BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. (NPI# 1316479660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316479660 |
| Entity Type | Organization |
| Organization Name | BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. |
| Other Organization Name | LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC |
| Practice Address |
480 Maple St. Lahey Health Urgent Care, Danvers Danvers MA 01923 |
| Mailing Address |
41 Mall Rd Burlington MA 01805-0001 |
| Practice Telephone | 7817448085 |
| Mailing Telephone | 7817448085 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | DAVID L LONGWORTH (CEO) |
| Authorized Official Telephone | 7817448097 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | BETH ISRAEL LAHEY HEALTH INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lahey Physician Community Organization I INC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922505072 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 1350 Market Street, 2nd Floor, Beth Israel Lahey Health Primary Care, Inc., Lynnfield, MA 01940 | 2018-04-06 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1174042337 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Lahey Health Primary Care, North Andover, 170 Pleasant St., N. Andover, MA 01845 | 2017-09-19 |
| 1609396803 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | Lahey Health Urgent Care Gloucester, 298 Washington St., Gloucester, MA 01930 | 2017-06-20 |
| 1366983322 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Physician Community I Inc, 41 Mall Rd., Burlington, MA 01805-0001 | 2017-03-10 |
| 1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
| 1508244195 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Beverly 75 Herrick St, Lahey Institute of Urology, Beverly, MA 01915 | 2015-05-14 |
| 1528556529 | Beth Israel Lahey Health Primary Care, Inc. | Family Medicine | Lahey Health Primary Care, Lynnfield, 1350 Market Street, 2nd Floor, Lynnfield, MA 01940 | 2018-04-25 |
| Street Address |
480 MAPLE ST. LAHEY HEALTH URGENT CARE, DANVERS |
| City | DANVERS |
| State | MA |
| Zip Code | 01923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558902320 | Amanda Ashley Harting | Social Worker | 111 Middleton Road, Danvers, MA 01923 | 2019-10-03 |
| 1407400641 | Tom Biggart | Clinic/Center | 110 Newbury St, Danvers, MA 01923 | 2019-07-25 |
| 1669958252 | Marie Marguerite Peloquin | Internal Medicine | 480 Maple St. Suite 201, Lahey Outpatient Center, Danvers, Danvers, MA 01923 | 2018-07-17 |
| 1033604079 | Vanessa Lynne Rachels | Social Worker | 110 Middleton Rd, Danvers, MA 01923 | 2018-06-22 |
| 1376036517 | Meredith A Biggart | Dietitian, Registered | 110 Newbury St Ste E, Danvers, MA 01923 | 2018-06-12 |
| 1528569431 | Alaina Alderman | Behavioral Analyst | 1 Southside Rd, Danvers, MA 01923 | 2018-02-26 |
| 1023536661 | Rachel Anne Ziner | Specialist/Technologist | 49 Reservoir Dr, Danvers, MA 01923 | 2017-09-05 |
| 1770004780 | Sierra Mclear | Developmental Therapist | 6 Southside R.d, Danvers, MA 01923 | 2017-06-29 |
| 1548791890 | Joseph Chenvert | Massage Therapist | 227 Newbury Street, Danvers, MA 01923 | 2017-03-27 |
| 1891241097 | Colleen D Lima | Nurse Practitioner | Lahey Health Primary Care, Danvers, 140 Commonwealth Ave Suite 201, Danvers, MA 01923 | 2016-08-28 |
| Find all providers in zip 01923 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
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| 1124676598 | Convenientmd LLC | Clinic/Center | 236 Cochituate Rd, Framingham, MA 01701-4627 | 2019-08-29 |
| 1144782467 | Partners Urgent Care, LLC | Clinic/Center | 90 Brigham Way, Westwood, MA 02090 | 2019-04-04 |
| 1942761564 | Convenientmd LLC | Clinic/Center | 245 Hartford Ave, Bellingham, MA 02019-3007 | 2019-03-27 |
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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.