Robert John Tavares (NPI# 1013278902, PAC ID# 9830499292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1013278902 |
| PAC ID by PECOS | 9830499292 |
| Professional Enrollment ID | I20151208001059 |
| Full Name | Robert John Tavares |
| Organization Legal Name | LAHEY CLINIC INC |
| Address |
41 Mall Rd Burlington MA 01805-0001 |
| Phone Number | 7817445100 |
| Gender | M |
| Medical School | UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 2264336528 |
| Number of Group Practice Members | 1068 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220033 | NORTHEST HOSPITAL CORPORATION |
| Address | Phone | Organization |
|---|---|---|
| 41 Mall Rd, Burlington, MA 01805-0001 | 7817445100 | LAHEY CLINIC INC |
| 1 Essex Ctr Dr, Peabody, MA 01960-2901 | 9785384000 | LAHEY CLINIC INC |
| 455 Toll Gate Rd, Warwick, RI 02886-2759 | 4017377010 | AFFINITY PHYSICIANS LLC. |
| Organization Legal Name | LAHEY CLINIC INC |
| Physicians | 1080 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edward J Boudreau | Physical Therapy | Lahey Clinic Inc | 16 Hayden Ave, Lexington, MA 02421-7929 |
| Zena C Saadeh | Physician Assistant | Lahey Clinic Inc | 152 Conant St, Beverly, MA 01915-1600 |
| Jorge A Alzate | Certified Registered Nurse Anesthetist (crna) | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Olimpia Suciu | Physician Assistant | Lahey Clinic Inc | 281 Lincoln St, Worcester, MA 01605-2138 |
| Anita Erler | Internal Medicine | Lahey Clinic Inc | 50 Mall Rd, Burlington, MA 01803-4537 |
| Kathleen H Mahoney | Nurse Practitioner | Lahey Clinic Inc | 42 Mall Rd, Burlington, MA 01803-4568 |
| Chad Wotkowicz | Urology | Lahey Clinic Inc | 17 Old Rollinsford Rd A, Dover, NH 03820-2833 |
| Sandra J Sullivan | Physician Assistant | Lahey Clinic Inc | 233 Lincoln Ave, Haverhill, MA 01830-6738 |
| John A Saryan | Allergy/immunology | Lahey Clinic Inc | 1 Essex Ctr Dr, Peabody, MA 01960-2901 |
| James A Betti | Urology | Lahey Clinic Inc | 16 Long Sands Rd, York, ME 03909-1147 |
| Street Address |
41 MALL RD |
| City | BURLINGTON |
| State | MA |
| Zip | 01805-0001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jorge A Alzate | Certified Registered Nurse Anesthetist (crna) | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Elaina Townsend | Nurse Practitioner | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Victor Kim | General Surgery | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Kristen Robson | Gastroenterology | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Christine B Thomas | Pathology | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Eric Scott Kerns | Nephrology | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Jonathan Rassi | Diagnostic Radiology | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Tony Wang | Anesthesiology | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Carolina Ivonne Feris | Clinical Social Worker | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Richard H Ma | Hospitalist | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonal N Pandya | Plastic and Reconstructive Surgery | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Heather L Elias | Endocrinology | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Chieke Udom | Internal Medicine | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Chizoba Umeh | Neurology | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Lisa Wilson | Nurse Practitioner | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Tanya Birkett | Anesthesiology | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Alon Dagan | Emergency Medicine | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Anne Marcia Woodbury | Certified Registered Nurse Anesthetist (crna) | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Francis Nugent | Hematology/oncology | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Daniel J Obrien | Anesthesiology | Lahey Clinic Inc | 41 Mall Rd, Burlington, MA 01805-0001 |
| Find all physicians in zip 01805 | |||
| City | BURLINGTON |
| Zip Code | 01805 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BURLINGTON + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Robert John Tavares.
| 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.