Tai Tran (NPI# 1790892834, PAC ID# 7012060239) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1790892834 |
| PAC ID by PECOS | 7012060239 |
| Professional Enrollment ID | I20090805000110 |
| Full Name | Tai Tran |
| Organization Legal Name | NORTH BRIDGE IMAGING GROUP, LLC |
| Address |
133 Old Rd To Nine Acre Corner Radiology Department Concord MA 01742-4159 |
| Phone Number | 9782873794 |
| Gender | M |
| Graduation Year | 2002 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 3577451178 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220084 | EMERSON HOSPITAL - |
| 220071 | MASSACHUSETTS GENERAL HOSPITAL |
| 220171 | LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON |
| Address | Phone | Organization |
|---|---|---|
| 133 Old Rd To 9 Acre Cor, Concord, MA 01742-4159 | 9782873020 | EMERSON PRACTICE ASSOCIATES, INC |
| 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 | 9782873794 | NORTH BRIDGE IMAGING GROUP, LLC |
| Organization Legal Name | NORTH BRIDGE IMAGING GROUP, LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Kim | Diagnostic Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| Lisa Intriere | Diagnostic Radiology | North Bridge Imaging Group, LLC | 100 Boston Rd, Groton, MA 01450-1879 |
| Dan Nir | Diagnostic Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| Adhip Mukerjee | Diagnostic Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| Christopher Alan Hostage | Diagnostic Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| Elizabeth Peters | Diagnostic Radiology | North Bridge Imaging Group, LLC | 100 Boston Rd, Groton, MA 01450-1879 |
| David Rose | Diagnostic Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| Mark A Connaughton | Diagnostic Radiology | North Bridge Imaging Group, LLC | 100 Boston Rd, Groton, MA 01450-1879 |
| Jane H Fay | Diagnostic Radiology | North Bridge Imaging Group, LLC | 100 Boston Rd, Groton, MA 01450-1879 |
| Lauren Ferrara | Interventional Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| Street Address |
133 OLD RD TO NINE ACRE CORNER RADIOLOGY DEPARTMENT |
| City | CONCORD |
| State | MA |
| Zip | 01742-4159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Kim | Diagnostic Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| Dan Nir | Diagnostic Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| Adhip Mukerjee | Diagnostic Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| Christopher Alan Hostage | Diagnostic Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| David Rose | Diagnostic Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| Lauren Ferrara | Interventional Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| Corinne Sadoski | Diagnostic Radiology | North Bridge Imaging Group, LLC | 133 Old Rd To Nine Acre Corner, Radiology Department, Concord, MA 01742-4159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael W Winter | Internal Medicine | Emerson Practice Associates, Inc | 131 Old Rd To Nine Acre Cor, Concord, MA 01742 |
| Richard P Schwartz | Gastroenterology | Emerson Practice Associates, Inc | 131 Old Rd To Nine Acre Cor, Concord, MA 01742 |
| Thomas A Lamattina | Cardiovascular Disease (cardiology) | 131 Ornac, John Cummings Bld Suite 640, Concord, MA 01742 | |
| Anjum Butte | Cardiovascular Disease (cardiology) | 131 Ornac, Suite 520 Jcb, Concord, MA 01742 | |
| Jason Gee | Urology | Emerson Practice Associates, Inc | 131 Old Rd To Nine Acre Cor, Concord, MA 01742 |
| Sravanthi Changala Madala | Internal Medicine | Emerson Practice Associates, Inc | 131 Old Rd To Nine Acre Cor, Concord, MA 01742 |
| Brian F Hinnebusch | Colorectal Surgery (proctology) | Emerson Practice Associates, Inc | 131 Old Rd To Nine Acre Cor, Concord, MA 01742 |
| John Gerald Dowd | Osteopathic Manipulative Medicine | Emerson Practice Associates, Inc | 131 Old Rd To Nine Acre Cor, Concord, MA 01742 |
| Melissa Piech | Endocrinology | Emerson Practice Associates, Inc | 131 Old Rd To Nine Acre Cor, Concord, MA 01742 |
| Caitlin E Olsen | Nurse Practitioner | Emerson Practice Associates, Inc | 131 Old Rd To Nine Acre Cor, Concord, MA 01742 |
| Find all physicians in zip 01742 | |||
| City | CONCORD |
| Zip Code | 01742 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | CONCORD + DIAGNOSTIC RADIOLOGY |
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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.