Ann Marie Gorham (NPI# 1699711168, PAC ID# 3678755857) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1699711168 |
PAC ID by PECOS | 3678755857 |
Professional Enrollment ID | I20110309000400 |
Full Name | Ann Marie Gorham |
Organization Legal Name | BAYSTATE OB/GYN GROUP INC |
Address |
470 Granby Rd So Hadley MA 01075-3222 |
Phone Number | 4135337200 |
Gender | F |
Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2004 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 1153392659 |
Number of Group Practice Members | 17 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
220077 | BAYSTATE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
470 Granby Rd, So Hadley, MA 01075-3222 | 4135337200 | BAYSTATE OB/GYN GROUP INC |
Organization Legal Name | BAYSTATE OB/GYN GROUP INC |
Physicians | 21 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gina M Quinlivan | Certified Nurse Midwife (cnm) | Baystate Ob/gyn Group Inc | 470 Granby Rd, South Hadley, MA 01075-3222 |
Cynthia A Kennedy | Nurse Practitioner | Baystate Ob/gyn Group Inc | 382 No Main St, Suite 205, E Longmeadow, MA 01028-1830 |
Kevin P Fitzgerald | Obstetrics/gynecology | Baystate Ob/gyn Group Inc | 470 Granby Rd, South Hadley, MA 01075-3222 |
Julie A Bell | Certified Nurse Midwife (cnm) | Baystate Ob/gyn Group Inc | 3455 Main St, Suite C, Springfield, MA 01107-1187 |
Sage R Ungerleider | Certified Nurse Midwife (cnm) | Baystate Ob/gyn Group Inc | 3455 Main St, Suite C, Springfield, MA 01107-1187 |
Erica J Liebermann | Nurse Practitioner | Baystate Ob/gyn Group Inc | 3455 Main St, Suite C, Springfield, MA 01107-1187 |
Kimberly Ann Thompson | Obstetrics/gynecology | Baystate Ob/gyn Group Inc | 21 Dwight Rd, Suite 201, Longmeadow, MA 01106-1765 |
Howard G Trietsch | Obstetrics/gynecology | Baystate Ob/gyn Group Inc | 21 Dwight Rd, Suite 201, Longmeadow, MA 01106-1765 |
Elizabeth A Otmaskin | Obstetrics/gynecology | Baystate Ob/gyn Group Inc | 470 Granby Rd, South Hadley, MA 01075-3222 |
Christopher Ollari | Obstetrics/gynecology | Baystate Ob/gyn Group Inc | 21 Dwight Rd, Suite 201, Longmeadow, MA 01106-1765 |
Street Address |
470 GRANBY RD |
City | SO HADLEY |
State | MA |
Zip | 01075-3222 |
Name | Specialty | Organization | Address |
---|---|---|---|
Gina M Quinlivan | Certified Nurse Midwife (cnm) | Baystate Ob/gyn Group Inc | 470 Granby Rd, South Hadley, MA 01075-3222 |
Susan J Batlan | Ophthalmology | 470 Granby Rd, Suite 103, South Hadley, MA 01075-3218 | |
Anna L Paskausky | Nurse Practitioner | Baystate Medical Practices Inc | 470 Granby Rd, South Hadley, MA 01075-3218 |
Megan Chartier | Nurse Practitioner | Baystate Medical Practices Inc | 470 Granby Rd, South Hadley, MA 01075-3218 |
Theresa A Lind | Nurse Practitioner | Baystate Medical Practices Inc | 470 Granby Rd, South Hadley, MA 01075-3218 |
Kevin P Fitzgerald | Obstetrics/gynecology | Baystate Ob/gyn Group Inc | 470 Granby Rd, South Hadley, MA 01075-3222 |
Ellen T Miller Mack | Nurse Practitioner | Baystate Medical Practices Inc | 470 Granby Rd, South Hadley, MA 01075-3218 |
Sharada Paudel | Nurse Practitioner | Baystate Medical Practices Inc | 470 Granby Rd, South Hadley, MA 01075-3218 |
Arthur H Krulewitz | Internal Medicine | Baystate Medical Practices Inc | 470 Granby Rd, South Hadley, MA 01075-3218 |
William L Hiser | Cardiovascular Disease (cardiology) | Baystate Medical Practices Inc | 470 Granby Rd, South Hadley, MA 01075-3218 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Steven Markow | Optometry | 7 Hadley St, Suite 1, South Hadley, MA 01075-1058 | |
Margaret L Seiler | Clinical Social Worker | 7 Hadley St, South Hadley, MA 01075-1058 | |
Christian F Schmidt | Clinical Social Worker | 7 Hadley St, South Hadley, MA 01075-1147 | |
Ellen E Nigrosh | Clinical Social Worker | 25 College St, South Hadley, MA 01075-1154 | |
Anna Verdi-cournoyer | Certified Clinical Nurse Specialist (cns) | 27 College St, South Hadley, MA 01075-1155 | |
Kathleen M Winkworth | Clinical Social Worker | 27 College St, South Hadley, MA 01075-1155 | |
Gail B Higgins | Nurse Practitioner | 27 College St, South Hadley, MA 01075-1155 | |
Gregory Petrosky | Psychologist, Clinical | 29 College St, South Hadley, MA 01075-1156 | |
David L Clinton | Internal Medicine | 129 College St, South Hadley, MA 01075-1388 | |
Daniel Eden Weinbaum | Clinical Social Worker | 23 College St, Suite 5, South Hadley, MA 01075-1414 | |
Find all physicians in zip 01075 |
City | SO HADLEY |
Zip Code | 01075 |
Specialty | NURSE PRACTITIONER |
City + Specialty | SO HADLEY + NURSE PRACTITIONER |
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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.