Nicole Marie Mckenzie (NPI# 1194117317, PAC ID# 8527387554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1194117317 |
| PAC ID by PECOS | 8527387554 |
| Professional Enrollment ID | I20170815003553 |
| Full Name | Nicole Marie Mckenzie |
| Organization Legal Name | LYNN COMMUNITY HEALTH INC |
| Address |
269 Union St Lynn MA 01901-1314 |
| Phone Number | 7815813900 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 0042217507 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220035 | NORTH SHORE MEDICAL CENTER - |
| 220071 | MASSACHUSETTS GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Hutchinson Dr, Danvers, MA 01923-3748 | 9787396950 | NORTH SHORE PHYSICIANS GROUP INC |
| 104 Endicott St, Danvers, MA 01923-3623 | NORTH SHORE PHYSICIANS GROUP INC | |
| 269 Union St, Lynn, MA 01901-1314 | 7815813900 | LYNN COMMUNITY HEALTH INC |
| Organization Legal Name | LYNN COMMUNITY HEALTH INC |
| Physicians | 63 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne-terese Vanderburg | Nurse Practitioner | Lynn Community Health Inc | 20 Central Ave, Lynn, MA 01901-1201 |
| Sarwada Tuladhar Jha | Obstetrics/gynecology | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Holly L Randall | Certified Clinical Nurse Specialist (cns) | Lynn Community Health Inc | 694 Western Ave, Lynn, MA 01905-2229 |
| Sammy Lee | Podiatry | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Walter S Wightman | Family Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Donna L Springs | Emergency Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Brent A Fryling | Family Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Tracey Mohr | Psychologist, Clinical | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Clark Vandenberghe | Family Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Miadette Pheng-phal | Nurse Practitioner | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Street Address |
269 UNION ST |
| City | LYNN |
| State | MA |
| Zip | 01901-1314 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarwada Tuladhar Jha | Obstetrics/gynecology | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Sammy Lee | Podiatry | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Walter S Wightman | Family Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Donna L Springs | Emergency Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Brent A Fryling | Family Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Tracey Mohr | Psychologist, Clinical | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Clark Vandenberghe | Family Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Miadette Pheng-phal | Nurse Practitioner | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Katherine L Rosenfield | Family Medicine | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Whitney Matthews | Nurse Practitioner | Lynn Community Health Inc | 269 Union St, Lynn, MA 01901-1314 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan K Margetson | Clinical Social Worker | 1 Market St, 204b, Lynn, MA 01901-1011 | |
| Joseph S Oconnor Jr. | Physical Therapy | Advance Physical Therapy and Sport Rehab | 1 Market St, Suite 3, Lynn, MA 01901-1044 |
| Bergomy Jeannis | Physical Therapy | Advance Physical Therapy and Sport Rehab | 1 Market St, Suite 3, Lynn, MA 01901-1044 |
| Maria I Saleme | Clinical Social Worker | 112 Central Ave, Lynn, MA 01901-1050 | |
| John Murray | Clinical Social Worker | 68 Market St, Suite 201, Lynn, MA 01901-1115 | |
| Bridget M Doherty | Certified Clinical Nurse Specialist (cns) | Psychiatric Associates of Lynn PC | 173 Oxford St, Lynn, MA 01901-1117 |
| Sherryl J Rosen | Certified Clinical Nurse Specialist (cns) | Psychiatric Associates of Lynn PC | 173 Oxford St, Lynn, MA 01901-1117 |
| Elizabeth J Reimherr | Certified Clinical Nurse Specialist (cns) | Psychiatric Associates of Lynn PC | 173 Oxford St, Lynn, MA 01901-1117 |
| Laura Omeara | Clinical Social Worker | Psychiatric Associates of Lynn PC | 173 Oxford St, Lynn, MA 01901-1117 |
| John P Reimherr | Psychiatry | Psychiatric Associates of Lynn PC | 173 Oxford St, Lynn, MA 01901-1117 |
| Find all physicians in zip 01901 | |||
| City | LYNN |
| Zip Code | 01901 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | LYNN + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicole Marie Mckenzie.
| 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.