ST MARYS INTERNAL MEDICINE PC (NPI# 1194270413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194270413 |
| Entity Type | Organization |
| Organization Name | ST MARYS INTERNAL MEDICINE PC |
| Practice Address |
6 Essex Center Dr Suite 304 Peabody MA 01960-2904 |
| Practice Telephone | 9788546376 |
| Mailing Telephone | 9788546376 |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2017-02-02 |
| Authorized Official Name | DR. SUNGSIK HAHN (PRESIDENT) |
| Authorized Official Telephone | 5082653975 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
236055 | MA | Ambulatory Health Care Facilities |
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
6 ESSEX CENTER DR SUITE 304 |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198217 | Peabody Obgyn, LLC | Obstetrics & Gynecology | 6 Essex Center Dr, Suite 206, Peabody, MA 01960-2910 | 2005-07-19 |
| 1427434083 | Salem Peabody Oral Surgery Inc. | Clinic/Center | 6 Essex Center Dr, Suite 112a, Peabody, MA 01960-2904 | 2015-08-06 |
| 1003208216 | Essex Neurological Associates | Psychiatry & Neurology | 6 Essex Center Dr, Suite 307, Peabody, MA 01960-2904 | 2015-02-25 |
| 1770992794 | Marguerite Cycz | Registered Nurse | 6 Essex Center Dr, Peabody, MA 01960-2904 | 2014-08-04 |
| 1245642834 | Samantha Synenberg | Dentist | 6 Essex Center Dr, Suite 110, Peabody, MA 01960-2904 | 2014-05-29 |
| 1639426315 | North Shore Dental Center | Dentist | 6 Essex Center Dr, Ste. 302, Peabody, MA 01960-2904 | 2012-08-13 |
| 1427367101 | North Shore Neurological Associates, Inc. | Internal Medicine | 6 Essex Center Dr, Suite 303, Peabody, MA 01960-2963 | 2010-09-29 |
| 1518279702 | Andrea Shah | Dentist | 6 Essex Center Dr, Suite 110, Peabody, MA 01960-2904 | 2010-07-05 |
| 1821329111 | Joanne G Brown | Social Worker | 6 Essex Center Dr, Suite 107, Peabody, MA 01960-2904 | 2010-01-26 |
| 1548490014 | Pratima Ghimire | Internal Medicine | 6 Essex Center Dr, Peabody, MA 01960-2904 | 2009-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285145441 | Congenial Healthcare, LLC | Internal Medicine | 2 1st Ave Ste 215, Peabody, MA 01960-4962 | 2017-10-16 |
| 1730608720 | Congenial Healthcare, LLC | Internal Medicine | 1 Roosevelt Ave Ste 201, Peabody, MA 01960-2227 | 2017-09-12 |
| 1841637535 | Neetu Mulchandani | Internal Medicine | Laehy Hospital and Medical Center, 1 Essex Center Drive, Peabody, MA 01960-2901 | 2013-06-04 |
| 1861705923 | The Care Physicain's LLC | Internal Medicine | 15 King St, Peabody, MA 01960-4379 | 2010-07-19 |
| 1609067917 | Linus Sungsik Hahn | Internal Medicine | 6 Essex Center Dr Ste 304, Peabody, MA 01960-2907 | 2007-08-05 |
| 1548347750 | Claudia M Racalbuto | Internal Medicine | One Roosevelt Avenue Suite 204, Peabody, MA 01960 | 2006-11-01 |
| 1184634834 | Susan C. Elias | Internal Medicine | 1 Essex Center Dr., Lahey Northshore, Peabody, MA 01960-2901 | 2006-08-08 |
| 1598711285 | Jing Yu | Internal Medicine | 6 Essex Center Dr Ste 201, Peabody, MA 01960-2906 | 2006-05-25 |
| 1720045719 | Elise Rodman | Internal Medicine | 2 Essex Center Drive, Peabody, MA 01960 | 2006-04-26 |
| 1174505507 | David G Mulder | Internal Medicine | 100 Brooksby Village Drive, Brooksby Medical Clinic, Peabody, MA 01960 | 2005-11-21 |
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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.