DR. LAURIE A. DIMARIA (NPI# 1437136413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437136413 |
| Entity Type | Individual |
| Full Name | DR. LAURIE A. DIMARIA |
| Credential | MD |
| Practice Address |
28 Riverside Dr Pembroke MA 02359-1937 |
| Practice Telephone | 7818268065 |
| Practice Fax Number | 7818268043 |
| Mailing Telephone | 7818268065 |
| Mailing Fax Number | 7818268043 |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2008-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 75508 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3098915 | 05 | |
| MA | HARVARD PILGRIM | 710638 | 01 |
| MA | BLUE CROSS BLUE SHIELD | J12414 | 01 |
| MA | TUFTS HEALTH PLAN | 075508 | 01 |
| Street Address |
28 RIVERSIDE DR |
| City | PEMBROKE |
| State | MA |
| Zip Code | 02359-1937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093168627 | Meghan Mahoney Baker | Nurse Practitioner | 28 Riverside Dr, Pembroke, MA 02359 | 2016-07-19 |
| 1669720736 | Kimberly Elizabeth Lennox | Physician Assistant | 28 Riverside Dr, Pembroke, MA 02359 | 2012-08-21 |
| 1699077933 | Christina Tamasco | Nurse Practitioner | 28 Riverside Dr, Pembroke, MA 02359-4947 | 2010-11-18 |
| 1396976601 | Kevin Noyes | Family Medicine | 28 Riverside Dr, Pembroke, MA 02359-4947 | 2009-08-04 |
| 1386835866 | Gabrielle M.h. Sousa | Family Medicine | 28 Riverside Dr, Pembroke, MA 02359-1937 | 2007-08-08 |
| 1285653147 | Mark Howard Selesnick | Family Medicine | 28 Riverside Dr, Pembroke, MA 02359-4947 | 2006-07-19 |
| 1023087566 | Carole J. Smith | Family Medicine | 28 Riverside Dr, Pembroke, MA 02359-1937 | 2006-03-16 |
| 1235116278 | David W. Parker | Family Medicine | 28 Riverside Dr, Pembroke, MA 02359-1937 | 2005-12-30 |
| 1225015167 | Michelle L. Connors | Physician Assistant | 28 Riverside Dr, Pembroke, MA 02359-1937 | 2005-12-30 |
| 1144207234 | Rebecca E. Graziano | Nurse Practitioner | 28 Riverside Dr, Pembroke, MA 02359-1937 | 2005-12-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294559 | Timothy Clynch | Nurse Practitioner | 296 Old Oak St, Pembroke, MA 02359 | 2020-01-07 |
| 1457902892 | Convenientmd LLC | Clinic/Center | 296 Old Oak Street, Pembroke, MA 02359 | 2019-09-26 |
| 1578126298 | Snezhana Voynova | Nurse Practitioner | Harbor Medical Associates, 15 Corporate Park Drive, Pembroke, MA 02359 | 2019-04-18 |
| 1669943452 | Rachel Elizabeth Fletcher | Counselor | Pembroke Partial Hospital Program, 20 Winter Street, Pembroke, MA 02359 | 2018-12-06 |
| 1780116236 | Annmarie Cummings | Behavioral Analyst | 15 Furnace Lane, Pembroke, MA 02359 | 2017-04-03 |
| 1558659680 | Rachel S Cohen | Social Worker | 20 Winter Street, Pembroke, MA 02359 | 2011-07-11 |
| 1659552974 | Kirsten Leah Evans | Registered Nurse | 7 Bartlett St, Pembroke, MA 02359 | 2007-11-15 |
| 1154516862 | Timothy A Kaufman | Physical Therapist | 31 Schoosett Street, Suite 300, Pembroke, MA 02359 | 2007-09-06 |
| 1912128463 | Mary A Marek | Social Worker | 2 Columibia Road, Pembroke, MA 02359 | 2007-05-01 |
| 1437287448 | Frederick James White Jr. | Dentist | 19a Mattakeesett St, Pembroke, MA 02359 | 2007-03-01 |
| Find all providers in zip 02359 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609437706 | Heidi Nichole Buxton | Family Medicine | 4 Donna Dr, Pembroke, NH 03275-3102 | 2019-06-28 |
| 1912385915 | Shannon Leigh Burnham | Family Medicine | 15 Corporate Park Dr, Pembroke, MA 02359-1966 | 2015-05-11 |
| 1851582092 | Donovan D Dixon | Family Medicine | 812 Candy Park Road 5101, Pembroke, NC 28372-7322 | 2007-08-05 |
| 1457571432 | Jennifer Pickens Locklear | Family Medicine | 410d S Jones St, Pembroke, NC 28372-7261 | 2007-05-01 |
| 1174675748 | Michael Andrew Register | Family Medicine | 244 Ledford Street, Pembroke, GA 31321-1183 | 2007-01-17 |
| 1730292103 | Steven H Kaitz | Family Medicine | 48 Glass St, Pembroke, NH 03275-1506 | 2006-08-17 |
| 1154349850 | Saint Josephs Medical Group Inc | Family Medicine | 159 West Railroad St, Pembroke, GA 31321 | 2006-07-18 |
| 1841238573 | Robert Niegisch | Family Medicine | 121 Pembroke St, Pembroke, NH 03275-1311 | 2006-06-03 |
| 1770573578 | Tulula Locklear Lowry | Family Medicine | Robeson County Cboc, 139 Three Hunts Drive, Pembroke, NC 28372 | 2005-10-24 |
| 1639178106 | Danny L West | Family Medicine | 102 Livermore Dr, Pembroke, NC 28372-7270 | 2005-07-18 |
| Find all providers in PEMBROKE | ||||
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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.