| Lynn Community Health, Inc. | |
|
269 Union Street Lynn MA 01901-1314 | |
| (781) 596-2502 | |
| (781) 596-3966 |
| Full Name | Lynn Community Health, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 269 Union Street, Lynn, Massachusetts |
| Authorized Official Name and Position | Lori Abrams Berry (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7815962502 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynn Community Health, Inc. 269 Union Street Lynn MA 01901-1314 Ph: (781) 596-2502 | Lynn Community Health, Inc. 269 Union Street Lynn MA 01901-1314 Ph: (781) 596-2502 |
| NPI Number | 1013997691 |
|---|---|
| Provider Enumeration Date | 01/19/2006 |
| Last Update Date | 06/30/2015 |
| Medicare PECOS PAC ID | 0042217507 |
|---|---|
| Medicare Enrollment ID | O20061026000348 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013997691 | NPI | - | NPPES |
| 1301853 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 4735 (Massachusetts) | Primary |
| Provider Name | Kiame Mahanian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790771756 PECOS PAC ID: 8123911799 Enrollment ID: I20040206000166 |
| Provider Name | Linda C Jones |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275502643 PECOS PAC ID: 0547242620 Enrollment ID: I20040602001416 |
| Provider Name | Giulia H M Scarantino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487614632 PECOS PAC ID: 7517938814 Enrollment ID: I20040802000823 |
| Provider Name | Katherine L Rosenfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073599221 PECOS PAC ID: 9234199050 Enrollment ID: I20041015000742 |
| Provider Name | Lisa S Schott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205909363 PECOS PAC ID: 0749231223 Enrollment ID: I20050202000068 |
| Provider Name | Mirna Panameno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073736542 PECOS PAC ID: 0345292496 Enrollment ID: I20050216000796 |
| Provider Name | Steven H Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669462073 PECOS PAC ID: 5597711226 Enrollment ID: I20050328000010 |
| Provider Name | Gargi Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316092133 PECOS PAC ID: 3375599665 Enrollment ID: I20050330000283 |
| Provider Name | Donna L Springs |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043206501 PECOS PAC ID: 4688621386 Enrollment ID: I20050405000766 |
| Provider Name | Thomas Michelman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093752214 PECOS PAC ID: 4284671397 Enrollment ID: I20050411000754 |
| Provider Name | Walter S Wightman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033293295 PECOS PAC ID: 0648218719 Enrollment ID: I20050419001383 |
| Provider Name | Shiva Saboori |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376537704 PECOS PAC ID: 3779521760 Enrollment ID: I20050420000796 |
| Provider Name | Anthony C Erdmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962485748 PECOS PAC ID: 9234178229 Enrollment ID: I20050428000967 |
| Provider Name | Colleen M Collins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336123330 PECOS PAC ID: 6305880055 Enrollment ID: I20050614000964 |
| Provider Name | Alison Rosalie Brookes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013992254 PECOS PAC ID: 4981640976 Enrollment ID: I20050629001089 |
| Provider Name | Ruth P Masterson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1801898846 PECOS PAC ID: 8325077910 Enrollment ID: I20050804000114 |
| Provider Name | Toryalai Amiri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255388047 PECOS PAC ID: 4880601293 Enrollment ID: I20060309000466 |
| Provider Name | Tracey Anne Costantino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295779890 PECOS PAC ID: 6608879978 Enrollment ID: I20060807000451 |
| Provider Name | Michael Reich |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1649226333 PECOS PAC ID: 7517963903 Enrollment ID: I20061006000442 |
| Provider Name | Kevin C Delahanty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639272909 PECOS PAC ID: 4880796762 Enrollment ID: I20070223000154 |
| Provider Name | Hanna Haptu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851494892 PECOS PAC ID: 6507965258 Enrollment ID: I20070621000397 |
| Provider Name | Rebecca C Nuernberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114093275 PECOS PAC ID: 1557459484 Enrollment ID: I20071110000072 |
| Provider Name | Karen E Caldwell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407996481 PECOS PAC ID: 0941390058 Enrollment ID: I20071213000122 |
| Provider Name | Donna M Agave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669656187 PECOS PAC ID: 0749189173 Enrollment ID: I20080207000012 |
| Provider Name | Soumya Chandrasekaran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942484431 PECOS PAC ID: 1850468216 Enrollment ID: I20080926000298 |
| Provider Name | Mark J Alexakos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083719835 PECOS PAC ID: 3173681608 Enrollment ID: I20081027000797 |
| Provider Name | Geoffrey Pechinsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801855788 PECOS PAC ID: 4385707017 Enrollment ID: I20090107000206 |
| Provider Name | Kristen Cotter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1124203161 PECOS PAC ID: 7911055892 Enrollment ID: I20090504000034 |
| Provider Name | Stephen P Christiansen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134156680 PECOS PAC ID: 1850486390 Enrollment ID: I20090723000500 |
| Provider Name | Lorianne J Gillis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750614244 PECOS PAC ID: 3375684228 Enrollment ID: I20100114000129 |
| Provider Name | Anna Rabkina |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831292887 PECOS PAC ID: 9234255100 Enrollment ID: I20100928001446 |
| Provider Name | Nicholas H Mayper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861505000 PECOS PAC ID: 7315131570 Enrollment ID: I20101101001421 |
| Provider Name | Mercedes Freije Ibanez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144546185 PECOS PAC ID: 6406035500 Enrollment ID: I20110121000143 |
| Provider Name | Vivian Bennett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700960796 PECOS PAC ID: 3173705597 Enrollment ID: I20110307000617 |
| Provider Name | Alexy Kochowiec |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780616227 PECOS PAC ID: 4082890850 Enrollment ID: I20110511000455 |
| Provider Name | Carmelle Marie Andrine Constant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871747188 PECOS PAC ID: 7113055492 Enrollment ID: I20110524000725 |
| Provider Name | Marco Belluardo-crosby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801090451 PECOS PAC ID: 4789862335 Enrollment ID: I20110629000645 |
| Provider Name | Landrey Fagan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548423817 PECOS PAC ID: 9537339718 Enrollment ID: I20110825000301 |
| Provider Name | Joyce L Prophete |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497835870 PECOS PAC ID: 6204006398 Enrollment ID: I20110829000149 |
| Provider Name | Sini Poulose |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700885639 PECOS PAC ID: 3274591151 Enrollment ID: I20110902000229 |
| Provider Name | Kelly J Holland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427210632 PECOS PAC ID: 9739352121 Enrollment ID: I20111031000503 |
| Provider Name | Nicholas J Urbanczyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952424301 PECOS PAC ID: 5294800660 Enrollment ID: I20120214000928 |
| Provider Name | Ofra Sarid-segal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275550097 PECOS PAC ID: 4789843640 Enrollment ID: I20120313000092 |
| Provider Name | Andrew W Whetstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073793444 PECOS PAC ID: 8628231305 Enrollment ID: I20120516000166 |
| Provider Name | Christina M Pescatore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083843361 PECOS PAC ID: 7810151511 Enrollment ID: I20120608000347 |
| Provider Name | Melanie Altholtz Nathan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861655821 PECOS PAC ID: 7012165574 Enrollment ID: I20120907000472 |
| Provider Name | Annalee Wells |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154564060 PECOS PAC ID: 5890946826 Enrollment ID: I20121121000171 |
| Provider Name | Michael A Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760412613 PECOS PAC ID: 9537124045 Enrollment ID: I20130103000372 |
| Provider Name | Daniel A Bastian |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770848384 PECOS PAC ID: 4587818430 Enrollment ID: I20130131000371 |
| Provider Name | Rosa Lorenia Diaz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336477009 PECOS PAC ID: 5597919076 Enrollment ID: I20130211000038 |
| Provider Name | Nida N Lam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780998765 PECOS PAC ID: 3072768290 Enrollment ID: I20130219000268 |
| Provider Name | Rozanne M Puleo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811275167 PECOS PAC ID: 1254582547 Enrollment ID: I20130327000496 |
| Provider Name | Brent A Fryling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053369611 PECOS PAC ID: 9537219589 Enrollment ID: I20130820001031 |
| Provider Name | Kimberly Gayle Montez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073893186 PECOS PAC ID: 8426282617 Enrollment ID: I20131001000121 |
| Provider Name | Amer El-haddad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689987885 PECOS PAC ID: 0749416808 Enrollment ID: I20131119001208 |
| Provider Name | Maura Munoz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871736728 PECOS PAC ID: 0941436638 Enrollment ID: I20131203000429 |
| Provider Name | Sherron T Colgram |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1922239193 PECOS PAC ID: 3173750361 Enrollment ID: I20131213001316 |
| Provider Name | Michele A. Manting |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982713079 PECOS PAC ID: 2365603503 Enrollment ID: I20140208000177 |
| Provider Name | Caitlin Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205097961 PECOS PAC ID: 5496816514 Enrollment ID: I20140421001200 |
| Provider Name | Whitney Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093041543 PECOS PAC ID: 5496971814 Enrollment ID: I20141120002255 |
| Provider Name | Othman M Mohammad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912138660 PECOS PAC ID: 8729301825 Enrollment ID: I20141222001087 |
| Provider Name | Karen L Abdool |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942472824 PECOS PAC ID: 4880919026 Enrollment ID: I20150211001136 |
| Provider Name | Elizabeth J Quinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750643185 PECOS PAC ID: 2860630506 Enrollment ID: I20150720001355 |
| Provider Name | Alexis G Malkin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932355187 PECOS PAC ID: 1254483803 Enrollment ID: I20150729010288 |
| Provider Name | Thomas Andrea |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669881041 PECOS PAC ID: 8921315714 Enrollment ID: I20150910002015 |
| Provider Name | Beth A Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417191297 PECOS PAC ID: 7214189935 Enrollment ID: I20150922002563 |
| Provider Name | Rodrigo T. Rodrigues |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013193259 PECOS PAC ID: 1557532033 Enrollment ID: I20151009001981 |
| Provider Name | Kara P Keating Bench |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659633063 PECOS PAC ID: 2567600216 Enrollment ID: I20151109001978 |
| Provider Name | Ryan K Sullivan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992172589 PECOS PAC ID: 7012218282 Enrollment ID: I20151211000978 |
| Provider Name | Rachael J Consoli |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093884603 PECOS PAC ID: 0143293530 Enrollment ID: I20160706001784 |
| Provider Name | Ashley M Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922557156 PECOS PAC ID: 4082992243 Enrollment ID: I20161024001620 |
| Provider Name | David C Schaffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942754379 PECOS PAC ID: 4284913393 Enrollment ID: I20161114000569 |
| Provider Name | Kimberly Kilfoyle |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285945881 PECOS PAC ID: 4486871589 Enrollment ID: I20161216001463 |
| Provider Name | Katharine E Peterson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740626571 PECOS PAC ID: 8224332184 Enrollment ID: I20170222001119 |
| Provider Name | Sarwada Tuladhar Jha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023459419 PECOS PAC ID: 5092001792 Enrollment ID: I20170223001130 |
| Provider Name | Norin Dashoush |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982831715 PECOS PAC ID: 0941526917 Enrollment ID: I20170223001614 |
| Provider Name | Sarah Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568815504 PECOS PAC ID: 6305127754 Enrollment ID: I20170223001708 |
| Provider Name | Elaina C Elias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194119610 PECOS PAC ID: 6800170481 Enrollment ID: I20170227000953 |
| Provider Name | Vashti Terese Mensah Otuya |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1336494814 PECOS PAC ID: 0143519496 Enrollment ID: I20170227001579 |
| Provider Name | Stephanie Powers Convey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487947164 PECOS PAC ID: 3072746023 Enrollment ID: I20170227001844 |
| Provider Name | Anne-terese Vanderburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144675695 PECOS PAC ID: 5991087553 Enrollment ID: I20170302000244 |
| Provider Name | Catherine Reyes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487091690 PECOS PAC ID: 5092019745 Enrollment ID: I20170313001158 |
| Provider Name | Jessica Waters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528435179 PECOS PAC ID: 0547541518 Enrollment ID: I20170327000750 |
| Provider Name | Marita A Gove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255633194 PECOS PAC ID: 0547445314 Enrollment ID: I20170331001061 |
| Provider Name | Esther Mackenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942751946 PECOS PAC ID: 5991088049 Enrollment ID: I20170403001510 |
| Provider Name | Elizabeth S Gomez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992177026 PECOS PAC ID: 7012216799 Enrollment ID: I20170411000097 |
| Provider Name | Julie Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356623375 PECOS PAC ID: 5294908448 Enrollment ID: I20170502001957 |
| Provider Name | Sara Utzschneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376974675 PECOS PAC ID: 2062737497 Enrollment ID: I20170503000787 |
| Provider Name | Reagan Crowley |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1962595827 PECOS PAC ID: 1759380314 Enrollment ID: I20170503001500 |
| Provider Name | Gallaudet Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730149113 PECOS PAC ID: 1951335215 Enrollment ID: I20170623001314 |
| Provider Name | Marianne Teresa Bauer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902216021 PECOS PAC ID: 9739308487 Enrollment ID: I20170726000471 |
| Provider Name | Olaitan Sonuga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891049292 PECOS PAC ID: 5698991842 Enrollment ID: I20170810000995 |
| Provider Name | Miadette Pheng-phal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073044616 PECOS PAC ID: 2163793944 Enrollment ID: I20170814001007 |
| Provider Name | Jennifer L Burzyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407230493 PECOS PAC ID: 7315255452 Enrollment ID: I20171002000434 |
| Provider Name | Jentina Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447771829 PECOS PAC ID: 5799050084 Enrollment ID: I20171012002496 |
| Provider Name | Clark Vandenberghe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053752675 PECOS PAC ID: 4789826967 Enrollment ID: I20171016002701 |
| Provider Name | Troy Russell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649513615 PECOS PAC ID: 2860715547 Enrollment ID: I20180503000208 |
| Provider Name | David Louis Beckmann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346504800 PECOS PAC ID: 5395999569 Enrollment ID: I20180606001833 |
| Provider Name | Michael Clive Merritt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497265326 PECOS PAC ID: 2769739192 Enrollment ID: I20180717001742 |
| Provider Name | Julieta Maria Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104317304 PECOS PAC ID: 9436406337 Enrollment ID: I20180724002156 |
| Provider Name | Emily Rose Humphreys |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447789417 PECOS PAC ID: 4587912308 Enrollment ID: I20180809005167 |
| Provider Name | Roopa Lakshmi Chari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962815654 PECOS PAC ID: 2961624457 Enrollment ID: I20180918002579 |
| Provider Name | Hannah Nisreen Janoowalla |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912312398 PECOS PAC ID: 9234481722 Enrollment ID: I20181011000312 |
| Provider Name | Vania Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124594650 PECOS PAC ID: 7113263849 Enrollment ID: I20190116002849 |
| Provider Name | Ryan J Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801188644 PECOS PAC ID: 9234452723 Enrollment ID: I20190425000044 |
| Provider Name | Sara Nakhal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578904918 PECOS PAC ID: 9739311259 Enrollment ID: I20190604001230 |
| Provider Name | Morgan Mako |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235635657 PECOS PAC ID: 8628327616 Enrollment ID: I20190909003770 |
| Provider Name | Luis Colon Mulero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326401902 PECOS PAC ID: 3577856715 Enrollment ID: I20191023001685 |
| Provider Name | Daniella Cecilia Nacad |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811342835 PECOS PAC ID: 8628300191 Enrollment ID: I20191101002226 |
| Provider Name | Louisa E Codier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518512250 PECOS PAC ID: 2769814136 Enrollment ID: I20191125000128 |
| Provider Name | Vitor Cardoso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255723664 PECOS PAC ID: 0042643181 Enrollment ID: I20191204001360 |
| Provider Name | Joanne Connolly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316499593 PECOS PAC ID: 4082980693 Enrollment ID: I20200120000161 |
| Provider Name | Jocelyn Beatriz Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194370130 PECOS PAC ID: 0042642456 Enrollment ID: I20200124001093 |
| Provider Name | Wangari Gathungu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902316086 PECOS PAC ID: 0840626024 Enrollment ID: I20200206001451 |
| Provider Name | Quincey Ann Mcguire Melonakos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861050387 PECOS PAC ID: 2163859588 Enrollment ID: I20200225001781 |
| Provider Name | Mary Agyemang Adinkrah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265716211 PECOS PAC ID: 8325475692 Enrollment ID: I20200226001077 |
| Provider Name | Patrice M Emberley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649800483 PECOS PAC ID: 1557790557 Enrollment ID: I20200326000846 |
| Provider Name | Henry F Lou-goode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467075614 PECOS PAC ID: 8325468531 Enrollment ID: I20201008002423 |
| Provider Name | Elise Bognanno |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528407350 PECOS PAC ID: 1153565668 Enrollment ID: I20201009000743 |
| Provider Name | Janelle K Whitney-nguyen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043669823 PECOS PAC ID: 1052608932 Enrollment ID: I20201009001292 |
| Provider Name | Anne Fournier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285279992 PECOS PAC ID: 6002236874 Enrollment ID: I20201015002659 |
| Provider Name | Betsy Angel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780103283 PECOS PAC ID: 3173943727 Enrollment ID: I20201020001595 |
| Provider Name | Gouri Scheurmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538693643 PECOS PAC ID: 8729325279 Enrollment ID: I20201106000809 |
| Provider Name | Kenneth Chea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780281832 PECOS PAC ID: 8527479088 Enrollment ID: I20201204001939 |
| Provider Name | Alexandra Belcher-obejero-paz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952798704 PECOS PAC ID: 2062727290 Enrollment ID: I20201208000554 |
| Provider Name | Emily A Tavanese |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831569771 PECOS PAC ID: 7618389958 Enrollment ID: I20201210002045 |
| Provider Name | Lizette Telemaco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295061158 PECOS PAC ID: 3173935202 Enrollment ID: I20201215001613 |
| Provider Name | Angel Felix Rosado Mencia |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1245830900 PECOS PAC ID: 9436561289 Enrollment ID: I20201218001991 |
| Provider Name | Andrea Raimondi Quilty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295984722 PECOS PAC ID: 0941358576 Enrollment ID: I20210107002358 |
| Provider Name | Katie L Yasigian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912211103 PECOS PAC ID: 9133533433 Enrollment ID: I20210128000193 |
| Provider Name | Bridget Eileen Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629544739 PECOS PAC ID: 6406261395 Enrollment ID: I20210301000391 |
| Provider Name | Elizabeth Barreto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548895741 PECOS PAC ID: 4981013398 Enrollment ID: I20210513002710 |
| Provider Name | Joseph Hallak |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1972173854 PECOS PAC ID: 8729483151 Enrollment ID: I20210824002087 |
| Provider Name | Catarina Bongiorni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104371152 PECOS PAC ID: 8729484134 Enrollment ID: I20210910001045 |
| Provider Name | Edward Grumeretz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861952517 PECOS PAC ID: 8022350164 Enrollment ID: I20210910002216 |
| Provider Name | Yesenia Noyola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871269605 PECOS PAC ID: 3173920865 Enrollment ID: I20210922003281 |
| Provider Name | Brittany Belden-scott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295131928 PECOS PAC ID: 0345648911 Enrollment ID: I20211012002348 |
| Provider Name | Devin Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801409511 PECOS PAC ID: 4587062161 Enrollment ID: I20211012002567 |
| Provider Name | Alessandra Christine Frissora |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528606738 PECOS PAC ID: 7315345923 Enrollment ID: I20211013000242 |
| Provider Name | Ruth Florence Oduor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700456449 PECOS PAC ID: 9830587153 Enrollment ID: I20211019001423 |
| Provider Name | Megan Oberst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376195115 PECOS PAC ID: 1658762398 Enrollment ID: I20220106001797 |
| Provider Name | Kelsi Marie Rau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972173359 PECOS PAC ID: 0244622033 Enrollment ID: I20220128001560 |
| Provider Name | Jennifer Diane Locke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720579535 PECOS PAC ID: 6305230830 Enrollment ID: I20220228001250 |
| Provider Name | Mary Prum Taljic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063185742 PECOS PAC ID: 1951796358 Enrollment ID: I20220322001733 |
| Provider Name | Sarah-bianca Dolisca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821529579 PECOS PAC ID: 7113298084 Enrollment ID: I20220503002384 |
| Provider Name | Therese D Chapajong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902363138 PECOS PAC ID: 7416335484 Enrollment ID: I20220602002389 |
| Provider Name | Timothy J Shea |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518457753 PECOS PAC ID: 7416208657 Enrollment ID: I20220622000380 |
| Provider Name | Michelle Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184090573 PECOS PAC ID: 6800270174 Enrollment ID: I20220906001377 |
| Provider Name | Emily Unger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932603982 PECOS PAC ID: 1355697905 Enrollment ID: I20221006001839 |
| Provider Name | Taylin Im |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588229710 PECOS PAC ID: 9234515701 Enrollment ID: I20221006001881 |
| Provider Name | Kaleigh Timmins |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952864845 PECOS PAC ID: 5597199679 Enrollment ID: I20221006002442 |
| Provider Name | Zoe L Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326531211 PECOS PAC ID: 1951653930 Enrollment ID: I20221006003152 |
| Provider Name | Alexa Nicole Faber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396471462 PECOS PAC ID: 5193101533 Enrollment ID: I20221007001606 |
| Provider Name | Sho Patrick Taniguchi |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1750974267 PECOS PAC ID: 1951777259 Enrollment ID: I20221011001980 |
| Provider Name | Arash Alirezaei |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1578297099 PECOS PAC ID: 7416323423 Enrollment ID: I20221018002584 |
| Provider Name | Nicole Marie St Omer Roy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1861997538 PECOS PAC ID: 5890044366 Enrollment ID: I20221019002773 |
| Provider Name | Lauren Elizabeth Nadler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134622921 PECOS PAC ID: 8022366392 Enrollment ID: I20221020001640 |
| Provider Name | Sara Sprehn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942675269 PECOS PAC ID: 4688904493 Enrollment ID: I20221024002417 |
| Provider Name | Amy Elizabeth Maynard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275251480 PECOS PAC ID: 3870969363 Enrollment ID: I20221025002484 |
| Provider Name | Emily Hills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548667017 PECOS PAC ID: 7113397621 Enrollment ID: I20221227002020 |
| Provider Name | Emily Rose Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710551502 PECOS PAC ID: 1557731916 Enrollment ID: I20221228002775 |
| Provider Name | Ryan Walker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043704992 PECOS PAC ID: 0749532646 Enrollment ID: I20221230001576 |
| Provider Name | Simone Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710365531 PECOS PAC ID: 4486967478 Enrollment ID: I20230104002467 |
| Provider Name | Michelle Alves |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295175727 PECOS PAC ID: 3072987171 Enrollment ID: I20230313000262 |
| Provider Name | Ashley Mallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790217958 PECOS PAC ID: 8820463011 Enrollment ID: I20230330002362 |
| Provider Name | Joseph Salvatore Coppola |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922637834 PECOS PAC ID: 5395104145 Enrollment ID: I20230711002946 |
| Provider Name | Karina N Garcia |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1831888510 PECOS PAC ID: 1052772118 Enrollment ID: I20230804003175 |
| Provider Name | Alena Shkiliuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235851684 PECOS PAC ID: 1355795147 Enrollment ID: I20230927003481 |
| Provider Name | Christine Marie Leibert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760035836 PECOS PAC ID: 2860847043 Enrollment ID: I20231007000226 |
| Provider Name | Amy Louise Akinhanmi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720609316 PECOS PAC ID: 7012362502 Enrollment ID: I20231019000142 |
| Provider Name | Lizette M Nji |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528632031 PECOS PAC ID: 5890190235 Enrollment ID: I20231103002815 |
| Provider Name | Augustina Ngozi Egbuiwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891498416 PECOS PAC ID: 6800243304 Enrollment ID: I20231106000363 |
| Provider Name | Carole Anne Malloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376328906 PECOS PAC ID: 8527415660 Enrollment ID: I20231109003646 |
| Provider Name | Stacy Normand |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114375383 PECOS PAC ID: 1658729017 Enrollment ID: I20231122002548 |
| Provider Name | Ryan John Bethel-christian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932883451 PECOS PAC ID: 9739538299 Enrollment ID: I20231208001440 |
| Provider Name | Emily Claire Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588379614 PECOS PAC ID: 7719336239 Enrollment ID: I20231209000311 |
| Provider Name | Grace Bonaiuto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013627140 PECOS PAC ID: 2466801816 Enrollment ID: I20231211000713 |
| Provider Name | Madelin Henriquez Duarte |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669014726 PECOS PAC ID: 9234580085 Enrollment ID: I20240105003338 |
| Provider Name | Megan Bolger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295305621 PECOS PAC ID: 6608228499 Enrollment ID: I20240117002435 |
| Provider Name | Jennifer Lee Minogue Mastovich |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538419882 PECOS PAC ID: 5698128981 Enrollment ID: I20240202002024 |
| Provider Name | Argentina Moreta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366687782 PECOS PAC ID: 4587007844 Enrollment ID: I20240205000278 |
| Provider Name | Ning N Xie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225714553 PECOS PAC ID: 7113360298 Enrollment ID: I20240206000766 |
| Provider Name | Lindita Murrizi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821233792 PECOS PAC ID: 6901249010 Enrollment ID: I20240206001699 |
| Provider Name | Elena Cherepanov |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235285255 PECOS PAC ID: 5890138911 Enrollment ID: I20240206002136 |
| Provider Name | Luciana Y Ballard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730461591 PECOS PAC ID: 6204279268 Enrollment ID: I20240206003954 |
| Provider Name | Carlos Francisco Cappas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447416854 PECOS PAC ID: 9931452125 Enrollment ID: I20240207002406 |
| Provider Name | Guillermina Montano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801119011 PECOS PAC ID: 5294178117 Enrollment ID: I20240208000109 |
| Provider Name | Liana Kim Van De Water |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437710084 PECOS PAC ID: 8123461050 Enrollment ID: I20240208000320 |
| Provider Name | Brian F Faherty |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992819577 PECOS PAC ID: 7719320571 Enrollment ID: I20240208001577 |
| Provider Name | Laurie L Charles |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1073791018 PECOS PAC ID: 9638512221 Enrollment ID: I20240212000486 |
| Provider Name | Niki Birbilis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578807244 PECOS PAC ID: 7810331246 Enrollment ID: I20240214000103 |
| Provider Name | Maria R Loewen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780798249 PECOS PAC ID: 6204270358 Enrollment ID: I20240216003439 |
| Provider Name | Diana Westerberg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548606411 PECOS PAC ID: 5698119477 Enrollment ID: I20240220003552 |
| Provider Name | Robert Joseph Bruno |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265676340 PECOS PAC ID: 8628412103 Enrollment ID: I20240223001328 |
| Provider Name | Carla Pimentel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184958357 PECOS PAC ID: 2668817875 Enrollment ID: I20240227004569 |
| Provider Name | Kayleigh O'hara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124662390 PECOS PAC ID: 0143665380 Enrollment ID: I20240228000792 |
| Provider Name | Rossemary Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598176240 PECOS PAC ID: 4284079054 Enrollment ID: I20240302000305 |
| Provider Name | Maria Altagracia Baldrich Valerio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629342035 PECOS PAC ID: 8729423595 Enrollment ID: I20240302000323 |
| Provider Name | Danitza Zambrana-gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225448590 PECOS PAC ID: 3274978044 Enrollment ID: I20240302000339 |
| Provider Name | Keri Mcconaghy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881683209 PECOS PAC ID: 3476999483 Enrollment ID: I20240313001550 |
| Provider Name | Holly Randall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326124934 PECOS PAC ID: 4082711783 Enrollment ID: I20240315000972 |
Lynn Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 269 Union St, Lynn, MA 01901 Phone: 781-596-2502 Fax: 781-596-3966 | |
Bridgewell Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Silsbee St, Lynn, MA 01901 Phone: 617-549-1318 | |
North Shore Rehabilitation Associates Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 Broad Street, Lynn, MA 01901 Phone: 781-593-9090 Fax: 780-593-9093 | |
All Care House Calls Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Market St, Lynn, MA 01901 Phone: 781-598-2454 | |
David W Douglas, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Lynnway Ste 190a, Lynn, MA 01901 Phone: 781-593-6005 | |
Chinne Health Systems Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 Lynnway Ste 112, Lynn, MA 01901 Phone: 781-593-3900 Fax: 781-593-3944 |