NORTHEAST DERMATOLOGY ASSOCIATES (NPI# 1245510049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245510049 |
| Entity Type | Organization |
| Organization Name | NORTHEAST DERMATOLOGY ASSOCIATES |
| Practice Address |
1 Wallace Bashaw Way Suite 1002 Newburyport MA 01950-3875 |
| Mailing Address |
401 Andover St Suite 101 North Andover MA 01845-5076 |
| Practice Telephone | 9786915690 |
| Practice Fax Number | 9786915693 |
| Mailing Telephone | 9786915690 |
| Mailing Fax Number | 9786915693 |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |
| Authorized Official Name | DR. JEREMY P FINKLE (PRESIDENT, NORTHEAST DERMATOLOGY AS) |
| Authorized Official Telephone | 9786915690 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHEAST DERMATOLOGY ASSOCIATES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | MEDICARE PTAN | M15432 | 01 |
| Street Address |
1 WALLACE BASHAW WAY SUITE 1002 |
| City | NEWBURYPORT |
| State | MA |
| Zip Code | 01950-3875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295786465 | Colden & Seymour Ear Nose Throat & Allergy LLC | Otolaryngology | 1 Wallace Bashaw Way, Suite 3002, Newburyport, MA 01950-3875 | 2006-05-13 |
| 1255707816 | Emily Troutman | Audiologist | 1 Wallace Bashaw Way, Suite 3002, Newburyport, MA 01950-3875 | 2015-08-18 |
| 1235537093 | Associated Physicians of Harvard Medical Faculty Physicians At Beth Is | Internal Medicine | 1 Wallace Bashaw Way, Suite 2001, Newburyport, MA 01950-3875 | 2014-12-10 |
| 1871903872 | Colden & Seymour Ear Nose & Throat LLC | Otolaryngology | 1 Wallace Bashaw Way, Suite 3002, Newburyport, MA 01950-3875 | 2014-04-30 |
| 1134468614 | Jennifer Kate Smith | Physician Assistant | 1 Wallace Bashaw Way, Suite 3002, Newburyport, MA 01950-3875 | 2013-02-04 |
| 1700035656 | Melissa Keiren Maloney | Nurse Practitioner | 1 Wallace Bashaw Way, Ste 2002, Newburyport, MA 01950-3875 | 2008-09-16 |
| 1386807576 | Alliance Oncology LLC | Radiology | 1 Wallace Bashaw Way, Newburyport, MA 01950 | 2008-07-08 |
| 1023210952 | Sarah L Wellwood | Audiologist | 1 Wallace Bashaw Way, Suite 3002, Newburyport, MA 01950-3875 | 2007-06-04 |
| 1659464121 | Catherine Iasiello | Internal Medicine | 1 Wallace Bashaw Way, Newburyport, MA 01950-3875 | 2006-10-02 |
| 1699874495 | Lydia R Jeffcoat | Internal Medicine | 1 Wallace Bashaw Way, Suite 2003, Newburyport, MA 01950-3875 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954212 | Kirsten Ross | Registered Nurse | Anna Jaques Hospital, 25 Highland Ave, Newburyport, MA 01950 | 2020-02-18 |
| 1649752098 | William Edward Taylor | Social Worker | 25 Bromfield Street Side B, Newburyport, MA 01950 | 2018-09-02 |
| 1982113486 | Rachel Harris | Physical Therapy Assistant | 20 Beacon Ave, Unit 6, Newburyport, MA 01950 | 2017-09-27 |
| 1366998163 | Charles A. Nickou, D.m.d LLC | Dentist | 16 Harris Street, Newburyport, MA 01950 | 2016-08-31 |
| 1972954451 | Kathryn Jane Giguere | Nurse Practitioner | 7 Graf Road, Newburyport, MA 01950 | 2016-06-27 |
| 1487023230 | Christine Burgess | Social Worker | 180 Lowe Street, County Center for Health Rehabilitation, Newburyport, MA 01950 | 2015-09-23 |
| 1356746333 | Kelly Crotty | Occupational Therapist | 26 Washington St, Newburyport, MA 01950 | 2014-11-03 |
| 1225444961 | Christine Scotto | Licensed Practical Nurse | 41 Maple Lane, Monroe, NY 01950 | 2014-07-02 |
| 1811315831 | Newburyport Cardiovascular Associates, LLC | Internal Medicine | 7 Henry Graf Jr. Road, Newburyport, MA 01950 | 2014-04-07 |
| 1205189081 | Darryl Lemus | Counselor | 11 Market Squre Suite 6, Newburyport, MA 01950 | 2012-10-18 |
| Find all providers in zip 01950 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821251836 | Caitlin Kennedy Carney | Dermatology | 1 Wallace Bashaw Way Ste 1002, Newburyport, MA 01950-3876 | 2008-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669090445 | Peter T Demos Md | Dermatology | 125 Liberty St Ste 206, Springfield, MA 01103-1109 | 2020-07-08 |
| 1376180760 | Integrated Dermatology of Needham, LLC | Dermatology | 60 Dedham Ave Ste 206, Needham, MA 02492-3061 | 2019-12-04 |
| 1164069647 | Integrated Dermatology of Mashton, LLC | Dermatology | 800 Falmouth Rd Ste 101, Mashpee, MA 02649-3303 | 2019-12-04 |
| 1972164937 | Kuchnir Realty, LLC | Dermatology | 11 Apex Dr Ste 103a, Marlborough, MA 01752-1860 | 2019-06-21 |
| 1265098032 | Mark Amster Derm | Dermatology | 800 Falmouth Rd Ste 101b, Mashpee, MA 02649-3352 | 2019-05-16 |
| 1831684224 | Chotinij Lertphanichkul | Dermatology | 850 Boylston St Ste 437, Chestnut Hill, MA 02467-2405 | 2018-06-27 |
| 1023515277 | Vibrant Dermatology Pllc | Dermatology | 588 Providence Hwy, Dedham, MA 02026-6804 | 2018-04-12 |
| 1437665908 | Kuchnir Dermatology, PC | Dermatology | 20 Hope Ave Ste 105, Waltham, MA 02453-2717 | 2017-12-20 |
| 1265941082 | Integrated Dermatology Group, LLC | Dermatology | 280 Washington St Ste 212, Brighton, MA 02135-3511 | 2017-09-25 |
| 1679098750 | Avant-garde Medical LLC | Dermatology | 62 Pleasant St, Natick, MA 01760-5634 | 2017-08-09 |
| Find all providers with the same taxonomy | ||||
| City | NEWBURYPORT |
| Zip Code | 01950 |
Please comment or provide details below to improve the information on NORTHEAST DERMATOLOGY ASSOCIATES.
| 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.