Nicole M Branum (NPI# 1700208345, PAC ID# 6305066242) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1700208345 |
| PAC ID by PECOS | 6305066242 |
| Professional Enrollment ID | I20140929000017 |
| Full Name | Nicole M Branum |
| Organization Legal Name | NORTHEAST DERMATOLOGY ASSOCIATES PC |
| Address |
538 Turnpike St North Andover MA 01845-5812 |
| Phone Number | 9786839201 |
| Gender | F |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3072403799 |
| Number of Group Practice Members | 46 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220033 | NORTHEST HOSPITAL CORPORATION |
| 220029 | ANNA JAQUES HOSPITAL |
| 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 |
| 538 Turnpike St, North Andover, MA 01845-5812 | 9786839201 | NORTHEAST DERMATOLOGY ASSOCIATES PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| 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 |
538 TURNPIKE ST |
| City | NORTH ANDOVER |
| State | MA |
| Zip | 01845-5812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine Kannler | Dermatology | Northeast Dermatology Associates PC | 538 Turnpike St, North Andover, MA 01845-5812 |
| Linda R Hansen Rodier | Nurse Practitioner | Northeast Dermatology Associates PC | 538 Turnpike St, North Andover, MA 01845-5812 |
| Papri Sarkar | Dermatology | Northeast Dermatology Associates PC | 538 Turnpike St, North Andover, MA 01845-5812 |
| Owen D Reynolds | Dermatology | Northeast Dermatology Associates PC | 538 Turnpike St, North Andover, MA 01845-5812 |
| Jeremy P Finkle | Dermatology | Northeast Dermatology Associates PC | 538 Turnpike St, North Andover, MA 01845-5812 |
| Stephanie A St. Pierre | Dermatology | Northeast Dermatology Associates PC | 538 Turnpike St, North Andover, MA 01845-5812 |
| Norman C Goldberg | Dermatology | Northeast Dermatology Associates, PC | 538 Turnpike St, North Andover, MA 01845-5812 |
| Alison A Carpenter | Physician Assistant | Northeast Dermatology Associates, PC | 538 Turnpike St, North Andover, MA 01845-5812 |
| Margaret I Stewart | Dermatology | Northeast Dermatology Associates, PC | 538 Turnpike St, North Andover, MA 01845-5812 |
| David Goldminz | Dermatology | Northeast Dermatology Associates, PC | 538 Turnpike St, North Andover, MA 01845-5812 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tria S Wipff | Chiropractic | 46 Beechwood Dr, North Andover, MA 01845-1023 | |
| Shayla S Caron | Chiropractic | 1005 Osgood St, North Andover, MA 01845-1501 | |
| Diane L Egan | Chiropractic | 1005 Osgood St, North Andover, MA 01845-1501 | |
| Liam J Hurley | Urology | Northeast Urologic Surgery, PC | 231 Sutton St, Suite 1d, North Andover, MA 01845-1620 |
| Steven R Previte | Urology | Northeast Urologic Surgery, PC | 231 Sutton St, Suite 1d, North Andover, MA 01845-1620 |
| George E Canellakis | Urology | Northeast Urologic Surgery, PC | 231 Sutton St, Suite 1d, North Andover, MA 01845-1620 |
| Asia Zaheen | Family Medicine | 231 Sutton St, Suite 1a, North Andover, MA 01845-1620 | |
| Rachel Mattison | Physical Therapy | Orthopaedic and Sports Medicine Specialists, Inc. | 231 Sutton St, 1c, North Andover, MA 01845-1620 |
| Ronald Moulton | Physical Therapy | Orthopaedic and Sports Medicine Specialists, Inc. | 231 Sutton St, 1c, North Andover, MA 01845-1620 |
| Charles K Brown | Physical Therapy | Orthopaedic and Sports Medicine Specialists, Inc. | 231 Sutton St, 1c, North Andover, MA 01845-1620 |
| Find all physicians in zip 01845 | |||
| City | NORTH ANDOVER |
| Zip Code | 01845 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | NORTH ANDOVER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicole M Branum.
| 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.