PETER W MARCELLO (NPI# 1477603660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477603660 |
| Entity Type | Individual |
| Full Name | PETER W MARCELLO |
| Credential | MD |
| Practice Address |
Lahey Clinic 41 Mall Rd. Burlington MA 01805-0001 |
| Practice Telephone | 7817443760 |
| Practice Fax Number | 7817442945 |
| Mailing Telephone | 7817443760 |
| Mailing Fax Number | 7817442945 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2011-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 74572 | MA | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 74572 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110050867A | 05 |
| Street Address |
LAHEY CLINIC 41 MALL RD. |
| City | BURLINGTON |
| State | MA |
| Zip Code | 01805-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568455350 | Julie L Jones | Nurse Practitioner | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2005-08-26 |
| 1801168042 | Michelle E. Howlett | Physician Assistant | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2012-02-03 |
| 1760767842 | Emily K. Newcomb | Physician Assistant | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2011-10-20 |
| 1053693549 | Christine Ackroyd | Nurse Practitioner | Lahey Clinic, 41 Mall Rd., Burlington, MA 01805-0001 | 2011-09-12 |
| 1609160514 | Diana H Cabral | Nurse Practitioner | Lahey Clinic, 41 Mall Rd., Burlington, MA 01805-0001 | 2011-06-08 |
| 1942504279 | Ashley Rae Drapeau | Physician Assistant | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2010-12-30 |
| 1710289566 | Pamela S. Sherry | Pharmacist | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2010-11-30 |
| 1932418555 | Bettina Norma Johnson | Nurse Practitioner | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2010-09-30 |
| 1164671509 | Kara Del Torchio | Nurse Practitioner | Lahey Clinic, 41 Mall Rd, Burlington, MA 01805-0001 | 2008-09-10 |
| 1013163534 | David A Rosman | Radiology | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2008-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750867909 | Natalie Teresa Dal'bo | Student in an Organized Health Care Education/Training Program | 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 | 2018-07-11 |
| 1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
| 1902240872 | Lloyd Jones Jr. | Student in an Organized Health Care Education/Training Program | 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 | 2013-04-23 |
| 1508020470 | Russell Andrew Baur | Internal Medicine | Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 | 2008-07-10 |
| 1356491237 | Jacob Magee Sands | Internal Medicine | 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 | 2007-01-11 |
| 1588757108 | Richard Alan Wold | Nurse Anesthetist, Certified Registered | Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-10-02 |
| 1841302387 | David M. Venesy | Internal Medicine | Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 | 2006-08-31 |
| 1790750354 | Cara J. Foss | Nurse Practitioner | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2006-02-17 |
| 1750376380 | Darryl D Esakof | Internal Medicine | 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 | 2005-09-20 |
| 1225022155 | Laura Saluja | Internal Medicine | Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 | 2005-09-07 |
| Find all providers in zip 01805 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285954651 | Julia T Saraidaridis | Colon & Rectal Surgery | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2010-06-08 |
| 1265693501 | Krista E. Evans | Colon & Rectal Surgery | 111 Colchester Ave., Uvm Medical Center, General Surgery, Burlington, VT 05401 | 2008-06-19 |
| 1447417738 | Todd D Francone | Colon & Rectal Surgery | 41 Mall Rd, Lahey Hospital & Medical Center, Burlington, MA 01805-0001 | 2008-05-22 |
| 1174641161 | Jesse S Moore | Colon & Rectal Surgery | 111 Colchester Ave, Burlington, VT 05401-1473 | 2007-03-27 |
| 1194882472 | Rocco Ricciardi | Colon & Rectal Surgery | 41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 | 2007-01-03 |
| 1316000748 | John A Coller | Colon & Rectal Surgery | Lahey Clinic, 41 Mall Rd., Burlington, MA 01805-0001 | 2006-12-18 |
| 1043379381 | Ignacio Gomez-tellez | Colon & Rectal Surgery | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2006-12-06 |
| 1174614770 | Patricia Lynne Roberts | Colon & Rectal Surgery | 41 Mall Rd, Lahey Clinic, Burlington, MA 01805-0001 | 2006-09-27 |
| 1831298850 | David J. Schoetz Jr. | Colon & Rectal Surgery | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-09-22 |
| 1619912607 | Gino Thamas Trevisani | Colon & Rectal Surgery | 111 Colchester Ave, Burlington, VT 05401-1473 | 2006-06-17 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 01805 |
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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.