PEABODY PODIATRY LLC (NPI# 1457543639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457543639 |
| Entity Type | Organization |
| Organization Name | PEABODY PODIATRY LLC |
| Practice Address |
6 Essex Center Dr Suite 208 Peabody MA 01960-2910 |
| Practice Telephone | 9785319969 |
| Mailing Telephone | 9785319969 |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | PAUL S. PEICOTT (OWNER) |
| Authorized Official Telephone | 9785319969 |
| Authorized Official Credential | DPM |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
1746 | MA | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872286 | Peabody Podiatry LLC | Podiatrist | 6 Essex Center Dr Ste 208, Peabody, MA 01960-2906 | 2019-07-08 |
| Street Address |
6 ESSEX CENTER DR SUITE 208 |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-2910 |
| 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 |
| 1427434083 | Salem Peabody Oral Surgery Inc. | Clinic/Center | 6 Essex Center Dr, Suite 112a, Peabody, MA 01960-2904 | 2015-08-06 |
| 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 |
| 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 | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043746878 | Faezeh Bakhtiari-nejad | Podiatrist | 223 Concord Tpke Unit 219, Cambridge, MA 02140-2338 | 2017-05-11 |
| 1679966584 | Melrose Family Foot Care Group | Podiatrist | 533 Franklin St, Melrose, MA 02176-1742 | 2015-03-17 |
| 1366795023 | Matthew P. Butler, D.p.m. LLC | Podiatrist | 1153 Centre Street, Suite # 5980, Brigham and Women's Faulkner Hospital, Boston, MA 02130 | 2012-10-18 |
| 1518141035 | Richard S. Donela | Podiatrist | 900 State Rd, North Adams, MA 01247-3030 | 2007-12-19 |
| 1962685396 | Cecilia G. Moore Dpm LLC | Podiatrist | 214 Orleans Rd, Suite C, North Chatham, MA 02650-3101 | 2007-12-07 |
| 1932145810 | Mark Paul Sanphy | Podiatrist | 98 Nahant St, Lynn, MA 01902-3315 | 2006-06-21 |
| 1154385078 | Matthew P Butler | Podiatrist | 340 Maple Street, Suite 405, Marlborough, MA 01752 | 2006-04-17 |
| 1083675573 | Susan M Walsh | Podiatrist | 981 Canton Ave, Milton, MA 02186-3621 | 2006-04-01 |
| 1316914971 | Bruce Treadwell Croft | Podiatrist | 795 Main St, Holden, MA 01520-3800 | 2006-03-02 |
| 1255301891 | James Gerard Cataldo | Podiatrist | 14 Manning Ave, Suite 302, Leominster, MA 01453-5768 | 2006-01-25 |
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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.