NESC MACIPA LLC (NPI# 1467791665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467791665 |
| Entity Type | Organization |
| Organization Name | NESC MACIPA LLC |
| Other Organization Name | NORTHEAST SURGERY CENTER LLC |
| Practice Address |
22 Mill St Suite 304 Arlington MA 02476-4784 |
| Mailing Address |
27 Village Sq Chelmsford MA 01824-2712 |
| Practice Telephone | 7816414900 |
| Practice Fax Number | 7816414904 |
| Mailing Telephone | 9782440060 |
| Mailing Fax Number | 9782442522 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2019-03-22 |
| Authorized Official Name | MARGARET DALTON (PRACTICE ADMINISTRATOR) |
| Authorized Official Telephone | 9782440060 |
| Is Organization Subpart | Y |
| Parent Organization Name | DERMCARE PHYSICIANS & SURGEONS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
153438 | MA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 160016 | MA | Allopathic & Osteopathic Physicians |
| N | 208200000X | Plastic Surgery | 205725 | MA | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
79526 | MA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Northeast Surgery Center LLC | Doing Business As Name - Organization |
| Street Address |
22 MILL ST SUITE 304 |
| City | ARLINGTON |
| State | MA |
| Zip Code | 02476-4784 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025606 | Timothy Crowley | Internal Medicine | 22 Mill St, Ste 208, Arlington, MA 02476-4738 | 2005-06-30 |
| 1972144830 | Kim- Leigh Cave Smith | Counselor | 22 Mill St, Arlington, MA 02476-4784 | 2019-10-02 |
| 1851816268 | Kayla Agar | Psychologist | 22 Mill St, Arlington, MA 02476-4784 | 2017-08-07 |
| 1811441207 | Matthew Waidler | Physical Therapist | 22 Mill St, Suite 406, Arlington, MA 02476-4784 | 2016-08-15 |
| 1811363278 | Brianna Palmer | Physical Therapist | 22 Mill St, Suite 406, Arlington, MA 02476-4784 | 2015-08-19 |
| 1891178133 | Varallo Orthodontics, P.C. | Dentist | 22 Mill St, Suite 403, Arlington, MA 02476-4784 | 2015-07-06 |
| 1669866786 | Emma Jackson | Physical Therapist | 22 Mill St, Suite 406, Arlington, MA 02476-4784 | 2015-03-26 |
| 1457754897 | Whitney Kraemer | Counselor | 22 Mill St, 306, Arlington, MA 02476-4784 | 2014-09-30 |
| 1962802538 | Trevor Danton | Physical Therapist | 22 Mill St, Suite 406, Arlington, MA 02476-4784 | 2014-09-02 |
| 1861731309 | Barry S Paul Md | Dermatology | 22 Mill St, Suite 310, Arlington, MA 02476-4784 | 2013-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479106 | Terry Ellis Real | Social Worker | 754 Massachusetts Avene, Arlington, MA 02476 | 2020-08-25 |
| 1992313340 | Shivam Kamlesh Gosai | Counselor | 670r Massachusetts Av/, Whittemore Robbins House, Arlington, MA 02476 | 2020-07-21 |
| 1912559246 | Hilary Scheintaub | Student in an Organized Health Care Education/Training Program | Boston College Biology Department, 355 Higgins Hall, Chestnut Hill, MA 02476 | 2019-07-16 |
| 1871076075 | Lourie August | Social Worker | Council On Aging, 27 Maple St, Arlington, MA 02476 | 2018-09-13 |
| 1235612904 | Marci Susan Shapiro-ide | Social Worker | Arlington Council On Aging, 27 Maple Street, Arlington, MA 02476 | 2018-09-10 |
| 1336621796 | Elizabeth W Rollins | Social Worker | 47 Ottawa Rd, Arlington, MA 02476 | 2018-09-02 |
| 1417439878 | Emily F Freisen | Occupational Therapist | 22 Mill Street Suite 302, Arlinton, MA 02476 | 2018-09-02 |
| 1093294886 | Michael Greenstein | Social Worker | Ottoson Middle School, 63 Acton St., Arlington, MA 02476 | 2018-08-13 |
| 1932627577 | Lori Peters | Counselor | 691 Massachusetts Ave. Suite #5, Arlington, MA 02476 | 2017-09-05 |
| 1235651290 | Stephen Marshall | Psychologist | 259 Massachusetts Ave., Arlington, MA 02476 | 2017-07-12 |
| Find all providers in zip 02476 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841388121 | Charles D Kennard | Dermatology | 300 W Arbrook Blvd Ste D, Arlington, TX 76014-3105 | 2006-10-11 |
| 1982760963 | Washington Dermatology Consultants, Plc | Dermatology | 611 S Carlin Springs Rd, Suite 406, Arlington, VA 22204-1064 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578176277 | Dennis A Porto Md PC | Dermatology | 1 Maple St Ste 2, Milford, MA 01757-5614 | 2020-08-24 |
| 1619295847 | Lara Kathryn Butler | Dermatology | One Scobee Circle, Unit 3, South Shore Skin Center, Plymouth, MA 02360 | 2010-05-12 |
| 1407905961 | Greater Metrowest Dermsurgeons, LLC | Dermatology | 57 Providence Hwy, Norwood, MA 02062 | 2007-01-10 |
| 1295841138 | Steven J Garrett | Dermatology | Mashpee Health Center, 5 Industrial Dr, Suite 109, Mashpee, MA 02649 | 2006-08-22 |
| 1477572816 | Marina Kuperman-beade | Dermatology | 1030 President Ave Ste 306, Fall River, MA 02720-5923 | 2006-07-18 |
| 1932186772 | Benjamin Arthur Solky | Dermatology | 160 Saint Botolph St, Boston, MA 02115-5119 | 2005-12-22 |
| 1518958297 | Christine M Hayes | Dermatology | 33 Village Sq, Chelmsford, MA 01824-2712 | 2005-11-02 |
| 1518958289 | Niels C. Krejci | Dermatology | 128 Carnegie Row, Norwood, MA 02062-5010 | 2005-11-02 |
| 1124014006 | Stephen O. Kovacs | Dermatology | 77 Warren St., Suite 302, Brighton, MA 02135-3514 | 2005-09-26 |
| 1851860605 | Nesc - Win-lah, LLC | Dermatology | 27 Village Square, Chelmsford, MA 01824 | 2018-11-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NESC MACIPA LLC.
| 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.