LGH MEDICAL GROUP, INC. (NPI# 1174698385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174698385 |
| Entity Type | Organization |
| Organization Name | LGH MEDICAL GROUP, INC. |
| Practice Address |
295 Varnum Ave Lowell MA 01854-2134 |
| Practice Telephone | 9787887218 |
| Practice Fax Number | 9789376850 |
| Mailing Telephone | 9787887218 |
| Mailing Fax Number | 9789376850 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2010-03-15 |
| Authorized Official Name | MRS. SUSAN GREEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9787887143 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | PTAN | M21905 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932652401 | Lgh Medical Group, Inc. | Internal Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2016-08-01 |
| 1770763880 | Lgh Medical Group, Inc. | Anesthesiology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2007-11-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | LGH MEDICAL GROUP, INC. | 295 Varnum Avenue, Lowell, MA 01854 |
| Street Address |
295 VARNUM AVE |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-2134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931597 | Jonas J Berman | Radiology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2005-06-02 |
| 1437758125 | Amy Marie Dellogono | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-10-22 |
| 1720686108 | Emily Rose Claude | Family Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-10-16 |
| 1265041305 | The Lowell General Hospital | Emergency Medical Technician, Paramedic | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-07-24 |
| 1639714744 | Shara A King | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-12 |
| 1861036451 | Obhg Massachusetts - Lowell PC | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-06 |
| 1871147264 | Ronald Wilson Makarutsa | Registered Nurse | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-07-24 |
| 1780236786 | Andrea Jennifer Desmond | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-07-10 |
| 1235791831 | Nicole Nolan | Pharmacist | 295 Varnum Ave, Lowell, MA 01854-2193 | 2019-07-03 |
| 1578123253 | Alec Garabedian | Nurse Anesthetist, Certified Registered | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609255223 | James Joseph Connolly | Hospitalist | 650 Albany Street, 5th Floor, Rm 504, Evans Biomedical Research Center Bldg., Boston, MA 02118 | 2015-05-28 |
| 1295141588 | Esther Kim | Hospitalist | Lahey Hospital & Medical Center 41 Mall Road, Burlington, MA 01805-5123 | 2014-07-07 |
| 1932528924 | Wael Barkoudah | Hospitalist | 150 York Rd, Stoughton, MA 02072 | 2014-04-07 |
| 1417238817 | Savoy Hospitalists LLC. | Hospitalist | 402 Country Club Way, Kingston, MA 02364-4110 | 2011-08-30 |
| 1275811655 | Isaac C Leader | Hospitalist | North Shore Medical Center, 81 Highland Avenue, Salem, MA 01970 | 2011-08-02 |
| 1144531518 | Nnamdi O Amaechina | Hospitalist | 363 Highland Ave Ste 1001, Fall River, MA 02720-3703 | 2010-06-30 |
| 1801051321 | Azade Izadi | Hospitalist | 139a Charles St, #220, Boston, MA 02114-3252 | 2008-07-24 |
| 1548468705 | Zulfiqar A. Chaudhry | Hospitalist | 354 Birnie Ave, Ste 202 Attn: Pgreaney, Hampden County Physician Associates, Springfield, MA 01107-1109 | 2007-07-10 |
| 1245351493 | Hemant Hora | Hospitalist | 128 Endean Dr, East Walpole, MA 02032-1063 | 2007-04-03 |
| 1962504381 | Alexander R Carbo | Hospitalist | Bidmc - Palmer-baker Span 2nd Floor, 330 Brookline Ave, Boston, MA 02215 | 2006-09-05 |
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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.