| Lgh Medical Group, Inc. | |
|
295 Varnum Ave Lowell MA 01854-2134 | |
| (978) 788-7218 | |
| (978) 937-6850 |
| Full Name | Lgh Medical Group, Inc. |
|---|---|
| Speciality | Hospitalist |
| Location | 295 Varnum Ave, Lowell, Massachusetts |
| Authorized Official Name and Position | Susan Green (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 9787887143 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lgh Medical Group, Inc. 295 Varnum Ave Lowell MA 01854-2134 Ph: (978) 788-7218 | Lgh Medical Group, Inc. 295 Varnum Ave Lowell MA 01854-2134 Ph: (978) 788-7218 |
| NPI Number | 1174698385 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 03/15/2010 |
| Medicare PECOS PAC ID | 3173626751 |
|---|---|
| Medicare Enrollment ID | O20070320000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174698385 | NPI | - | NPPES |
| M21905 | Other | MA | PTAN |
| Provider Name | Deirdre M Connolly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124076120 PECOS PAC ID: 4385537539 Enrollment ID: I20040203000631 |
| Provider Name | Blair Ardman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1578510160 PECOS PAC ID: 3678567567 Enrollment ID: I20040413001136 |
| Provider Name | Pedro M Sanz-altamira |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1326021429 PECOS PAC ID: 4183606197 Enrollment ID: I20040603000705 |
| Provider Name | Lisa A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396739934 PECOS PAC ID: 2163404948 Enrollment ID: I20040604000445 |
| Provider Name | Scott D Abel |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1124020201 PECOS PAC ID: 7517940521 Enrollment ID: I20040610001182 |
| Provider Name | Kenneth Tanabe |
|---|---|
| Provider Type | Practitioner - Surgical Oncology |
| Provider Identifiers | NPI Number: 1164413613 PECOS PAC ID: 2860479953 Enrollment ID: I20040707000244 |
| Provider Name | Kirk J Macnaught |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1043267636 PECOS PAC ID: 9739159930 Enrollment ID: I20040727000388 |
| Provider Name | Rebecca C Shore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1053396143 PECOS PAC ID: 9931179611 Enrollment ID: I20040729000717 |
| Provider Name | Raymond H Lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114901030 PECOS PAC ID: 1557334695 Enrollment ID: I20040817000335 |
| Provider Name | Beth Gosbee |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1164473062 PECOS PAC ID: 1355315664 Enrollment ID: I20040823001159 |
| Provider Name | Laurence H Brinckerhoff |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1013943679 PECOS PAC ID: 3870562622 Enrollment ID: I20040928001031 |
| Provider Name | Jennifer J Daman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891888970 PECOS PAC ID: 0840259925 Enrollment ID: I20041005000654 |
| Provider Name | Young B Kim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790875540 PECOS PAC ID: 1052372570 Enrollment ID: I20041019000788 |
| Provider Name | Kathryn L Olson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336136159 PECOS PAC ID: 7517915994 Enrollment ID: I20050112000488 |
| Provider Name | Michael Muto |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255367223 PECOS PAC ID: 0042265332 Enrollment ID: I20050321000054 |
| Provider Name | Beverly A Goldberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154316693 PECOS PAC ID: 9133175755 Enrollment ID: I20050328000356 |
| Provider Name | Paul Harcourt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710954482 PECOS PAC ID: 9335182690 Enrollment ID: I20050607001134 |
| Provider Name | John Ragucci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487601654 PECOS PAC ID: 9830126531 Enrollment ID: I20050725000843 |
| Provider Name | Richard E Altman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134199748 PECOS PAC ID: 8426086257 Enrollment ID: I20050802000503 |
| Provider Name | Rekha Sundar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356308597 PECOS PAC ID: 5890725444 Enrollment ID: I20050815000301 |
| Provider Name | Paulina M Fernandes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205817269 PECOS PAC ID: 8224053962 Enrollment ID: I20051011001017 |
| Provider Name | Hande H Tuncer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265446603 PECOS PAC ID: 8628098951 Enrollment ID: I20051201000788 |
| Provider Name | Catherine D Elie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023079373 PECOS PAC ID: 4880618305 Enrollment ID: I20060123000714 |
| Provider Name | Karen B Poushter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710989629 PECOS PAC ID: 2860407780 Enrollment ID: I20060214000637 |
| Provider Name | Murat A Anamur |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1487601100 PECOS PAC ID: 4789692336 Enrollment ID: I20060323000648 |
| Provider Name | Robert A Edelstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1770564643 PECOS PAC ID: 3173421005 Enrollment ID: I20060328000312 |
| Provider Name | Douglas D Tisdale |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1316920416 PECOS PAC ID: 7113938549 Enrollment ID: I20060519000084 |
| Provider Name | Matthew A Cohen |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003848078 PECOS PAC ID: 8022021310 Enrollment ID: I20060804000066 |
| Provider Name | Michael Jiser |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1952386005 PECOS PAC ID: 1658301098 Enrollment ID: I20060809000086 |
| Provider Name | Minerva T Domingo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639170210 PECOS PAC ID: 6709829906 Enrollment ID: I20060810000025 |
| Provider Name | Benjamin Hamar |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003897877 PECOS PAC ID: 0547160269 Enrollment ID: I20060816000365 |
| Provider Name | Roy R Shen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407831563 PECOS PAC ID: 0143223875 Enrollment ID: I20060817000408 |
| Provider Name | Maher K Tabba |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700812310 PECOS PAC ID: 1355345109 Enrollment ID: I20060908000319 |
| Provider Name | Deborah Mchugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114973872 PECOS PAC ID: 3072518471 Enrollment ID: I20060918000379 |
| Provider Name | Kathleen E Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104992270 PECOS PAC ID: 6507969623 Enrollment ID: I20070310000099 |
| Provider Name | Naaznin J Lokhandwala |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1982620910 PECOS PAC ID: 5597861641 Enrollment ID: I20070507000086 |
| Provider Name | Miguel A Ariza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104850858 PECOS PAC ID: 4789785767 Enrollment ID: I20070720000154 |
| Provider Name | Wendy Lawler Mitchell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972529071 PECOS PAC ID: 9133210156 Enrollment ID: I20070806000574 |
| Provider Name | Joseph M Dulac |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760421234 PECOS PAC ID: 2163488206 Enrollment ID: I20071218000247 |
| Provider Name | Jill E Rainone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376731489 PECOS PAC ID: 7618057639 Enrollment ID: I20080103000457 |
| Provider Name | James Kuin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972564995 PECOS PAC ID: 3173565280 Enrollment ID: I20080108000562 |
| Provider Name | Cindy Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114989613 PECOS PAC ID: 9638111743 Enrollment ID: I20080108000576 |
| Provider Name | Joyce M Landers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952501199 PECOS PAC ID: 6305920182 Enrollment ID: I20080304000095 |
| Provider Name | Michelle M Cochran |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427059005 PECOS PAC ID: 9537102736 Enrollment ID: I20081003000266 |
| Provider Name | Christen Fragala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073570024 PECOS PAC ID: 2567520687 Enrollment ID: I20081018000061 |
| Provider Name | Craig Champion |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1629251749 PECOS PAC ID: 8921160359 Enrollment ID: I20081219000023 |
| Provider Name | Frank Osborn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518932128 PECOS PAC ID: 5496818981 Enrollment ID: I20090109000219 |
| Provider Name | Nancy L Sydow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912156027 PECOS PAC ID: 9931265709 Enrollment ID: I20090303000166 |
| Provider Name | Nicholas D Mcauley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144480740 PECOS PAC ID: 9436205176 Enrollment ID: I20090921000627 |
| Provider Name | Nancy L. Bettez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972832384 PECOS PAC ID: 8527102763 Enrollment ID: I20100225000524 |
| Provider Name | Shelagh Galvin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1922060714 PECOS PAC ID: 7113052564 Enrollment ID: I20100429000320 |
| Provider Name | Holly A Powderly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619209053 PECOS PAC ID: 1355472846 Enrollment ID: I20100628000337 |
| Provider Name | Paul Obrien |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215978895 PECOS PAC ID: 4587856877 Enrollment ID: I20101005000653 |
| Provider Name | Darshana Apte |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1578880563 PECOS PAC ID: 1052503794 Enrollment ID: I20101013000247 |
| Provider Name | Maureen Mcswiggin |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1427187699 PECOS PAC ID: 9537211008 Enrollment ID: I20101020001597 |
| Provider Name | Marc G Hochler |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225045784 PECOS PAC ID: 0244423952 Enrollment ID: I20101026000299 |
| Provider Name | Antonio David Lassaletta |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1225284441 PECOS PAC ID: 7517151533 Enrollment ID: I20101103000419 |
| Provider Name | Tabby Kinyanjui |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306159496 PECOS PAC ID: 2567644511 Enrollment ID: I20110311000371 |
| Provider Name | Chong S So |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972561231 PECOS PAC ID: 2567479942 Enrollment ID: I20110311000627 |
| Provider Name | Virginia B Doherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366745796 PECOS PAC ID: 6204018070 Enrollment ID: I20110315000983 |
| Provider Name | Katelyn Scagnelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760634943 PECOS PAC ID: 4284803420 Enrollment ID: I20110804000621 |
| Provider Name | Nadia Murray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184991531 PECOS PAC ID: 3274708557 Enrollment ID: I20111215000168 |
| Provider Name | Gregory W Woo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093910788 PECOS PAC ID: 0547420325 Enrollment ID: I20120402000605 |
| Provider Name | Marianne Barry |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1568692143 PECOS PAC ID: 9830355676 Enrollment ID: I20120724000457 |
| Provider Name | Neil J Oregan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1457311821 PECOS PAC ID: 1153388483 Enrollment ID: I20121022000480 |
| Provider Name | Adam Weston |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477729598 PECOS PAC ID: 9436391067 Enrollment ID: I20130812000583 |
| Provider Name | Maria W Fradinho |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184850703 PECOS PAC ID: 8325280761 Enrollment ID: I20130814000168 |
| Provider Name | Emelyn Molato |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922326529 PECOS PAC ID: 1951545029 Enrollment ID: I20130912000144 |
| Provider Name | Amy P Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104053842 PECOS PAC ID: 7719111905 Enrollment ID: I20131001000094 |
| Provider Name | Anasuya Gunturi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1760619183 PECOS PAC ID: 6709011109 Enrollment ID: I20131018001827 |
| Provider Name | Katherine Bradley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972931392 PECOS PAC ID: 7315174950 Enrollment ID: I20131205001715 |
| Provider Name | Kristen L Scanlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619300050 PECOS PAC ID: 0042448672 Enrollment ID: I20140106000775 |
| Provider Name | Catherine Trinh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093963407 PECOS PAC ID: 4587895289 Enrollment ID: I20140321001572 |
| Provider Name | Kathleen Cullen Lutter |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588096267 PECOS PAC ID: 3476785320 Enrollment ID: I20140409000046 |
| Provider Name | Melissa L Cullingford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982014676 PECOS PAC ID: 2062637036 Enrollment ID: I20140707001663 |
| Provider Name | Carol Reich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366854481 PECOS PAC ID: 3173845260 Enrollment ID: I20141126001253 |
| Provider Name | Diana S Mahoney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528400975 PECOS PAC ID: 5395068399 Enrollment ID: I20141224000330 |
| Provider Name | Yazmin D Romero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821409582 PECOS PAC ID: 7719200716 Enrollment ID: I20141224000454 |
| Provider Name | Jessica L Verosko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134133994 PECOS PAC ID: 9032211057 Enrollment ID: I20150610001945 |
| Provider Name | Melissa L Torchetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053741694 PECOS PAC ID: 9133359037 Enrollment ID: I20150708002637 |
| Provider Name | Payam Salehi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578737532 PECOS PAC ID: 8820227960 Enrollment ID: I20150820010855 |
| Provider Name | Ashley E. Tavares |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730546284 PECOS PAC ID: 9436457207 Enrollment ID: I20160411001966 |
| Provider Name | Michael Coyle |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1083848436 PECOS PAC ID: 0648576728 Enrollment ID: I20160819000140 |
| Provider Name | Francis P. Magro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326333543 PECOS PAC ID: 5991094245 Enrollment ID: I20161011002128 |
| Provider Name | Shirley K Labrecque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629123526 PECOS PAC ID: 0143321406 Enrollment ID: I20161116001968 |
| Provider Name | Charmy B Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013451921 PECOS PAC ID: 6204117187 Enrollment ID: I20170109001191 |
| Provider Name | Ashley L Tobey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154705572 PECOS PAC ID: 1850676321 Enrollment ID: I20170323002344 |
| Provider Name | Kerry A Watroba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184972507 PECOS PAC ID: 7618294950 Enrollment ID: I20170523001554 |
| Provider Name | Maureen Ryan Dziura |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1174818363 PECOS PAC ID: 4587884069 Enrollment ID: I20170711000038 |
| Provider Name | Shilpa Deshmukh |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1326386822 PECOS PAC ID: 0648589846 Enrollment ID: I20170822002915 |
| Provider Name | Lisa H. Diburro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821514274 PECOS PAC ID: 8426314790 Enrollment ID: I20171102002574 |
| Provider Name | Harpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962914143 PECOS PAC ID: 5193082915 Enrollment ID: I20171204002868 |
| Provider Name | Rebekah Ashton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639677826 PECOS PAC ID: 0941562995 Enrollment ID: I20180403000351 |
| Provider Name | Rachelle M Aaron |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1407355878 PECOS PAC ID: 7113281189 Enrollment ID: I20180430001240 |
| Provider Name | Julie Simoneau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013419217 PECOS PAC ID: 9739443961 Enrollment ID: I20180515002915 |
| Provider Name | Colin B Jackson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104243278 PECOS PAC ID: 1850510488 Enrollment ID: I20180523001089 |
| Provider Name | Shawn Anthony Berkowitz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063479798 PECOS PAC ID: 7618999129 Enrollment ID: I20180710001296 |
| Provider Name | David Wu Shi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558704726 PECOS PAC ID: 4789932559 Enrollment ID: I20180810000788 |
| Provider Name | Susan Symons |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1609394303 PECOS PAC ID: 5991056632 Enrollment ID: I20180919003581 |
| Provider Name | Katherine Woodall |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1124567680 PECOS PAC ID: 8123379153 Enrollment ID: I20181001002405 |
| Provider Name | Zhibin Fang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558838995 PECOS PAC ID: 3971857517 Enrollment ID: I20181116001295 |
| Provider Name | Katrina Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265918718 PECOS PAC ID: 3870837453 Enrollment ID: I20181210000159 |
| Provider Name | Rona Spector |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1831449909 PECOS PAC ID: 1759627441 Enrollment ID: I20190117001275 |
| Provider Name | Qiang Nai |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1194105312 PECOS PAC ID: 6608164629 Enrollment ID: I20190214002863 |
| Provider Name | Dustin Walters |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1114122405 PECOS PAC ID: 7315176187 Enrollment ID: I20190510001791 |
| Provider Name | Hayley Paret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104348663 PECOS PAC ID: 0446593016 Enrollment ID: I20190522002019 |
| Provider Name | Corinne L Puzio |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558597906 PECOS PAC ID: 0345461224 Enrollment ID: I20190531001327 |
| Provider Name | Anas Ashfaq Ahmed |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1629410824 PECOS PAC ID: 4880929959 Enrollment ID: I20190711001073 |
| Provider Name | Ingrid Sheldon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922060383 PECOS PAC ID: 1052540127 Enrollment ID: I20190711001658 |
| Provider Name | Irene Lewnard |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952796211 PECOS PAC ID: 7012242662 Enrollment ID: I20190718001368 |
| Provider Name | Jennifer Gilliat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598904336 PECOS PAC ID: 8325377609 Enrollment ID: I20190911003379 |
| Provider Name | Amanda Liberty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104312875 PECOS PAC ID: 4486984127 Enrollment ID: I20190924001190 |
| Provider Name | Audra D Williams |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013398049 PECOS PAC ID: 3375857170 Enrollment ID: I20191126001520 |
| Provider Name | Milinda Ruth Carson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275572034 PECOS PAC ID: 6305804659 Enrollment ID: I20191213000088 |
| Provider Name | Richard Burke |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538459656 PECOS PAC ID: 9931342151 Enrollment ID: I20200420002785 |
| Provider Name | Asma Tariq |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1487074027 PECOS PAC ID: 0244504629 Enrollment ID: I20200528002562 |
| Provider Name | Mark Ashraf Henry |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1104211333 PECOS PAC ID: 3072817303 Enrollment ID: I20200803001554 |
| Provider Name | Laura Jarosz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710520325 PECOS PAC ID: 1254757362 Enrollment ID: I20200820000321 |
| Provider Name | Ruchi Hamal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1447670823 PECOS PAC ID: 1355640269 Enrollment ID: I20200911001012 |
| Provider Name | Jacqueline E Calvo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1770843914 PECOS PAC ID: 9537489489 Enrollment ID: I20200928001034 |
| Provider Name | Daniel Groves |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1124445168 PECOS PAC ID: 0749502904 Enrollment ID: I20210129001428 |
| Provider Name | Pauline E Soucy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629673140 PECOS PAC ID: 7012321144 Enrollment ID: I20210201000220 |
| Provider Name | James M Goodman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962606525 PECOS PAC ID: 2961554613 Enrollment ID: I20210426000968 |
| Provider Name | Erica Goroshko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265032874 PECOS PAC ID: 4183033939 Enrollment ID: I20210506001726 |
| Provider Name | Whitney Shilton-lown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972909232 PECOS PAC ID: 5193124485 Enrollment ID: I20210518001913 |
| Provider Name | Meredith Leigh Kydd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992314561 PECOS PAC ID: 9830598929 Enrollment ID: I20210521001200 |
| Provider Name | Deanna Goroshko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083297600 PECOS PAC ID: 0547660250 Enrollment ID: I20210617001982 |
| Provider Name | Sarah E Paraghamian |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1487066387 PECOS PAC ID: 6406137652 Enrollment ID: I20210818002299 |
| Provider Name | Alyssa Paton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942666250 PECOS PAC ID: 3678979382 Enrollment ID: I20210903001858 |
| Provider Name | Shivani Kumar |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1629423017 PECOS PAC ID: 0446597900 Enrollment ID: I20211026000895 |
| Provider Name | Lara L Chatterton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194497230 PECOS PAC ID: 3072901750 Enrollment ID: I20211029000548 |
| Provider Name | Kimberly F Delrossi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922345909 PECOS PAC ID: 8022314574 Enrollment ID: I20220104000536 |
| Provider Name | Kelly Anne Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417534942 PECOS PAC ID: 8921417734 Enrollment ID: I20220112001740 |
| Provider Name | Taylor-alicia M Hynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285378158 PECOS PAC ID: 0648654814 Enrollment ID: I20220907002720 |
| Provider Name | Omar Khaled Selim |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1871212191 PECOS PAC ID: 3375929979 Enrollment ID: I20221005002412 |
| Provider Name | Lindsey E Cucchiara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669104204 PECOS PAC ID: 1456728484 Enrollment ID: I20221104000911 |
| Provider Name | Mary L Schmitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871828574 PECOS PAC ID: 3274676051 Enrollment ID: I20230425001925 |
| Provider Name | Malina Holmes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275094047 PECOS PAC ID: 9830427913 Enrollment ID: I20230503000053 |
| Provider Name | Leah Fichera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164098695 PECOS PAC ID: 6901262336 Enrollment ID: I20230510000210 |
| Provider Name | Patrick O'neil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871153205 PECOS PAC ID: 9234464363 Enrollment ID: I20230601002322 |
| Provider Name | David M Nguyen |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1508094160 PECOS PAC ID: 1951617661 Enrollment ID: I20230717000290 |
| Provider Name | Elizabeth Singh-warden |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740817584 PECOS PAC ID: 5698137222 Enrollment ID: I20230815000836 |
| Provider Name | Chloe Cameron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710610548 PECOS PAC ID: 5890157010 Enrollment ID: I20230818002066 |
| Provider Name | Stephanie D Talutis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1154749703 PECOS PAC ID: 9335368653 Enrollment ID: I20230821001375 |
| Provider Name | Natasha M Pradhan |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1649688441 PECOS PAC ID: 3072802909 Enrollment ID: I20230825002623 |
| Provider Name | Joanne Hogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265110704 PECOS PAC ID: 2769836154 Enrollment ID: I20231004001603 |
| Provider Name | Joseph Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801596713 PECOS PAC ID: 0042671653 Enrollment ID: I20231005001816 |
| Provider Name | Dana Flynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356125199 PECOS PAC ID: 6709231582 Enrollment ID: I20231013002704 |
| Provider Name | George M Karanja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235832957 PECOS PAC ID: 6305152471 Enrollment ID: I20231023000986 |
| Provider Name | Sarah Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255035481 PECOS PAC ID: 6002263688 Enrollment ID: I20231104000211 |
| Provider Name | Mariam Ssozi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255018180 PECOS PAC ID: 9638526080 Enrollment ID: I20231107003284 |
| Provider Name | Paresh Mane |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1811010903 PECOS PAC ID: 8224266242 Enrollment ID: I20231213000735 |
| Provider Name | Tasha Mandeville |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669199477 PECOS PAC ID: 7315398419 Enrollment ID: I20240112000795 |
| Provider Name | Bonnie Bouchard |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003884685 PECOS PAC ID: 5294767620 Enrollment ID: I20240119003305 |
| Provider Name | Colleen Williams |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194487223 PECOS PAC ID: 1951754357 Enrollment ID: I20240201003053 |
| Provider Name | Uzma Mohammad Siddiqui |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740621739 PECOS PAC ID: 0143452151 Enrollment ID: I20240308001062 |
| Provider Name | Sylvia H Tufano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538143748 PECOS PAC ID: 6608857321 Enrollment ID: I20240308001722 |
Mill City Medical Group Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 45 Palmer Street, Lowell, MA 01852 Phone: 978-970-1607 Fax: 978-970-1115 | |
Rite Aid Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Church St, Lowell, MA 01852 Phone: 978-937-0030 | |
Peter S. Bradshaw M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 E Merrimack St, Suite 15, Lowell, MA 01852 Phone: 978-459-3341 Fax: 978-459-5344 | |
Andrew M. Romanowsky Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 33 Bartlett St Ste 206, Lowell, MA 01852 Phone: 978-458-1293 Fax: 978-458-6953 | |
Mass Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 200 Central St, Suite #2, Lowell, MA 01852 Phone: 978-446-7982 Fax: 866-897-3951 | |
Jack Chang Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 706 Rogers St, Lowell, MA 01852 Phone: 978-937-9333 Fax: 978-937-9992 |