OMAR BADRI


Address: 138 Conant St Ste 1, Beverly, MA 01915-1666
Phone: 9786915690

OMAR BADRI (NPI# 1740541275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740541275
Entity Type Individual
Full Name OMAR BADRI
Credential M.D.
Practice Address 138 Conant St Ste 1
Beverly
MA 01915-1666
Mailing Address 593 Eddy St
Providence
RI 02903-4923
Practice Telephone 9786915690
Mailing Telephone 4014444030
Mailing Fax Number 4014446182
Enumeration Date 2012-05-31
Last Update Date 2019-06-19
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
278412 MA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
593 Eddy St, Providence, RI 029034923 4014444030 4014446182

Office Location

Street Address 138 CONANT ST STE 1
City BEVERLY
State MA
Zip Code 01915-1666

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083681795 Christine Kannler Specialist 138 Conant St Ste 1, Beverly, MA 01915-1666 2006-03-01
1356851901 Alison A Carpenter Physician Assistant 138 Conant St Ste 1, Beverly, MA 01915-1666 2017-10-10

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407258494 Northeast Dermatology Associates, PC Dermatology 138 Conant St, Beverly, MA 01915-1665 2014-09-22
1699180620 Northeast Dermatology Associates, PC Dermatology 138 Conant St, First Floor, Beverly, MA 01915-1665 2014-06-28

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1578176277 Dennis A Porto Md PC Dermatology 1 Maple St Ste 2, Milford, MA 01757-5614 2020-08-24
1619295847 Lara Kathryn Butler Dermatology One Scobee Circle, Unit 3, South Shore Skin Center, Plymouth, MA 02360 2010-05-12
1407905961 Greater Metrowest Dermsurgeons, LLC Dermatology 57 Providence Hwy, Norwood, MA 02062 2007-01-10
1295841138 Steven J Garrett Dermatology Mashpee Health Center, 5 Industrial Dr, Suite 109, Mashpee, MA 02649 2006-08-22
1477572816 Marina Kuperman-beade Dermatology 1030 President Ave Ste 306, Fall River, MA 02720-5923 2006-07-18
1932186772 Benjamin Arthur Solky Dermatology 160 Saint Botolph St, Boston, MA 02115-5119 2005-12-22
1518958297 Christine M Hayes Dermatology 33 Village Sq, Chelmsford, MA 01824-2712 2005-11-02
1518958289 Niels C. Krejci Dermatology 128 Carnegie Row, Norwood, MA 02062-5010 2005-11-02
1124014006 Stephen O. Kovacs Dermatology 77 Warren St., Suite 302, Brighton, MA 02135-3514 2005-09-26
1851860605 Nesc - Win-lah, LLC Dermatology 27 Village Square, Chelmsford, MA 01824 2018-11-21
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Competitor

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City BEVERLY
Zip Code 01915

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Dataset Information

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.

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