MRS. JENNIFER CONCANNON


Address: 376 Hale St, Beverly, MA 01915-2096
Phone: 9782322309

MRS. JENNIFER CONCANNON (NPI# 1396253753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396253753
Entity Type Individual
Full Name MRS. JENNIFER CONCANNON
Credential ATC
Practice Address 376 Hale St
Beverly
MA 01915-2096
Mailing Address 65 Wilson Ave
Weymouth
MA 02188-3623
Practice Telephone 9782322309
Mailing Telephone 9782733620
Enumeration Date 2018-01-18
Last Update Date 2018-01-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PS0010X Emergency Medicine
Specialization: Sports Medicine
2448 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA BOARD OF LICENSURE 2448 01

Office Location

Street Address 376 HALE ST
City BEVERLY
State MA
Zip Code 01915-2096

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336176924 Katherine Moskal Specialist/Technologist 376 Hale St, Beverly, MA 01915-2096 2006-06-27
1184225401 Margaret J Layo Nurse Practitioner 376 Hale St, Beverly, MA 01915-2096 2020-11-03
1669084265 Kevin Kosiorek Specialist/Technologist 376 Hale St, Beverly, MA 01915-2096 2020-08-17
1831730373 Sierra Miller Specialist/Technologist 376 Hale St, Beverly, MA 01915-2098 2019-10-07
1487200952 Elizabeth Donahue Specialist/Technologist 376 Hale St, Beverly, MA 01915-2098 2019-08-12
1588128318 Cynthia Fichera Student in an Organized Health Care Education/Training Program 376 Hale St, Beverly, MA 01915-2096 2019-01-25
1134634009 Deborah Swanton Specialist/Technologist 376 Hale St, Beverly, MA 01915-2096 2017-12-13
1124560115 Jacob Mickey Specialist/Technologist 376 Hale St, Beverly, MA 01915-2096 2016-11-08
1265896088 Kelsey Steube Specialist/Technologist 376 Hale St, Beverly, MA 01915-2096 2016-04-07
1912361734 Kevin Rooney Specialist/Technologist 376 Hale St, Beverly, MA 01915-2096 2016-04-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497377253 Janice E. Schwartz Psychologist 100 Cummings Center, 232 C, Beverly, MA 01915 2020-05-14
1720625452 Campos Dental Care PC Dentist 127 Dodge Street, Beverly, MA 01915 2019-12-02
1144781477 Nutrimedy Dietitian, Registered 6 Oceanside Drive, Beverly, MA 01915 2019-03-28
1376001073 Benjamin David Stebbings Counselor 199 Rosewood Dr. Suite 250, Beverly, MA 01915 2019-03-12
1376000455 Patrick Matthew Noble Occupational Therapist Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 2019-02-26
1174007900 Nicole Morreo Psychologist 480 Rantoul St., 208, Beverly, MA 01915 2018-09-18
1891282299 Jeanne Tomich Psychologist 110 Hart St., Beverly, MA 01915 2018-04-20
1518469089 Kathleen L Golemon Specialist 100 Cummings Center Suite 158-d, Beverly, MA 01915 2018-03-01
1629582556 Sarah Elizabeth Tsouvalas Nurse Practitioner 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 2017-11-30
1235657339 Kathleen Ann Downey Registered Nurse Element Care, 166d Cummings Center, Beverly, MA 01915 2017-09-08
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Taxonomy Information

Taxonomy Code 207PS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Sports Medicine

Taxonomy Definition

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
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 Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578526844 Ryan Paige Friedberg Emergency Medicine 320 Brookline Ave, Boston, MA 02215-5401 2006-04-08
1366986796 Rachael Elizabeth Hunt Emergency Medicine 16 West St, Quincy, MA 02169-6361 2016-12-04
1942461942 Lisa Marie Geheb Vopat Emergency Medicine 319 Longwood Ave, Boston, MA 02115-5728 2008-06-23
1316020712 Gianmichel D Corrado Emergency Medicine 319 Longwood Ave, 6th Floor, Boston, MA 02115-5728 2006-10-23
1124054770 Pierre A D'hemecourt Emergency Medicine 300 Longwood Ave, Boston, MA 02115-5724 2006-06-24

Competitor

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City BEVERLY
Zip Code 01915

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Dataset Information

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.

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