DR. DERMOT CONNOLE JINKS (NPI# 1528161817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528161817 |
| Entity Type | Individual |
| Full Name | DR. DERMOT CONNOLE JINKS |
| Credential | D.C. |
| Practice Address |
49 Central St Suite 1a Peabody MA 01960-4375 |
| Mailing Address |
402 Rowland St Ballston Spa NY 12020-2684 |
| Practice Telephone | 9785310202 |
| Practice Fax Number | 9785327076 |
| Mailing Telephone | 5183630202 |
| Mailing Fax Number | 5183630711 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2016-10-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 193400000X | Single Specialty | X011848 | NY | Group |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD # | Y36302 | 01 |
| Street Address |
49 CENTRAL ST SUITE 1A |
| City | PEABODY |
| State | MA |
| Zip Code | 01960-4375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629098272 | Timothy E O'leary | Chiropractor | 49 Central St, Peabody, MA 01960-4375 | 2006-07-19 |
| 1710175518 | Peabody Family Chiropractic, Inc. | Clinic/Center | 49 Central St, Peabody, MA 01960-4375 | 2007-10-05 |
| 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 | 193400000X |
| Grouping | Group |
| Classification | Single Specialty |
| A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942261490 | Jorge M Andrade | Single Specialty | 851 Middle St, Suite 3400, Fall River, MA 02721-1778 | 2006-03-31 |
Please comment or provide details below to improve the information on DR. DERMOT CONNOLE JINKS.
| 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.