BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. (NPI# 1922505072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922505072 |
Entity Type | Organization |
Organization Name | BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. |
Other Organization Name | LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC |
Practice Address |
1350 Market Street, 2nd Floor Beth Israel Lahey Health Primary Care, Inc. Lynnfield MA 01940 |
Mailing Address |
41 Mall Rd Burlington MA 01805-0001 |
Practice Telephone | 7812134040 |
Practice Fax Number | 7812135064 |
Mailing Telephone | 7817448330 |
Enumeration Date | 2018-04-06 |
Last Update Date | 2019-12-23 |
Authorized Official Name | DAVID L LONGWORTH (PRESIDENT) |
Authorized Official Telephone | 7817448097 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | BETH ISRAEL LAHEY HEALTH INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Lahey Physician Community Organization I INC | Former Legal Business Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043710791 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 | 2018-02-20 |
1174042337 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Lahey Health Primary Care, North Andover, 170 Pleasant St., N. Andover, MA 01845 | 2017-09-19 |
1609396803 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | Lahey Health Urgent Care Gloucester, 298 Washington St., Gloucester, MA 01930 | 2017-06-20 |
1316479660 | Beth Israel Lahey Health Primary Care, Inc. | Clinic/Center | 480 Maple St., Lahey Health Urgent Care, Danvers, Danvers, MA 01923 | 2017-03-28 |
1366983322 | Beth Israel Lahey Health Primary Care, Inc. | Urology | Lahey Physician Community I Inc, 41 Mall Rd., Burlington, MA 01805-0001 | 2017-03-10 |
1063873842 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | 2284 Main Street, Lahey Health Primary Care, Concord, Concord, MA 01742 | 2016-03-08 |
1508244195 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Beverly 75 Herrick St, Lahey Institute of Urology, Beverly, MA 01915 | 2015-05-14 |
1528556529 | Beth Israel Lahey Health Primary Care, Inc. | Family Medicine | Lahey Health Primary Care, Lynnfield, 1350 Market Street, 2nd Floor, Lynnfield, MA 01940 | 2018-04-25 |
Street Address |
1350 MARKET STREET, 2ND FLOOR BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. |
City | LYNNFIELD |
State | MA |
Zip Code | 01940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063077030 | Lauren Chiarenza Lomonaco | Nurse Practitioner | Lahey Health Urgent Care, Lynnfield, 1350 Market Street, 1st Floor, Lynnfield, MA 01940 | 2019-05-06 |
1821578006 | Stephanie M Jackson | Nurse Practitioner | 1350 Market Street, 1st Floor, Lynnfield, MA 01940 | 2018-08-17 |
1922522747 | Prosthodontic Associates PC | Dentist | 50 Salem St., 3rd Floor, Lynnfield, MA 01940 | 2017-08-02 |
1356862080 | Sabine Jean-louis | Nurse Practitioner | 4 Michaels Rd, Lynnfield, MA 01940 | 2017-07-03 |
1750734026 | Margaret Maina | Counselor | 375 Broadway Spc 111, Lynnfield, MA 01940 | 2016-07-21 |
1528443603 | Elizabeth Ann Watson | Nurse Practitioner | 628 Salem Street, Lynnfield, MA 01940 | 2015-07-30 |
1093036691 | North Shore Smiles | Dentist | 1 Post Office Square, Lynnfield Medical, Lynnfield, MA 01940 | 2010-06-17 |
1942468707 | Nancy Jo Meehan | Social Worker | 55 Salem St, Lynnfield, MA 01940 | 2008-05-29 |
1154526382 | Richard A. Peinert, Md, PC | Specialist | Lynnfield Medical Building, Post Office Square, Lynnfield, MA 01940 | 2007-06-18 |
1871796185 | Town of Lynnfield | Public Health or Welfare | 55 Summer Street, Lynnfield, MA 01940 | 2007-06-06 |
Find all providers in zip 01940 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
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1124676598 | Convenientmd LLC | Clinic/Center | 236 Cochituate Rd, Framingham, MA 01701-4627 | 2019-08-29 |
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1942761564 | Convenientmd LLC | Clinic/Center | 245 Hartford Ave, Bellingham, MA 02019-3007 | 2019-03-27 |
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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.