NORTHEAST HOSPITAL CORPORATION (NPI# 1609085836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609085836 |
| Entity Type | Organization |
| Organization Name | NORTHEAST HOSPITAL CORPORATION |
| Practice Address |
85 Herrick St Medical Staff Office Beverly MA 01915-1790 |
| Mailing Address |
85 Herrick Street Medical Staff Office Beverly MA 01915 |
| Practice Telephone | 9789223000 |
| Practice Fax Number | 9789217048 |
| Mailing Telephone | 9789223000 |
| Mailing Fax Number | 9789217048 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2014-11-12 |
| Authorized Official Name | MR. DENIS CONROY (CEO) |
| Authorized Official Telephone | 9789223000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396991709 | Northeast Hospital Corporation | Clinic/Center | 85 Herrick Street, Beverly, MA 01915 | 2008-08-18 |
| 1871755132 | Northeast Hospital Corporation | Internal Medicine | 85 Herrick Street, Medical Staff Office, Beverly, MA 01915 | 2008-06-27 |
| 1508052218 | Northeast Hospital Corporation | General Acute Care Hospital | 480 Maple St, Center for Healthy Aging, Danvers, MA 01923-4065 | 2007-09-18 |
| 1164547063 | Northeast Hospital Corporation | Internal Medicine | 480 Maple St, Center for Healthy Aging, Danvers, MA 01923-4065 | 2007-03-20 |
| 1073658225 | Northeast Hospital Corporation | Clinic/Center | 600 Cummings Center, Suite 176x, Beverly, MA 01915 | 2007-02-21 |
| 1285776229 | Northeast Hospital Corporation | Psychiatric Hospital | 60 Granite St, Bayridge Hospital, Lynn, MA 01904-2915 | 2007-02-13 |
| 1043328685 | Northeast Hospital Corporation | Clinic/Center | 480 Maple St, Center for Healthy Aging, Danvers, MA 01923-4065 | 2006-08-25 |
| 1407827710 | Northeast Hospital Corporation | Psychiatric Unit | 85 Herrick Street, Beverly, MA 01915 | 2006-01-27 |
| 1316917941 | Northeast Hospital Corporation | Psychiatric Unit | 85 Herrick St, Beverly Hospital, Beverly, MA 01915-1776 | 2006-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | NORTHEAST HOSPITAL CORPORATION | 85 Herrick Street, Beverly, MA 01915 |
| Street Address |
85 HERRICK ST MEDICAL STAFF OFFICE |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-1790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829423 | John Hallock Oldershaw | Radiology | 85 Herrick St, Beverly, MA 01915-1776 | 2005-05-31 |
| 1730791880 | Alexandria Margerison | Advanced Practice Midwife | 85 Herrick St, Beverly, MA 01915-1790 | 2020-08-20 |
| 1447862438 | Jennifer Ashley Dellemonico | Registered Nurse | 85 Herrick St, Beverly, MA 01915-1790 | 2020-08-20 |
| 1982229688 | Rebecca Lee Landry | Social Worker | 85 Herrick St, Beverly, MA 01915-1790 | 2020-06-09 |
| 1679121719 | Christine Phyllis Bertoli | Pharmacist | 85 Herrick St, Beverly, MA 01915-1790 | 2019-09-02 |
| 1871154112 | Thu Anh Nguyen | Registered Nurse | 85 Herrick St, Beverly, MA 01915-1790 | 2019-06-26 |
| 1881255453 | Chelsea Perrin | Advanced Practice Midwife | 85 Herrick St, Beverly, MA 01915-1790 | 2019-06-25 |
| 1588134332 | Kaitlin Marie Sears | Nurse Practitioner | 85 Herrick St, Beverly, MA 01915-1777 | 2018-12-04 |
| 1578048161 | Milly Canela | Dietitian, Registered | 85 Herrick St, Beverly, MA 01915-1777 | 2018-09-28 |
| 1942781612 | Pamela E Lucci | Social Worker | 85 Herrick St, Beverly, MA 01915-1777 | 2018-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225133614 | Stephen V Friedman | Emergency Medicine | 7 Giddings Ave, Beverly, MA 01915-3425 | 2006-09-13 |
| 1942295902 | Fiona Mary Breslin | Emergency Medicine | Beverly Hospital, Beverly, MA 01915 | 2005-09-15 |
| 1760741276 | Eli Poorvu | Emergency Medicine | 85 Herrick St, Beverly, MA 01915-1790 | 2012-05-04 |
| 1770840217 | Linda Sinclair | Emergency Medicine | 85 Herrick St, Department of Emergency Medicine, Beverly, MA 01915-1790 | 2012-04-23 |
| 1417243270 | Bradley Louis Demeter | Emergency Medicine | 85 Herrick St, Beverly, MA 01915-1777 | 2011-06-21 |
| 1801038500 | Munirih Yeshwant | Emergency Medicine | 85 Herrick St, Beverly, MA 01915-1790 | 2009-03-27 |
| 1144461153 | Brendan Rowan Norwood | Emergency Medicine | 85 Herrick St, Emergency Medicine, Beverly, MA 01915-1790 | 2009-03-20 |
| 1144359514 | Deborah Lynne Korik | Emergency Medicine | 85 Herrick St, Beverly Hospital, Beverly, MA 01915-1790 | 2007-03-03 |
| 1891822458 | Sandra Wozniak | Emergency Medicine | Beverly Hospital, 85 Herrick Street, Beverly, MA 01915 | 2007-02-28 |
| 1720113889 | Menahem Abraham | Emergency Medicine | 85 Herrick St, Beverly, MA 01915-1790 | 2007-02-22 |
| Find all providers in BEVERLY | ||||
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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.