CHERYL A ENNIS (NPI# 1265425185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265425185 |
| Entity Type | Individual |
| Full Name | CHERYL A ENNIS |
| Credential | M.D. |
| Practice Address |
295 Varnum Ave Lowell General Hospital Lowell MA 01854 |
| Mailing Address |
110a Concord St Nashua NH 03064-1704 |
| Practice Telephone | 9789376889 |
| Mailing Telephone | 6038893249 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2012-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
10783 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MVP | 783909 | 01 | |
| NH | BC/BS | 01Y002477NH01 | 01 |
| HARVARD HEALTH | 351677 | 01 | |
| TUFTS | 079963 | 01 | |
| TRICARE/CHAMPUS | 22542240 | 01 | |
| NH | 30204275 | 05 | |
| CIGNA | 24483 | 01 |
| Street Address |
295 VARNUM AVE LOWELL GENERAL HOSPITAL |
| City | LOWELL |
| State | MA |
| Zip Code | 01854 |
| 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 |
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| 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 | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699017087 | Madhavi Rayapudi | Pathology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2013-03-23 |
| 1740337286 | Pathology Associates of Lowell, P.C. | Pathology | 295 Varnum Avenue, Lowell, MA 01854-2134 | 2007-01-05 |
| 1699889584 | Lionelle Dudley Wells | Pathology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2006-08-18 |
| 1952349953 | Merrimack Valley Pathology Associates, P.C. | Pathology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2006-06-02 |
| 1235196460 | Puay Eng Tan | Pathology | 1 Hospital Dr, Lowell, MA 01852-1311 | 2006-05-01 |
| 1144296450 | Donald C Agostinelli | Pathology | 295 Varnum Ave, Lowell General Hospital, Lowell, MA 01854-2134 | 2006-02-27 |
| 1437125192 | Patricia Devine | Pathology | 295 Varnum Ave, Lowell General Hospital, Lowell, MA 01854-2134 | 2006-02-23 |
| 1679559025 | Lynda Rushing | Pathology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2005-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194219261 | Alicia Gabrielle Dessain | Pathology | Tufts Medical Center - Pathology Department, 800 Washington St, Boston, MA 02111 | 2018-06-21 |
| 1043748395 | Hanqiao Zheng | Pathology | 670 Albany St Ste 4, Boston, MA 02118 | 2017-05-31 |
| 1245688977 | Seyed Amin Hojat | Pathology | 800 Washington St., Box 115, Boston, MA 02111 | 2016-06-03 |
| 1942601570 | Quantum Pathology, LLC | Pathology | 318 Bear Hill Rd, Waltham, MA 02451-1095 | 2014-09-15 |
| 1578976817 | Madhu Ouseph | Pathology | 75 Francis St # 360h, Boston, MA 02115 | 2014-06-04 |
| 1578975124 | Saja Asakrah | Pathology | 330 Brookline Ave Fl 2, Boston, MA 02215-5400 | 2014-05-29 |
| 1194061457 | Carol J Chirolas | Pathology | 199 Concord St, Newton, MA 02462-1325 | 2012-12-13 |
| 1598028409 | Austin G Turner | Pathology | 800 Washington St # 836, Boston, MA 02111-1552 | 2012-06-18 |
| 1104115559 | Anita Deshpande | Pathology | 1 Boston Medical Ctr Pl # Place3, Boston, MA 02118-2908 | 2011-04-06 |
| 1780986430 | Christa Lyn Cassalman | Pathology | 85 Prospect St Unit 1, Somerville, MA 02143-4127 | 2010-12-01 |
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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.