CARLA MARISA BASADRE QUIROZ (NPI# 1245612605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245612605 |
| Entity Type | Individual |
| Full Name | CARLA MARISA BASADRE QUIROZ |
| Credential | M.D. |
| Practice Address |
147 Pelham St Methuen MA 01844-2060 |
| Practice Telephone | 9786833491 |
| Practice Fax Number | 9786833058 |
| Mailing Telephone | 9786833491 |
| Mailing Fax Number | 9786833058 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
277313 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
147 PELHAM ST |
| City | METHUEN |
| State | MA |
| Zip Code | 01844-2060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407063217 | Comfort Home Care LLC | Home Health | 147 Pelham St, Methuen, MA 01844-2060 | 2007-05-17 |
| 1982202305 | Cynthia Esther Sierra | Registered Nurse | 147 Pelham St, Methuen, MA 01844-2060 | 2020-10-16 |
| 1497362511 | Rebeca Ester Cruz | Registered Nurse | 147 Pelham St, Methuen, MA 01844-2060 | 2020-09-24 |
| 1891300323 | Thalia Delacruz | Licensed Practical Nurse | 147 Pelham St, Methuen, MA 01844-2060 | 2020-09-11 |
| 1043825581 | Yesica Velez | Registered Nurse | 147 Pelham St, Methuen, MA 01844-2060 | 2020-09-11 |
| 1295202570 | Lauren Bellerose | Registered Nurse | 147 Pelham St, Methuen, MA 01844-2060 | 2018-10-25 |
| 1417455056 | Virginia Martinez | Registered Nurse | 147 Pelham St, Methuen, MA 01844 | 2018-01-29 |
| 1922514744 | Lawrence General Hospital | Clinic/Center | 147 Pelham St, Methuen, MA 01844-2060 | 2017-12-15 |
| 1104344456 | Cristina Bolivar | Nurse Practitioner | 147 Pelham St, Methuen, MA 01844-2060 | 2017-09-07 |
| 1528429982 | Greater Lawrence Family Health Center Inc | Pharmacy | 147 Pelham St, Methuen, MA 01844-2060 | 2016-03-14 |
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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 | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619101052 | Miguel Angel Concepcion | Family Medicine | 250 Paradise Rd Unit 2203, Swampscott, MA 01907-2948 | 2009-05-13 |
| 1205839784 | Gail B Fayre | Family Medicine | 25 Highland Ave, Newburyport, MA 01950-3867 | 2005-05-27 |
| 1467983494 | Robert Dyer | Family Medicine | 915 Commonwealth Ave, Boston, MA 02215-1394 | 2017-03-22 |
| 1174961262 | Derek Lee | Family Medicine | 465 S Washington St, North Attleboro, MA 02760-2129 | 2013-06-11 |
| 1801129242 | The New England Center for Osteopathy, Pllc | Family Medicine | 2 South St, Suite 30, Pittsfield, MA 01201-6294 | 2009-09-17 |
| 1790946176 | Chad Beattie | Family Medicine | 531 Faunce Corner Rd, Dartmouth, MA 02747-1242 | 2008-06-19 |
| 1700045663 | Jennifer B. Schwartz | Family Medicine | 1101 Beacon St, 4 East, Brookline, MA 02446-5587 | 2008-06-05 |
| 1457537433 | Navid Mahooti | Family Medicine | 104 Endicott St, Suite 104, Danvers, MA 01923-3623 | 2008-01-21 |
| 1033316153 | Carolyn Saluti | Family Medicine | 281 Lincoln St, Med Staff Svcs, Worcester, MA 01605-2138 | 2007-07-02 |
| 1013124296 | Alysia L Green | Family Medicine | 915 Commonwealth Ave Rear, Boston, MA 02215-1394 | 2007-05-17 |
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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.