Omar Badri (NPI# 1740541275, PAC ID# 5597999466) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1740541275 |
| PAC ID by PECOS | 5597999466 |
| Professional Enrollment ID | I20190605001281 |
| Full Name | Omar Badri |
| Organization Legal Name | NORTHEAST DERMATOLOGY ASSOCIATES PC |
| Address |
138 Conant St Beverly MA 01915-1665 |
| Phone Number | 9789275254 |
| Gender | M |
| Medical School | HARVARD MEDICAL SCHOOL |
| Graduation Year | 2012 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3072403799 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220029 | ANNA JAQUES HOSPITAL |
| 220033 | NORTHEST HOSPITAL CORPORATION |
| Address | Phone | Organization |
|---|---|---|
| 138 Conant St, Beverly, MA 01915-1665 | 9789275254 | NORTHEAST DERMATOLOGY ASSOCIATES PC |
| 1 Wallace Bashaw Way, Suite 1002, Newburyport, MA 01950-3876 | 9784620574 | NORTHEAST DERMATOLOGY ASSOCIATES PC |
| Organization Legal Name | NORTHEAST DERMATOLOGY ASSOCIATES PC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Smyth | Nurse Practitioner | Northeast Dermatology Associates PC | 155 Borthwick Ave, Portsmouth, NH 03801-7156 |
| Sheli L Tinkelman | Physician Assistant | Northeast Dermatology Associates PC | 197 Loudon Rd, Suite 350, Concord, NH 03301-8000 |
| Brienne Danielle Cressey | Dermatology | Northeast Dermatology Associates PC | 51 Webb Pl, Dover, NH 03820-2454 |
| Sarit J Itenberg | Dermatology | Northeast Dermatology Associates PC | 23 Hampton Rd, Exeter, NH 03833-4807 |
| Jennifer A Stead | Dermatology | Northeast Dermatology Associates PC | 75 Gilcrest Rd, Unit 100, Londonderry, NH 03053-3564 |
| Debra A Litke | Nurse Practitioner | Northeast Dermatology Associates PC | 530 C Boston Post Rd, Sudbury, MA 01776-3349 |
| Anthony J Aversa | Dermatology | Northeast Dermatology Associates PC | 721 Chestnut St, Manchester, NH 03104-3002 |
| Christine Kannler | Dermatology | Northeast Dermatology Associates PC | 538 Turnpike St, North Andover, MA 01845-5812 |
| Joan S Sisto | Dermatology | Northeast Dermatology Associates PC | 519 Us Route 1, Unit 2, York, ME 03909-1683 |
| David S Greenstein | Dermatology | Northeast Dermatology Associates PC | 138 Conant St, Beverly, MA 01915-1665 |
| Street Address |
138 CONANT ST |
| City | BEVERLY |
| State | MA |
| Zip | 01915-1665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David S Greenstein | Dermatology | Northeast Dermatology Associates PC | 138 Conant St, Beverly, MA 01915-1665 |
| Steven P Smith | Dermatology | Northeast Dermatology Associates PC | 138 Conant St, Beverly, MA 01915-1665 |
| Robb James Marchione | Dermatology | Northeast Dermatology Associates PC | 138 Conant St, Beverly, MA 01915-1665 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gonzalo Verdugo | Otolaryngology | North Shore Ear, Nose and Throat Associates, PC | 100 Cumins Ctr, 136g, Beverly, MA 01915 |
| Myra Ruff | Clinical Social Worker | 17 Norwood Pond Rd, Beverly, MA 01915 | |
| Barbara A Baker | Clinical Social Worker | 19 Raymond Ave, Beverly, MA 01915-1015 | |
| Erin Dwyer Acevedo | Chiropractic | 38 R Enon St, Suite G4, Beverly, MA 01915-1161 | |
| Courtney G Neill | Chiropractic | 2 Enon St, Beverly, MA 01915-1164 | |
| Stacy E Bean | Optometry | 40 Enon St, Beverly, MA 01915-1168 | |
| Peter H Bridger | Optometry | 40 Enon St, Beverly, MA 01915-1168 | |
| Paige K Katzenstein | Registered Dietitian Or Nutrition Professional | 12 Windham Ln, Beverly, MA 01915-1568 | |
| Zena C Saadeh | Physician Assistant | Lahey Clinic Inc | 152 Conant St, Beverly, MA 01915-1600 |
| Ellen B Katz | Clinical Social Worker | Lahey Clinic Inc | 152 Conant St, Beverly, MA 01915-1600 |
| Find all physicians in zip 01915 | |||
| City | BEVERLY |
| Zip Code | 01915 |
| Specialty | DERMATOLOGY |
| City + Specialty | BEVERLY + DERMATOLOGY |
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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.