LUNG SPECIALISTS OF MERRIMACK (NPI# 1881688323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881688323 |
| Entity Type | Organization |
| Organization Name | LUNG SPECIALISTS OF MERRIMACK |
| Other Organization Name | LUNG SPECIALISTS OF THE MERRIMACK VALLEY, P.C. |
| Practice Address |
275 Varnum Ave Suite 203 Lowell MA 01854-2109 |
| Practice Telephone | 9789349220 |
| Practice Fax Number | 9784537771 |
| Mailing Telephone | 9789349220 |
| Mailing Fax Number | 9784537771 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2016-08-25 |
| Authorized Official Name | DENIS Y LIN (TREASURER) |
| Authorized Official Telephone | 9789349220 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110068782A | 05 |
| Other Name | Type Code |
|---|---|
| Lung Specialists of the Merrimack Valley, P.C. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124458120 | Lung Specialists of Merrimack | Internal Medicine | 275 Varnum Ave, Suite 203, Lowell, MA 01854-2141 | 2013-11-13 |
| Street Address |
275 VARNUM AVE SUITE 203 |
| City | LOWELL |
| State | MA |
| Zip Code | 01854-2109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942780341 | Heidi Parker | Social Worker | 275 Varnum Ave, Lowell, MA 01854-2141 | 2018-08-16 |
| 1467968693 | Catherine E. Hermann | Nurse Practitioner | 275 Varnum Ave, 204, Lowell, MA 01854-2141 | 2017-12-26 |
| 1619419082 | The Practice - Ob/gyn, P.C. | Obstetrics & Gynecology | 275 Varnum Ave, 103, Lowell, MA 01854-2141 | 2016-11-16 |
| 1124486170 | Elise Miles | Nurse Practitioner | 275 Varnum Ave, Suite 201, Lowell, MA 01854-2141 | 2016-02-05 |
| 1518382571 | Michelle Salvato Scola | Nurse Practitioner | 275 Varnum Ave, Suite 201, Lowell, MA 01854-2141 | 2014-02-27 |
| 1124458120 | Lung Specialists of Merrimack | Internal Medicine | 275 Varnum Ave, Suite 203, Lowell, MA 01854-2141 | 2013-11-13 |
| 1639427206 | Eric R Galardi | Nurse Practitioner | 275 Varnum Ave, Suite 201, Lowell, MA 01854-2141 | 2012-08-29 |
| 1326333543 | Francis Paul Magro | Internal Medicine | 275 Varnum Ave, Suite 203, Lowell, MA 01854-2141 | 2011-06-15 |
| 1124311006 | Anna Riera | Nurse Practitioner | 275 Varnum Ave, Suite 201, Lowell, MA 01854-2141 | 2011-05-25 |
| 1588977375 | Sangita Stearns Pillai | Family Medicine | 275 Varnum Ave, Ste 204, Lowell, MA 01854-2109 | 2010-07-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
| 1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
| 1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
| 1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
| 1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
| 1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
| 1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
| 1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
| 1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
| 1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
| Find all providers in zip 01854 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1598942187 | Ilan Gabriel Yavitz Zincof | Internal Medicine | 275 Varnum Ave Ste 203, Lowell, MA 01854-2109 | 2008-01-25 |
| 1457312654 | Sweta A. Desai | Internal Medicine | 275 Varnum Ave, Suite 203, Lowell, MA 01854-2109 | 2006-03-29 |
| 1154316693 | Beverly A Goldberg | Internal Medicine | 275 Varnum Ave, Suite 203, Lowell, MA 01854-2109 | 2005-09-12 |
| 1316932858 | Shilpa Doogal | Internal Medicine | 275 Varnum Ave, Suite 203, Lowell, MA 01854-2141 | 2005-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699013953 | Tak Medical Group, P.C. | Internal Medicine | 60 Hospital Road., Leominster, MA 01453-2134 | 2013-01-22 |
| 1851623979 | Bhavneesh Kumar Sharma | Internal Medicine | 221 Longwood Avenue, Bli 035m, Boston, MA 02115-6804 | 2010-02-01 |
| 1407185606 | Quadri Medical | Internal Medicine | 2045 Grand Army Hwy, Swansea, MA 02777-3932 | 2009-12-17 |
| 1437484508 | Lisa Marie Bebell | Internal Medicine | 55 Fruit Street Massachusetts General Hospital, Infectious Diseases Division, Boston, MA 02114 | 2009-10-07 |
| 1124257928 | Khaled Elsayed Ahmed Eissa | Internal Medicine | Lahey Hospital and Medical Ctr 41 Mall Road, Burlington, MA 01805-0001 | 2009-07-14 |
| 1720253156 | Farbod Nicholas Rahaghi | Internal Medicine | 73 Martin St, Apt 46, Cambridge, MA 02138-1641 | 2008-04-27 |
| 1760690994 | Daniel Teres | Internal Medicine | 1172 Central Ave, Needham, MA 02492-1732 | 2007-05-20 |
| 1902812506 | Heidi Huggett O'connor | Internal Medicine | 330 Brookline Ave # Ks23, Dept. of Pulmonary and Sleep Medicine, Boston, MA 02215-5400 | 2006-08-01 |
| 1710908397 | Kathleen M Aras-richard | Internal Medicine | 94 Mendon Street, Hopedale, MA 01747-1311 | 2006-07-21 |
| 1316964281 | Jane R Curl | Internal Medicine | 94 Mendon Road, Hopedale, MA 01747-1311 | 2006-07-16 |
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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.