DR. MELISSA MARIE BRODERICK (NPI# 1144392234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144392234 |
| Entity Type | Individual |
| Full Name | DR. MELISSA MARIE BRODERICK |
| Credential | D.C., PA-C |
| Practice Address |
70 East St Methuen MA 01844-4597 |
| Practice Telephone | 9786870156 |
| Practice Fax Number | 9786879392 |
| Mailing Telephone | 9786870156 |
| Mailing Fax Number | 9786879392 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2012-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | 2696 | MA | Chiropractic Providers |
| Y | 363A00000X | Physician Assistant | PA4137 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | AETNA | 3456328 | 01 |
| MA | BCBS | Y37019 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710131461 | Melissa Broderick | Physical Therapist | 2900 Westchester Avenue, Suite 108, Purchase, NY 10577-2552 | 2008-11-07 |
| Street Address |
70 EAST ST |
| City | METHUEN |
| State | MA |
| Zip Code | 01844-4597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977105 | Rizwan Ul Haque | Anesthesiology | 70 East St, Methuen, MA 01844-4597 | 2005-07-26 |
| 1538789003 | Wanda Marelis | Registered Nurse | 70 East St, Methuen, MA 01844-4597 | 2020-04-24 |
| 1740845189 | Kelsey Wilson | Physician Assistant | 70 East St, Methuen, MA 01844-4597 | 2019-05-01 |
| 1437625191 | Michael Cook | Nurse Practitioner | 70 East St, Methuen, MA 01844-4597 | 2018-10-22 |
| 1528543667 | Erin Colleen Solomon | Social Worker | 70 East St, Methuen, MA 01844 | 2018-09-25 |
| 1043792963 | Jeffrey Henry Janco | Nurse Practitioner | 70 East St, Methuen, MA 01844-4597 | 2018-09-06 |
| 1164901377 | Sandra Ann Mansur | Social Worker | 70 East St, Methuen, MA 01844-4597 | 2018-08-08 |
| 1093293292 | Elizabeth Torrisi | Social Worker | 70 East St, Methuen, MA 01844-4597 | 2018-07-31 |
| 1659858520 | Nikole Elaine Matzouranis | Social Worker | 70 East St, Methuen, MA 01844-4597 | 2018-07-24 |
| 1639655467 | Incare LLC | Internal Medicine | 70 East St, Methuen, MA 01844-4597 | 2018-07-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313629 | Claude Zeligou | Behavior Technician | Guy Lougbo, 26 Loring Road, Methuan, MA 01844 | 2020-10-15 |
| 1265938609 | Angely Martinez | Student in an Organized Health Care Education/Training Program | 28 Kirk Street, Methuen, MA 01844 | 2018-04-04 |
| 1073037909 | Lauren Boenitz | Physical Therapy Assistant | 318 1/2 Broadway, Methuen, MA 01844 | 2017-08-02 |
| 1821512229 | Janice Marie Benoit | Registered Nurse | 12 Ingales Court, M, Methuen, MA 01844 | 2017-07-28 |
| 1194266825 | Zuri Counseling Services LLC | Nurse Practitioner | 39 Haverhill Street, Methuen, MA 01844 | 2017-03-14 |
| 1740732775 | Florinda Delarosa | Assistant Behavior Analyst | 106 North Lowell St, Methuen, MA 01844 | 2016-10-25 |
| 1376094888 | Kristan Mazaka | Social Worker | 19 1/2 Mystic Street, Methuen, MA 01844 | 2016-10-19 |
| 1013365394 | Diana Echeverry | Counselor | 271 Broadway St. Apartment 7, Methuen, MA 01844 | 2016-05-27 |
| 1104283944 | Danielle Lee Lambert | Counselor | 100a Haverhill St., Methuen, MA 01844 | 2016-01-25 |
| 1265839443 | Josef Peter Kish | Counselor | 100a Haverhill Street, Metheun, MA 01844 | 2014-12-03 |
| Find all providers in zip 01844 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740845189 | Kelsey Wilson | Physician Assistant | 70 East St, Methuen, MA 01844-4597 | 2019-05-01 |
| 1639663032 | Michelle Regis | Physician Assistant | 70 East St, Methuen, MA 01844-4597 | 2018-06-19 |
| 1144727926 | Claire Melley | Physician Assistant | 70 East St, Methuen, MA 01844-4597 | 2018-04-09 |
| 1437554888 | Derek Girouard | Physician Assistant | 70 East St, Methuen, MA 01844-4597 | 2014-10-28 |
| 1306114921 | Rima Zalaket | Physician Assistant | 70 East St, Methuen, MA 01844-4597 | 2011-12-09 |
| 1164602546 | Adam Broughton | Physician Assistant | 70 East St, Methuen, MA 01844-4597 | 2007-11-14 |
| 1083801260 | Kiely M Gamelin | Physician Assistant | 60 East St, Methuen, MA 01844-4500 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869274 | David M Correll | Physician Assistant | 45 Wollaston Ave, Arlington, MA 02476-5836 | 2020-10-23 |
| 1699374660 | Sarah Ilana Katz | Physician Assistant | 11a Laurel St, Salem, MA 01970-4657 | 2020-10-21 |
| 1205435393 | Allison Lee Nocon | Physician Assistant | 289 Beacon St Apt 8, Boston, MA 02116-1263 | 2020-10-20 |
| 1841898384 | Chloe Friedman | Physician Assistant | 62 Patricia Dr, Abington, MA 02351-1081 | 2020-10-16 |
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1700484656 | Emily Cioffi | Physician Assistant | 5 Cosma Rd, North Easton, MA 02356-1331 | 2020-10-13 |
| 1407453806 | Emily Louis | Physician Assistant | 174 Groton Rd, North Chelmsford, MA 01863-1205 | 2020-10-08 |
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1073110433 | Ellen Boyle | Physician Assistant | 11 Castle Gate Rd, Wayland, MA 01778-4310 | 2020-10-07 |
| 1992302897 | Marissa Pond | Physician Assistant | 95 Concord St, Haverhill, MA 01830-2809 | 2020-10-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.