| Seacoast Affiliated Group Practice, Inc. | |
|
25 Highland Ave Newburyport MA 01950-3867 | |
| (978) 463-1390 | |
| (978) 463-1190 |
| Full Name | Seacoast Affiliated Group Practice, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 25 Highland Ave, Newburyport, Massachusetts |
| Authorized Official Name and Position | Mark Goldstein (PRESIDENT/CEO) |
| Authorized Official Contact | 9784631010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seacoast Affiliated Group Practice, Inc. 25 Highland Ave Newburyport MA 01950-3867 Ph: (978) 463-1390 | Seacoast Affiliated Group Practice, Inc. 25 Highland Ave Newburyport MA 01950-3867 Ph: (978) 463-1390 |
| NPI Number | 1801892344 |
|---|---|
| Provider Enumeration Date | 06/21/2005 |
| Last Update Date | 10/09/2015 |
| Medicare PECOS PAC ID | 1658357843 |
|---|---|
| Medicare Enrollment ID | O20040628001193 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801892344 | NPI | - | NPPES |
| 9785906 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kenneth P Mcwha |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215974985 PECOS PAC ID: 3173429594 Enrollment ID: I20031208000856 |
| Provider Name | Lisa Walsh |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1972644771 PECOS PAC ID: 7911979448 Enrollment ID: I20040806000291 |
| Provider Name | Steven A Mollov |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295732287 PECOS PAC ID: 6608848171 Enrollment ID: I20040806000527 |
| Provider Name | Jane Kerr-fernandez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295732279 PECOS PAC ID: 3173595642 Enrollment ID: I20040806000569 |
| Provider Name | Mary F Baker Berzansky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790782852 PECOS PAC ID: 7719959196 Enrollment ID: I20040806000655 |
| Provider Name | Mark S Amorosino |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316068554 PECOS PAC ID: 4981676095 Enrollment ID: I20040810000337 |
| Provider Name | Richard A Zirin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548267883 PECOS PAC ID: 8729051156 Enrollment ID: I20040814000211 |
| Provider Name | Viktoria A Shvets |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164422259 PECOS PAC ID: 3678549888 Enrollment ID: I20040909000124 |
| Provider Name | Sara B Golden |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1497754873 PECOS PAC ID: 5698769032 Enrollment ID: I20050125000790 |
| Provider Name | Lydia Jeffcoat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699874495 PECOS PAC ID: 8628014834 Enrollment ID: I20050628000972 |
| Provider Name | Rachel M Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629143532 PECOS PAC ID: 1850315474 Enrollment ID: I20060123000646 |
| Provider Name | Katherine A Clifford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710004015 PECOS PAC ID: 6608890983 Enrollment ID: I20060125000796 |
| Provider Name | Patricia M Kellogg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962543793 PECOS PAC ID: 9234143967 Enrollment ID: I20060201000462 |
| Provider Name | Rachel R Rissmiller |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1811050255 PECOS PAC ID: 4082620737 Enrollment ID: I20060303000639 |
| Provider Name | Julie E Geary |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285691238 PECOS PAC ID: 4082627245 Enrollment ID: I20060711000373 |
| Provider Name | Rebecca Boyer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992780241 PECOS PAC ID: 5890796601 Enrollment ID: I20070122000579 |
| Provider Name | Esther M Hausman |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1528106663 PECOS PAC ID: 6204930100 Enrollment ID: I20070403000164 |
| Provider Name | Robert D Moore |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346296548 PECOS PAC ID: 0143312967 Enrollment ID: I20070824000516 |
| Provider Name | Fida Hassan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235246802 PECOS PAC ID: 1759351869 Enrollment ID: I20071029000562 |
| Provider Name | Martha M Chichester |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922288117 PECOS PAC ID: 1355424607 Enrollment ID: I20080211000465 |
| Provider Name | Thomas Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245270255 PECOS PAC ID: 2961405154 Enrollment ID: I20080728000746 |
| Provider Name | Alexey Makogonov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417944877 PECOS PAC ID: 0648347070 Enrollment ID: I20080926000008 |
| Provider Name | Melissa K Maloney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700035656 PECOS PAC ID: 9537220181 Enrollment ID: I20081202000220 |
| Provider Name | Alexander Panda |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1750524278 PECOS PAC ID: 4880746171 Enrollment ID: I20090717000121 |
| Provider Name | Heather Cabral Silvero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477533941 PECOS PAC ID: 0648229666 Enrollment ID: I20100907000156 |
| Provider Name | Peter Allen Hartmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518006360 PECOS PAC ID: 9830284892 Enrollment ID: I20101101001322 |
| Provider Name | Saira Naseer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487650503 PECOS PAC ID: 4880874049 Enrollment ID: I20110207000102 |
| Provider Name | Kimberly Kersten |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912903030 PECOS PAC ID: 4486835881 Enrollment ID: I20110217000732 |
| Provider Name | Margaret M White-guthro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497751200 PECOS PAC ID: 8820082092 Enrollment ID: I20110309000030 |
| Provider Name | Mary C Chang |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1407870389 PECOS PAC ID: 3779553433 Enrollment ID: I20110312000028 |
| Provider Name | Kelly Ann Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740595156 PECOS PAC ID: 6204011935 Enrollment ID: I20110425000043 |
| Provider Name | Katherine Adele De Kanter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114256674 PECOS PAC ID: 4385815968 Enrollment ID: I20110913000347 |
| Provider Name | Gail Fayre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205839784 PECOS PAC ID: 2062497241 Enrollment ID: I20121218000409 |
| Provider Name | Robert Slocum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174639678 PECOS PAC ID: 7315942117 Enrollment ID: I20131210000092 |
| Provider Name | Virginia G Cashman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346658093 PECOS PAC ID: 0840419404 Enrollment ID: I20140912000762 |
| Provider Name | Andrea B Rollins |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720302235 PECOS PAC ID: 9436378981 Enrollment ID: I20140915001556 |
| Provider Name | Jessica Lara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447668215 PECOS PAC ID: 5092936807 Enrollment ID: I20141021000091 |
| Provider Name | Jessica L Verosko |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134133994 PECOS PAC ID: 9032211057 Enrollment ID: I20150610001945 |
| Provider Name | Fong Liu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1841459948 PECOS PAC ID: 9931387255 Enrollment ID: I20150916002132 |
| Provider Name | Jeffrey P Thurlow |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760480693 PECOS PAC ID: 3072599893 Enrollment ID: I20151217000427 |
| Provider Name | Daniel Kim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912986530 PECOS PAC ID: 2062554371 Enrollment ID: I20160125002415 |
| Provider Name | Anthony Bartley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922362003 PECOS PAC ID: 1355645383 Enrollment ID: I20160211000133 |
| Provider Name | Paula Fortuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316381122 PECOS PAC ID: 1759670417 Enrollment ID: I20160519000502 |
| Provider Name | Lynne M Henning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043319783 PECOS PAC ID: 5991701435 Enrollment ID: I20160623000514 |
| Provider Name | Brett Joseph Matthews |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710298195 PECOS PAC ID: 6204070436 Enrollment ID: I20160923001567 |
| Provider Name | Shayla Mccarthy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457608713 PECOS PAC ID: 8628356359 Enrollment ID: I20161031001015 |
| Provider Name | Nadine Christine Daou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285180331 PECOS PAC ID: 3577843598 Enrollment ID: I20161209000487 |
| Provider Name | Christa Ramsey |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1609318831 PECOS PAC ID: 3072894583 Enrollment ID: I20161221000629 |
| Provider Name | Katy Matos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811247851 PECOS PAC ID: 3870874308 Enrollment ID: I20161221001393 |
| Provider Name | Meaghan Hennessey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497126692 PECOS PAC ID: 7810265204 Enrollment ID: I20170607001163 |
| Provider Name | Brittany Paskal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770002818 PECOS PAC ID: 7911272240 Enrollment ID: I20171012000089 |
| Provider Name | Peter J Sebeny |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1194704932 PECOS PAC ID: 6800058660 Enrollment ID: I20180321001471 |
| Provider Name | Marianne Sollosy Anderson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1558371393 PECOS PAC ID: 7214998657 Enrollment ID: I20180605001371 |
| Provider Name | Kelsey Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285112425 PECOS PAC ID: 6002168465 Enrollment ID: I20181012000210 |
| Provider Name | Khadija Chaudrey |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1629171913 PECOS PAC ID: 5991701757 Enrollment ID: I20190225000379 |
| Provider Name | Erica M Russell |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1386617496 PECOS PAC ID: 8426949629 Enrollment ID: I20190319002286 |
| Provider Name | Deanna Christine Pilkenton |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1225038078 PECOS PAC ID: 2860589835 Enrollment ID: I20190326000043 |
| Provider Name | Alda Andoni |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962820704 PECOS PAC ID: 4880981570 Enrollment ID: I20190425000907 |
| Provider Name | Steven Robert Bibeau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689228439 PECOS PAC ID: 8628306115 Enrollment ID: I20190821003810 |
| Provider Name | Janae Newman Nash Bourke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659923084 PECOS PAC ID: 9931535366 Enrollment ID: I20200204000603 |
| Provider Name | Kasey Claire Quinlan |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1154967248 PECOS PAC ID: 5496182024 Enrollment ID: I20200220002167 |
| Provider Name | Irma Cruz-gonzalez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023014958 PECOS PAC ID: 4486616919 Enrollment ID: I20200416003661 |
| Provider Name | Alexandria Margerison |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1730791880 PECOS PAC ID: 9739509068 Enrollment ID: I20201026001548 |
| Provider Name | Jaclyn Masulli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124565171 PECOS PAC ID: 5294149761 Enrollment ID: I20210123000075 |
| Provider Name | Kathleen Dolores Absalom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841303963 PECOS PAC ID: 3971526112 Enrollment ID: I20210621003197 |
| Provider Name | Arlene Phipps |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245750348 PECOS PAC ID: 8527461615 Enrollment ID: I20210727003092 |
| Provider Name | Kelli Anne Chandler |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1043903958 PECOS PAC ID: 7810341930 Enrollment ID: I20230922003425 |
| Provider Name | Nycol S Clough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063011294 PECOS PAC ID: 2668829532 Enrollment ID: I20240220001603 |
| Provider Name | Steven Wan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750946778 PECOS PAC ID: 3577918457 Enrollment ID: I20240302000621 |
Seacoast Medical Associates, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Highland Ave, Suite 24, Newburyport, MA 01950 Phone: 978-462-1555 Fax: 978-462-1560 | |
Todays Wellness Bilh Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Wallace Bashaw Way Ste 1002, Newburyport, MA 01950 Phone: 978-687-2273 | |
Newburyport Medical Associates, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Highland Ave, Newburyport, MA 01950 Phone: 978-462-9571 Fax: 978-462-1459 | |
Anna Jaques Bidco Inpatient Specialists Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Wallace Bashaw Way Ste 1002, Newburyport, MA 01950 Phone: 978-687-2273 | |
Healthcare Complete, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 260 Merrimac St, Newburyport, MA 01950 Phone: 978-499-9355 Fax: 978-499-7808 | |
Highland Primary Care Associates Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 21 Highland Ave, Newburyport, MA 01950 Phone: 978-463-7770 Fax: 978-462-0220 | |
Anna Jaques Inpatient Specialists Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 25 Highland Ave, Newburyport, MA 01950 Phone: 978-685-2460 Fax: 978-685-2572 |