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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
2448 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BOARD OF LICENSURE | 2448 | 01 |
Street Address |
376 HALE ST |
City | BEVERLY |
State | MA |
Zip Code | 01915-2096 |
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 |
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 |
Find all providers in zip 01915 |
Taxonomy Code | 207PS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Emergency Medicine |
Specialization | Sports Medicine |
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. |
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 |
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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.