| Dr Carolyn J Sporn I, | |
|
Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | |
| (781) 744-8100 | |
| (781) 744-5213 |
| Full Name | Dr Carolyn J Sporn I |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 27 Years |
| Location | Lahey Hospital & Medical Center, Burlington, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386690451 | NPI | - | NPPES |
| 386060400 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | D0058461 (Maryland) | Secondary |
| 207P00000X | Emergency Medicine | 253295 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lahey Hospital & Medical Center, Burlington | Burlington, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lahey Clinic Inc | 2264336528 | 1268 |
| Entity Name | Melrose Wakefield Emergency Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790730539 PECOS PAC ID: 0244143006 Enrollment ID: O20031107000277 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
| Entity Name | Newton Wellesley Emergency Medicine Specialist Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346355526 PECOS PAC ID: 7810983996 Enrollment ID: O20040423000237 |
| Entity Name | Lahey Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
| Entity Name | Hallmark Health Urgent Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184066912 PECOS PAC ID: 1153557616 Enrollment ID: O20131112001050 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Carolyn J Sporn I, Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 Ph: (781) 744-8100 | Dr Carolyn J Sporn I, Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805-0001 Ph: (781) 744-8100 |
Dr. Thomas M Brand, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-5659 | |
Kevan John Mamdouhi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Mr. Paul Dennis Jondro, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic, Burlington, MA 01805 Phone: 781-744-8100 | |
Soumya Ganapathy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Malcolm A Creighton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-5100 Fax: 781-744-5659 | |
Shailendra Kumar Singh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
James J D'urso, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 Fax: 978-538-4707 |