THEODORE GAVRILESCU, MD (NPI# 1639236508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639236508 |
| Entity Type | Organization |
| Organization Name | THEODORE GAVRILESCU, MD |
| Practice Address |
50 Prospect St 4th Floor Lawrence MA 01841-2841 |
| Mailing Address |
340 Main St Ste. 670 Worcester MA 01608-1604 |
| Practice Telephone | 9786872587 |
| Practice Fax Number | 9786878268 |
| Mailing Telephone | 5087543566 |
| Mailing Fax Number | 5084386368 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2011-08-03 |
| Authorized Official Name | THEODORE GAVRILESCU (M.D.) |
| Authorized Official Telephone | 9786872587 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
========= | MA | Allopathic & Osteopathic Physicians |
| Street Address |
50 PROSPECT ST 4TH FLOOR |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01841-2841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992788269 | Irving N Bachner | Ophthalmology | 50 Prospect St, Suite 101, Lawrence, MA 01841 | 2005-11-21 |
| 1790057404 | Beacon Primary Medicine, Inc. | Pediatrics | 50 Prospect St, Lawrence, MA 01841-2841 | 2012-01-27 |
| 1417237306 | Riverside Nephrology | Internal Medicine | 50 Prospect St, Suite301, Lawrence, MA 01841-2841 | 2011-08-23 |
| 1659663003 | Richard Sawyer, Inc. | Internal Medicine | 50 Prospect St, Lawrence, MA 01841-2841 | 2011-05-04 |
| 1659533073 | Nelson J Matos, D.o., P.l.l.c. | Family Medicine | 50 Prospect St, Suite 505, Lawrence, MA 01841-2841 | 2008-06-26 |
| 1114197845 | Mahmoud Kowsari Md Inc | Internal Medicine | 50 Prospect St, Lawrence, MA 01841-2841 | 2008-03-10 |
| 1295920205 | Lisa M Hennessey | Physical Therapist | 50 Prospect St, Lawrence, MA 01841-2841 | 2007-09-12 |
| 1437351764 | Cecile R Baranowski | Nurse Anesthetist, Certified Registered | 50 Prospect St, Suite 205, Lawrence, MA 01841-2841 | 2007-05-31 |
| 1477765758 | Greater Lawrence Cardio Holter Services Inc. | Clinical Medical Laboratory | 50 Prospect St, Suite 304, Lawrence, MA 01841-2841 | 2007-05-07 |
| 1508079542 | Gerard Beaudoin | Nurse Anesthetist, Certified Registered | 50 Prospect St, Lawrence, MA 01841 | 2007-05-07 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679543649 | Robert Allen Beck | Psychiatry & Neurology | 1130 W 4th St Ste 3203, Lawrence, KS 66044-1328 | 2006-01-24 |
| 1285637454 | Paul D Morte | Psychiatry & Neurology | 1112 W 6th St, Ste 218, Lawrence, KS 66044-2249 | 2005-05-23 |
| 1902255870 | Jeffrey Alan Gluckstein | Psychiatry & Neurology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2016-06-10 |
| 1972910123 | Lawrence Physicians LLC | Psychiatry & Neurology | 330 Arkansas St, Suite 200, Lawrence, KS 66044-1335 | 2014-07-21 |
| 1255774162 | Hassaan Hasan Bashir | Psychiatry & Neurology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2013-04-10 |
| 1093944332 | Jiri Brabec | Psychiatry & Neurology | 354 Merrimack St, Lawrence, MA 01843-1754 | 2009-07-08 |
| 1720101843 | Lanny Y Xue | Psychiatry & Neurology | 354 Merrimack St Ste 1, Lawrence, MA 01843-1755 | 2007-04-06 |
| 1881712362 | Lawrence Memorial Hospital | Psychiatry & Neurology | 330 Arkansas St, Suite 220, Lawrence, KS 66044-1335 | 2007-03-26 |
| 1013070523 | Andreas P Schoeck | Psychiatry & Neurology | 354 Merrimack St, Lawrence, MA 01843-1754 | 2006-12-18 |
| 1235166943 | John D Clark | Psychiatry & Neurology | 1130 W 4th St Ste 3203, Lawrence, KS 66044-1328 | 2006-06-27 |
| 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.