members 1568
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
220010 LAWRENCE GENERAL HOSPITAL
220080 HOLY FAMILY HOSPITAL
220019 HARRINGTON MEMORIAL HOSPITAL-1

Other Locations

Address Phone Organization
140 Lincoln Ave, Haverhill, MA 01830-6700 9783742000 STEWARD MEDICAL GROUP INC
1 General St, Lawrence, MA 01841-2961 9789468455 LAWRENCE GENERAL HOSPITAL
70 E St, Holy Family Hospital, Methuen, MA 01844-4597 9786870156 STEWARD MEDICAL GROUP INC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92%
MIPS_EC_130_overall Documentation of Current Medications in the Medical Record 92%

Organization Information

Organization Legal Name STEWARD MEDICAL GROUP INC
Physicians 1501

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Cynthia E Rider Nurse Practitioner Steward Medical Group Inc 8005 Bay St, Suite 1, Sebastian, FL 32958-3244
Jeffrey Henry Janco Nurse Practitioner Steward Medical Group Inc 140 Lincoln Ave, Haverhill, MA 01830-6700
Pamela Ann Johnson Nurse Practitioner Steward Medical Group Inc 119 Longwood Ave, Rockledge, FL 32955-2827
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Office Location

Street Address 140 LINCOLN AVE
City HAVERHILL
State MA
Zip 01830-6700

Physicians in the same location

Name Specialty Organization Address
Jeffrey Henry Janco Nurse Practitioner Steward Medical Group Inc 140 Lincoln Ave, Haverhill, MA 01830-6700
Christopher C Stowe Anesthesiology Steward Medical Group Inc 140 Lincoln Ave, Haverhill, MA 01830-6700
Anish Geevarghese Internal Medicine Incare LLC 140 Lincoln Ave, Haverhill, MA 01830-6700
Christannah Waters Obstetrics/gynecology Steward Medical Group Inc 140 Lincoln Ave, Haverhill, MA 01830-6700
Janarthanan Someswarananthan Internal Medicine Steward Medical Group Inc 140 Lincoln Ave, Haverhill, MA 01830-6700
John C Wain Thoracic Surgery Steward Medical Group Inc 140 Lincoln Ave, Haverhill, MA 01830-6700
Marion Ddamulira Nurse Practitioner Steward Medical Group Inc 140 Lincoln Ave, Haverhill, MA 01830-6700
Marina Khait Nurse Practitioner Principes Medical Group Pllc 140 Lincoln Ave, Haverhill, MA 01830-6700
William E Guptill Anesthesiology Steward Medical Group Inc 140 Lincoln Ave, Haverhill, MA 01830-6700
Wallace Glenn Jamison Psychiatry Steward Medical Group Inc 140 Lincoln Ave, Haverhill, MA 01830-6700
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Name Specialty Organization Address
Beth C Greene Chiropractic New Life Chiropractic, 2 Water Street, Haverhill, MA 01830-0229
Ellen M Byron Registered Dietitian Or Nutrition Professional Ellen M Byron 215 Summer St, Suite 8, Haverhill, MA 01830-0632
Karen S Dipietro Registered Dietitian Or Nutrition Professional Ellen M Byron 215 Summer St, Suite 8, Haverhill, MA 01830-0632
Mary G Pearson Family Medicine New Creation Healing Center, Inc 190 N Ave, Haverhill, MA 01830-2238
Glenn P Kimball Ophthalmology 680 Main St, Haverhill, MA 01830-2644
Peter G Kachavos Internal Medicine Partners Community Physicians Organization Inc 600 Primrose St, Haverhill, MA 01830-2659
Jessica M Satrape Certified Nurse Midwife (cnm) Seacoast Affiliated Group Practice Inc 600 Primrose St, Suite 202, Haverhill, MA 01830-2659
Meredith B Davis Certified Nurse Midwife (cnm) Seacoast Affiliated Group Practice Inc 600 Primrose St, Suite 202, Haverhill, MA 01830-2659
Katelin C Cashman Physician Assistant Partners Community Physicians Organization Inc 600 Primrose St, Haverhill, MA 01830-2659
Deanna Christine Pilkenton Certified Nurse Midwife (cnm) Seacoast Affiliated Group Practice Inc 600 Primrose St, Suite 202, Haverhill, MA 01830-2659
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Competitor

Search similar physicians

City HAVERHILL
Zip Code 01830
Specialty INTERNAL MEDICINE
City + Specialty HAVERHILL + INTERNAL MEDICINE

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Dataset Information

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.

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