SALEM PEABODY ORAL SURGERY INC. (NPI# 1427434083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427434083 |
| Entity Type | Organization |
| Organization Name | SALEM PEABODY ORAL SURGERY INC. |
| Practice Address |
6 Essex Center Dr Suite 112a Peabody MA 01960-2904 |
| Practice Telephone | 9785311450 |
| Practice Fax Number | 9785319984 |
| Mailing Telephone | 9785311450 |
| Mailing Fax Number | 9785319984 |
| Enumeration Date | 2015-08-06 |
| Last Update Date | 2015-08-06 |
| Authorized Official Name | DR. BART ANTHONY BLAESER (OWNER) |
| Authorized Official Telephone | 9785311450 |
| Authorized Official Credential | M.D., D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
DN18545 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110074381A | 05 |
| Street Address |
6 ESSEX CENTER DR SUITE 112A |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198217 | Peabody Obgyn, LLC | Obstetrics & Gynecology | 6 Essex Center Dr, Suite 206, Peabody, MA 01960-2910 | 2005-07-19 |
| 1194270413 | St Marys Internal Medicine PC | Clinic/Center | 6 Essex Center Dr, Suite 304, Peabody, MA 01960-2904 | 2016-08-16 |
| 1003208216 | Essex Neurological Associates | Psychiatry & Neurology | 6 Essex Center Dr, Suite 307, Peabody, MA 01960-2904 | 2015-02-25 |
| 1770992794 | Marguerite Cycz | Registered Nurse | 6 Essex Center Dr, Peabody, MA 01960-2904 | 2014-08-04 |
| 1245642834 | Samantha Synenberg | Dentist | 6 Essex Center Dr, Suite 110, Peabody, MA 01960-2904 | 2014-05-29 |
| 1639426315 | North Shore Dental Center | Dentist | 6 Essex Center Dr, Ste. 302, Peabody, MA 01960-2904 | 2012-08-13 |
| 1427367101 | North Shore Neurological Associates, Inc. | Internal Medicine | 6 Essex Center Dr, Suite 303, Peabody, MA 01960-2963 | 2010-09-29 |
| 1518279702 | Andrea Shah | Dentist | 6 Essex Center Dr, Suite 110, Peabody, MA 01960-2904 | 2010-07-05 |
| 1821329111 | Joanne G Brown | Social Worker | 6 Essex Center Dr, Suite 107, Peabody, MA 01960-2904 | 2010-01-26 |
| 1548490014 | Pratima Ghimire | Internal Medicine | 6 Essex Center Dr, Peabody, MA 01960-2904 | 2009-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922328293 | Peabody Surgery Center, LLC. | Clinic/Center | 4 Centennial Dr, Suite 102, Peabody, MA 01960-7935 | 2010-06-09 |
| 1285746263 | Orthopedics Surgical Center of The North Shore LLC | Clinic/Center | One Orthopedics Drive, Main Level, Peabody, MA 01960 | 2006-08-31 |
| 1841256302 | New England Pain Care | Clinic/Center | 10 Centennial Dr, East Entrance, Peabody, MA 01960-7900 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073149365 | Medford Surgery Center, LLC | Clinic/Center | 170 Governors Ave Ste 100, Medford, MA 02155-1643 | 2020-03-18 |
| 1629603162 | Natick Surgery Center, LLC | Clinic/Center | 313 Speen St Ste 200, Natick, MA 01760-1538 | 2020-03-05 |
| 1679115166 | Prima Care, PC | Clinic/Center | 277 Pleasant St Ste 240, Fall River, MA 02721-3005 | 2019-10-16 |
| 1194275230 | West Suburban Eye Surgery Center LLC | Clinic/Center | 321 Billerica Rd, Chelmsford, MA 01824-4169 | 2016-10-13 |
| 1548591761 | New England Pain Associates. PC | Clinic/Center | 851 Main St Unit 16, Weymouth, MA 02190-1612 | 2010-01-28 |
| 1598096273 | New England Pain Associates, PC | Clinic/Center | 340 Wood Road, Suite 204, Braintree, MA 02184 | 2010-01-20 |
| 1598096257 | New England Pain Assocites, PC | Clinic/Center | 340 Wood Road, Suite 204, Braintree, MA 02184 | 2010-01-20 |
| 1073843694 | New England Pain Associates, PC | Clinic/Center | 10 Converse Place 4th Floor, Winchester, MA 01890 | 2010-01-04 |
| 1477655801 | Cataract and Laser Center Associates PC | Clinic/Center | 1 Berkshire Sq, Suite 110, Adams, MA 01220-1300 | 2006-09-05 |
| 1730113325 | Dha Endoscopy LLC | Clinic/Center | 91 Montvale Ave Ste 103, Stoneham, MA 02180-3649 | 2006-07-10 |
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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.