Timothy R Kelliher (NPI# 1043314198, PAC ID# 4688682750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1043314198 |
| PAC ID by PECOS | 4688682750 |
| Professional Enrollment ID | I20060331000053 |
| Full Name | Timothy R Kelliher |
| Organization Legal Name | NORTH SHORE NEUROLOGY AND EMG LLC |
| Address |
83 Herrick St Suite 1001 Beverly MA 01915-2753 |
| Phone Number | 9789222226 |
| Gender | M |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 4183886609 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220033 | NORTHEST HOSPITAL CORPORATION |
| 220171 | LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON |
| Address | Phone | Organization |
|---|---|---|
| 83 Herrick St, Suite 1001, Beverly, MA 01915-2753 | 9789222226 | NORTH SHORE NEUROLOGY AND EMG LLC |
| Organization Legal Name | NORTH SHORE NEUROLOGY AND EMG LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen R Loverme | Neurology | North Shore Neurology and Emg LLC | 83 Herrick St, Suite 1001, Beverly, MA 01915-2753 |
| Louis A Tramontozzi | Neurology | North Shore Neurology and Emg LLC | 83 Herrick St, Suite 1001, Beverly, MA 01915-2753 |
| Ilya V Bogorad | Neurology | North Shore Neurology and Emg LLC | 83 Herrick St, Suite 1001, Beverly, MA 01915-2753 |
| Melissa A Diggin | Nurse Practitioner | North Shore Neurology and Emg LLC | 83 Herrick St, Suite 1001, Beverly, MA 01915-2753 |
| Laura J Vaters | Nurse Practitioner | North Shore Neurology and Emg LLC | 83 Herrick St, Beverly, MA 01915-2753 |
| Street Address |
83 HERRICK ST SUITE 1001 |
| City | BEVERLY |
| State | MA |
| Zip | 01915-2753 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Beilin | Psychologist, Clinical | 83 Herrick St, Suite 2005, Beverly, MA 01915-2757 | |
| Stephen R Loverme | Neurology | North Shore Neurology and Emg LLC | 83 Herrick St, Suite 1001, Beverly, MA 01915-2753 |
| Maura F Mcgrane | Obstetrics/gynecology | 83 Herrick St, Suite 2001, Beverly, MA 01915-2756 | |
| Laurel A Bauer | Obstetrics/gynecology | Essex County Obgyn Assoc Inc | 83 Herrick St, Suite 2004, Beverly, MA 01915-2757 |
| Amanda W Bevilacqua | Certified Nurse Midwife (cnm) | Essex County Obgyn Assoc Inc | 83 Herrick St, Suite 2004, Beverly, MA 01915-2757 |
| Melissa Sherman | Obstetrics/gynecology | Essex County Obgyn Assoc Inc | 83 Herrick St, Suite 2004, Beverly, MA 01915-2757 |
| Cara L Chuderewicz | Obstetrics/gynecology | Essex County Obgyn Assoc Inc | 83 Herrick St, Suite 2004, Beverly, MA 01915-2757 |
| Louis A Tramontozzi | Neurology | North Shore Neurology and Emg LLC | 83 Herrick St, Suite 1001, Beverly, MA 01915-2753 |
| Katrina Sanders | Obstetrics/gynecology | Essex County Obgyn Assoc Inc | 83 Herrick St, Suite 2004, Beverly, MA 01915-2757 |
| Elizabeth M Emberley | Obstetrics/gynecology | Essex County Obgyn Assoc Inc | 83 Herrick St, Suite 2004, Beverly, MA 01915-2757 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gonzalo Verdugo | Otolaryngology | North Shore Ear, Nose and Throat Associates, PC | 100 Cumins Ctr, 136g, Beverly, MA 01915 |
| Myra Ruff | Clinical Social Worker | 17 Norwood Pond Rd, Beverly, MA 01915 | |
| Barbara A Baker | Clinical Social Worker | 19 Raymond Ave, Beverly, MA 01915-1015 | |
| Erin Dwyer Acevedo | Chiropractic | 38 R Enon St, Suite G4, Beverly, MA 01915-1161 | |
| Courtney G Neill | Chiropractic | 2 Enon St, Beverly, MA 01915-1164 | |
| Stacy E Bean | Optometry | 40 Enon St, Beverly, MA 01915-1168 | |
| Peter H Bridger | Optometry | 40 Enon St, Beverly, MA 01915-1168 | |
| Paige K Katzenstein | Registered Dietitian Or Nutrition Professional | 12 Windham Ln, Beverly, MA 01915-1568 | |
| Zena C Saadeh | Physician Assistant | Lahey Clinic Inc | 152 Conant St, Beverly, MA 01915-1600 |
| Ellen B Katz | Clinical Social Worker | Lahey Clinic Inc | 152 Conant St, Beverly, MA 01915-1600 |
| Find all physicians in zip 01915 | |||
| City | BEVERLY |
| Zip Code | 01915 |
| Specialty | NEUROLOGY |
| City + Specialty | BEVERLY + NEUROLOGY |
Please comment or provide details below to improve the information on Timothy R Kelliher.
| 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.