ELM TREE CLINIC, LLC (NPI# 1538609904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538609904 |
| Entity Type | Organization |
| Organization Name | ELM TREE CLINIC, LLC |
| Practice Address |
12 Wood St Lowell MA 01851-1532 |
| Mailing Address |
11 Dexter Ave Watertown MA 02472-4105 |
| Practice Telephone | 6173543555 |
| Practice Fax Number | 6174814655 |
| Mailing Telephone | 6173543555 |
| Mailing Fax Number | 6174814655 |
| Enumeration Date | 2017-03-03 |
| Last Update Date | 2017-03-03 |
| Authorized Official Name | VICTOR V TOROSYAN (MEMBER) |
| Authorized Official Telephone | 7813543555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
12 WOOD ST |
| City | LOWELL |
| State | MA |
| Zip Code | 01851-1532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932232857 | Seema Gupta | Internal Medicine | 12 Wood St, Lowell, MA 01851-1532 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508340233 | Tara D Gabriel | Social Worker | 130 Pine Street, Lowell, MA 01851 | 2018-09-19 |
| 1699257022 | Jennifer Walsh Favreau | Social Worker | 740 Princeton Blvd. Apt. 22, Lowell, MA 01851 | 2018-09-01 |
| 1366951022 | Natalie V Lopez | Counselor | 507 Redwood Ln, Lowell, MA 01851 | 2017-09-26 |
| 1962929877 | Dependable Transportation Inc. | Non-emergency Medical Transport (VAN) | 45 Pratt Ave, Unit 4, Lowell, MA 01851 | 2017-08-23 |
| 1053851733 | Excel Dental, P.C. | Dentist | 158 Wood Street, Unit 3, Lowell, MA 01851 | 2017-03-01 |
| 1982067468 | Vishal Sohal | Dentist | 26 Wood St, Dental Dreams, Lowell, MA 01851 | 2016-04-01 |
| 1689067407 | Craig David Milliken | Social Worker | 319 Wilder Street, Lowell, MA 01851 | 2015-03-18 |
| 1063801413 | Michael Bobola | Counselor | 22 Old Canal Drrive, Lowell, MA 01851 | 2015-01-22 |
| 1124422944 | Greater Lowell Private Nursing Services and Education | Home Health | 963 Chelmsford Street, Lowell, MA 01851 | 2014-10-22 |
| 1669886602 | Chitrang B. Patel | Dentist | 158 Wood St Unit 3, Lowell, MA 01851 | 2014-06-18 |
| Find all providers in zip 01851 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376006908 | Joshi Medical Services, PC | Internal Medicine | 16 Pine St Ste 4, Lowell, MA 01851-3100 | 2019-04-10 |
| 1588181259 | Katelyn Elizabeth Burke | Internal Medicine | 33 Bartlett St Ste 504, Lowell, MA 01852-1319 | 2017-08-24 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1356642862 | Royal Care Medical Center Inc | Internal Medicine | 151 Warren St, Lowell, MA 01852-2647 | 2010-11-15 |
| 1710163837 | Mohammad Samir Al-kharrat | Internal Medicine | 17648 Morse St, Lowell, IN 46356-1420 | 2008-01-18 |
| 1467647024 | Nafees F Khusro | Internal Medicine | 1230 Bridge Street, Medical Center of Greater Lowell, Lowell, MA 02026-6838 | 2007-09-07 |
| 1932232857 | Seema Gupta | Internal Medicine | 12 Wood St, Lowell, MA 01851-1532 | 2007-03-13 |
| 1386787844 | Ilene Sandra Cohen | Internal Medicine | 55 Technology Dr, Lowell, MA 01851-5203 | 2007-02-15 |
| 1811905961 | Ajay Nanavati | Internal Medicine | 275 Varnum Ave Ste 201, Riverside Medical Group, Lowell, MA 01854 | 2006-08-04 |
| 1053346692 | Mill City Medical Group Ltd | Internal Medicine | 45 Palmer Street, Lowell, MA 01852 | 2006-07-12 |
| Find all providers in LOWELL | ||||
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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.