Maximina Boutselis (NPI# 1013946094, PAC ID# 7810183969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1013946094 |
| PAC ID by PECOS | 7810183969 |
| Professional Enrollment ID | I20101201000413 |
| Full Name | Maximina Boutselis |
| Organization Legal Name | LUCIEN DIAGNOSTIC IMAGING INC |
| Address |
7 Sutherland St Andover MA 01810-1410 |
| Phone Number | 9787614606 |
| Gender | F |
| Medical School | UNIVERSITY OF CONNECTICUT SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6305741307 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260061 | NEVADA REGIONAL MEDICAL CENTER |
| 390016 | JAMESON MEMORIAL HOSPITAL |
| 261306 | SULLIVAN COUNTY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 7 Sutherland St, Andover, MA 01810-1410 | 9787614606 | LUCIEN DIAGNOSTIC IMAGING INC |
| 205 Park Central E, Suite 516, Springfield, MO 65806-1334 | 4172332158 | EMERGENCE TELERADIOLOGY, LLC |
| Organization Legal Name | LUCIEN DIAGNOSTIC IMAGING INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David P Dipaolo | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 119 Willow Springs Lane, Larry Jordan, Aledo, TX 76008-2767 |
| Jerald D Hansing | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 11185 State Route 88, Garrettsville, OH 44231-9601 |
| Theodore C Whitford | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Richard A Pica | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Albert B Shaw | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Justin Wagner | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Felice Joseph Esposito | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Mark R Krakovitz | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 6245 N Federal Hwy, Suite 500, Fort Lauderdale, FL 33308-1905 |
| Terry Shaffer | Diagnostic Radiology | Lucien Diagnostic Imaging Inc | 1211 Wilmington Ave, New Castle, PA 16105-2516 |
| Street Address |
7 SUTHERLAND ST |
| City | ANDOVER |
| State | MA |
| Zip | 01810-1410 |
| 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 | DIAGNOSTIC RADIOLOGY |
| City + Specialty | ANDOVER + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Maximina Boutselis.
| 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.