EAGLE MEDICINE ASSOCIATES (NPI# 1588952550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588952550 |
| Entity Type | Organization |
| Organization Name | EAGLE MEDICINE ASSOCIATES |
| Practice Address |
25 Marston St 4th Floor Lawrence MA 01841-2310 |
| Practice Telephone | 9787255913 |
| Practice Fax Number | 9787255918 |
| Mailing Telephone | 9787255913 |
| Mailing Fax Number | 9787255918 |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |
| Authorized Official Name | DR. OLEKSANDR STUPYTSKYI (PHYSICIAN) |
| Authorized Official Telephone | 9787255913 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 233485 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
25 MARSTON ST 4TH FLOOR |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01841-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093719924 | David Farzan | Family Medicine | 25 Marston St, 3rd Fl, Lawrence, MA 01841-2310 | 2005-06-09 |
| 1699249938 | Erica Rowden | Physical Therapist | 25 Marston St, Lawrence, MA 01841-2355 | 2019-01-21 |
| 1720523780 | Landman Steward LLC | Internal Medicine | 25 Marston St, Suite 403, Lawrence, MA 01841-2355 | 2016-12-30 |
| 1174998819 | Boston Laser Network One, LLC | Ophthalmology | 25 Marston St, Suite 104, Lawrence, MA 01841-2310 | 2015-12-07 |
| 1770975211 | Larissa Helms | Dietitian, Registered | 25 Marston St, Suite 204, Lawrence, MA 01841-2310 | 2015-02-20 |
| 1922442888 | Merrimack Neurological & Spinal Surgical | Neurological Surgery | 25 Marston St, Suite 208, Lawrence, MA 01841-2310 | 2013-04-23 |
| 1013284637 | Merrimack Medical & Walk In S LLC | Clinic/Center | 25 Marston St, Ste 304, Lawrence, MA 01841 | 2011-11-28 |
| 1033498498 | Nizhoni Health Systems LLC | Pharmacy | 25 Marston St, Lawrence, MA 01841-2310 | 2011-08-16 |
| 1124337175 | Merrimack Medical & Walk In Center, LLC | Clinic/Center | 25 Marston St, 3rd Floor, Lawrence, MA 01841-2310 | 2010-09-24 |
| 1144544040 | Community Medical Associates, Inc. | Psychiatry & Neurology | 25 Marston St, Suite 202, Lawrence, MA 01841-2310 | 2010-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326502501 | Toby Lazerson | Social Worker | 135 Butler Street, Bruce School, Lawrence, MA 01841 | 2019-01-22 |
| 1376038414 | Maggie Townsend | Physical Therapist | 172 Lawrence Street, Lawrence, MA 01841 | 2018-06-29 |
| 1265941678 | Melvinson Polanco | Psychologist | 170 Sanborn St, Lawrence, MA 01841 | 2017-09-28 |
| 1407385834 | Lawrence Health Solutions, LLC | Clinic/Center | 25 Marston St., Suite 105, Lawrence, MA 01841 | 2017-06-08 |
| 1619419652 | Helen Santos | Social Worker | 5 Colby St, Lawrence, MA 01841 | 2016-11-08 |
| 1740737329 | James Michael Torres | Social Worker | 439 S. Union Street, Larwrence, MA 01841 | 2016-09-01 |
| 1588010003 | Michael Castillo | Counselor | 274 East Haverhill St, Lawrence, MA 01841 | 2016-05-13 |
| 1619379351 | Marlene Reyes | Psychologist | 27 Clarke St, Lawrence, MA 01841 | 2014-09-25 |
| 1982016762 | Erica Vasquez | Counselor | 590 Canal Street, Lawrence, MA 01841 | 2014-05-28 |
| 1538500202 | Azadeh Suppappola | Optometrist | 25 Marston Street #104, Boston Eye Group, Lawrence, MA 01841 | 2013-07-10 |
| Find all providers in zip 01841 | ||||
| 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 |
|---|---|---|---|---|
| 1376022921 | Donna Griebel | Internal Medicine | 2129 New Hampshire St, Lawrence, KS 66046-3047 | 2018-08-13 |
| 1346739851 | Unity Medical Clinic, LLC | Internal Medicine | 2201 W 25th St Ste U, Lawrence, KS 66047-2957 | 2018-05-09 |
| 1790058261 | Rachel Schwartz | Internal Medicine | 100 Barrett Rd, Lawrence, NY 11559-2030 | 2012-02-14 |
| 1316256514 | Fabiola Mendoncafeitosaruivo | Internal Medicine | 25 Marston St Apt 202, Lawrence, MA 01841-2357 | 2010-10-05 |
| 1861703860 | Mark Oertel | Internal Medicine | 1130 W 4th St Ste 3201, Lawrence, KS 66044-1328 | 2010-06-24 |
| 1366683997 | Frederico Calvet Beserra | Internal Medicine | 119 Thoreau Way, Apt 633, Lawrence, MA 01843-3911 | 2009-03-11 |
| 1558537027 | Kimball Stacey | Internal Medicine | 2014 Stratford Rd, Lawrence, KS 66044-4542 | 2008-05-05 |
| 1144376591 | Ann Hwang | Internal Medicine | 439 S Union St Ste 403, Lawrence, MA 01843-2800 | 2007-01-26 |
| 1386678480 | Michael I Gendlerman | Internal Medicine | 360 Merrimack St., Bldg. 9, Suite 303, Lawrence, MA 01843 | 2006-07-11 |
| 1598712739 | Oleksandr Stupnytskyi | Internal Medicine | 25 Marston Street, 404a, Lawrence, MA 01841 | 2006-05-30 |
| Find all providers in LAWRENCE | ||||
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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.