ST JOHNS EMERGENCY ASSOC (NPI# 1154495422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154495422 |
| Entity Type | Organization |
| Organization Name | ST JOHNS EMERGENCY ASSOC |
| Practice Address |
1 Hospital Dr Saints Medical Center Lowell MA 01852 |
| Mailing Address |
1230 Bridge St Lowell MA 01850 |
| Practice Telephone | 9784581411 |
| Practice Fax Number | 9784539330 |
| Mailing Telephone | 9784533022 |
| Mailing Fax Number | 9784539330 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PETER N GORLIN (PRES) |
| Authorized Official Telephone | 9784533022 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9784713 | 05 | |
| MA | BLUE SHIELD | M17128 | 01 |
| Street Address |
1 HOSPITAL DR SAINTS MEDICAL CENTER |
| City | LOWELL |
| State | MA |
| Zip Code | 01852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457834343 | Louise Merrill | Social Worker | 1 Hospital Dr, Lowell, MA 01852-1311 | 2018-09-07 |
| 1609394303 | Susan Joy Symons | Dietitian, Registered | 1 Hospital Dr, Lowell, MA 01852-1311 | 2017-09-01 |
| 1073044939 | Gillian Gray | Registered Nurse | 1 Hospital Dr, Lowell, MA 01852-1311 | 2017-03-22 |
| 1710330709 | Abdallah O Gad | Internal Medicine | 1 Hospital Dr, Lowell, MA 01852-1311 | 2016-07-14 |
| 1366871469 | Shields Imaging of Lowell General Hospital LLC | Clinic/Center | 1 Hospital Dr, Lowell, MA 01852-1311 | 2013-11-08 |
| 1427486471 | Droidmd P LLC | Internal Medicine | 1 Hospital Dr, Lowell, MA 01852-1311 | 2013-10-29 |
| 1447595871 | Jennifer A Murphy | Dietitian, Registered | 1 Hospital Dr, Lowell, MA 01852-1311 | 2012-12-12 |
| 1508119488 | Tara Johnson | Speech-Language Pathologist | 1 Hospital Dr, Speech Pathology: Lgh, Saints Campus, Lowell, MA 01852-1311 | 2012-10-17 |
| 1013226067 | Trisha A Lawrence | Nurse Practitioner | 1 Hospital Dr, Lowell, MA 01851 | 2010-09-24 |
| 1982859773 | Saints Medical Center, Inc. | Radiology | 1 Hospital Dr, Attn: Stephen O'connor, Cfo, Lowell, MA 01852-1311 | 2008-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457451676 | David B. Fort Jr. | Emergency Medicine | 318 Wildwood St, Lowell, AR 72745-8939 | 2006-09-25 |
| 1861036451 | Obhg Massachusetts - Lowell PC | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-06 |
| 1053755462 | Tina Bramante | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2013-04-29 |
| 1992061253 | Leslie Elizabeth Halpern | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2012-04-11 |
| 1275858730 | Derek Dean Wayman | Emergency Medicine | 295 Varnum Ave, Emergency Department, Lowell, MA 01854-2134 | 2010-03-28 |
| 1689998338 | Laura Hagopian | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2010-03-24 |
| 1013150309 | Ravi Krishna Murthy | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2009-04-16 |
| 1952551376 | Meaghan V Nitka | Emergency Medicine | 1 Hospital Dr, Lowell, MA 01852-1311 | 2008-09-22 |
| 1821280959 | Merrimack Valley Emergency Associates, Inc. | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2007-08-13 |
| 1497952592 | Sean M. Mosharo | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2007-07-02 |
| Find all providers in LOWELL | ||||
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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.