Mark Snowise (NPI# 1629036116, PAC ID# 0941336135) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1629036116 |
| PAC ID by PECOS | 0941336135 |
| Professional Enrollment ID | I20100326000574 |
| Full Name | Mark Snowise |
| Organization Legal Name | SUBURBAN INTERNAL MEDICINE, INC. |
| Address |
710 Stockbridge Rd Lee MA 01238-9316 |
| Phone Number | 4132430122 |
| Gender | M |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 0547203929 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220046 | BERKSHIRE MEDICAL CENTER |
| 221302 | FAIRVIEW HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 710 Stockbridge Rd, Lee, MA 01238-9316 | 4132430122 | SUBURBAN INTERNAL MEDICINE, INC. |
| Organization Legal Name | SUBURBAN INTERNAL MEDICINE, INC. |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryjane Scoco | Nurse Practitioner | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Daniel Cohen | Internal Medicine | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Robert P Wespiser | Internal Medicine | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Thomas Consolati | Internal Medicine | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Teresa Ribadeneyra | Physician Assistant | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Amy C Campion | Internal Medicine | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Gabriel Naventi | Internal Medicine | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Robert F Holub | Family Medicine | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Street Address |
710 STOCKBRIDGE RD |
| City | LEE |
| State | MA |
| Zip | 01238-9316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maryjane Scoco | Nurse Practitioner | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Daniel Cohen | Internal Medicine | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Robert P Wespiser | Internal Medicine | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Thomas Consolati | Internal Medicine | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Teresa Ribadeneyra | Physician Assistant | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Amy C Campion | Internal Medicine | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Gabriel Naventi | Internal Medicine | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Robert F Holub | Family Medicine | Suburban Internal Medicine, Inc. | 710 Stockbridge Rd, Lee, MA 01238-9316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheila F Pick | Clinical Social Worker | 50 Circular Ave, Lee, MA 01238-1202 | |
| Thomas M Cooney | Physical Therapy | Physical Therapy Associates of Schenectady PC | 480 Pleasant St, Lee, MA 01238-9265 |
| Wren Bernstein | Clinical Social Worker | 15 Pine Ridge Dr, Lee, MA 01238-9584 | |
| Rachel E Welch | Physical Therapy | Gateway Physical Therapy and Wellness Corp | 80 Run Way, Lee, MA 01238-9612 |
| Jennifer Dort | Physical Therapy | Gateway Physical Therapy and Wellness Corp | 80 Run Way, Lee, MA 01238-9612 |
| Elizabeth E Joppru | Physical Therapy | Gateway Physical Therapy and Wellness Corp | 80 Run Way, Lee, MA 01238-9612 |
| Bridgett C Arresta | Physical Therapy | Gateway Physical Therapy and Wellness Corp | 80 Run Way, Lee, MA 01238-9612 |
| City | LEE |
| Zip Code | 01238 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LEE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark Snowise.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.