LIGHTHOUSE PRIMARY CARE PC (NPI# 1588290324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588290324 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE PRIMARY CARE PC |
| Practice Address |
315 Main St Ste 101 North Reading MA 01864-1326 |
| Practice Telephone | 9782760100 |
| Practice Fax Number | 9782760041 |
| Mailing Telephone | 9782760100 |
| Mailing Fax Number | 9782760041 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | KENNETH P MCWHA (PRESIDENT) |
| Authorized Official Telephone | 9782760100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
315 MAIN ST STE 101 |
| City | NORTH READING |
| State | MA |
| Zip Code | 01864-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245702778 | Nancy T Higgins | Social Worker | 16 Williams Road, North Reading, MA 01864 | 2018-12-21 |
| 1881946531 | Cara A Mccormack | Counselor | 800 Cummings Center Suite 266t, Northeast Behavioral Health, Beverly, MA 01864 | 2012-10-04 |
| 1639496334 | Stefanie Suzzanne Steeves | Massage Therapist | 246 Main St #4, North Reading, MA 01864 | 2010-04-21 |
| 1578694329 | North Reading Public Schools | Local Education Agency (LEA) | 19 Shermand Road, North Reading, MA 01864 | 2007-03-07 |
| 1184752586 | Class, Inc. | Day Training, Developmentally Disabled Services | 48a Main St, N Reading, MA 01864 | 2007-02-28 |
| 1669574349 | Jeffrey Neil Berube | Chiropractor | 203 A Main Street, North Reading, MA 01864 | 2006-09-02 |
| 1992742688 | Vladimir M Gleyzer | Pediatrics | 21 Main Street, North Reading Pediatrics, North Reading, MA 01864 | 2006-06-01 |
| 1780639203 | Mehran Shahsavari | Specialist | 36 Woburn Street, Suite 14, North Reading, MA 01864 | 2006-05-23 |
| 1841271707 | Richard Lawrence Falzone | Psychiatry & Neurology | 148 Park St Rear Building, North Reading, MA 01864 | 2005-11-08 |
| 1992799183 | Joseph Patrick Ordonez | Family Medicine | 203 Main St, North Reading, MA 01864 | 2005-09-02 |
| Find all providers in zip 01864 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992799183 | Joseph Patrick Ordonez | Family Medicine | 203 Main St, North Reading, MA 01864 | 2005-09-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457966806 | Eliana Decastro Cuellar | Family Medicine | 1030 President Ave Ste 1001, Fall River, MA 02720-5923 | 2020-09-12 |
| 1386260594 | Form Health Associates (ma), P.C. | Family Medicine | 179 Lincoln St Ste 404, Boston, MA 02111-2425 | 2020-06-23 |
| 1043835044 | Form Health Associates, P.C. | Family Medicine | 179 Lincoln St Fl 4, Boston, MA 02111-2424 | 2020-06-15 |
| 1730714106 | Berkshire Whole Health PC | Family Medicine | 8 Pine St, Stockbridge, MA 01262-9706 | 2020-03-06 |
| 1578100889 | Kelly Ramappa | Family Medicine | 96 Temple St, West Newton, MA 02465-2307 | 2019-12-05 |
| 1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
| 1154962942 | Molly Rose Lodigiani | Family Medicine | 275 Cypress St Apt 105, Brookline, MA 02445-6774 | 2019-10-02 |
| 1699316539 | Luisa Alejandra Centeno Silva | Family Medicine | 4785 Washington St # 2, West Roxbury, MA 02132-2113 | 2019-10-02 |
| 1609427962 | Jessica Blanchard | Family Medicine | 100 Leominster Rd, Sterling, MA 01564-2156 | 2019-09-26 |
| 1831742667 | Mallory Marie Morton | Family Medicine | 429 Main St # 3, Medford, MA 02155-6571 | 2019-07-21 |
| Find all providers with the same taxonomy | ||||
| City | NORTH READING |
| Zip Code | 01864 |
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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.