BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC.

Address: Lahey Physician Community I Inc, 41 Mall Rd., Burlington, MA 01805-0001
Phone: 7817448085

BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC. (NPI# 1366983322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366983322
Entity Type Organization
Organization Name BETH ISRAEL LAHEY HEALTH PRIMARY CARE, INC.
Other Organization Name LAHEY PHYSICIAN COMMUNITY ORGANIZATION I INC
Practice Address Lahey Physician Community I Inc
41 Mall Rd.
Burlington
MA 01805-0001
Mailing Address 41 Mall Rd
Burlington
MA 01805-0001
Practice Telephone 7817448085
Mailing Telephone 7817448085
Enumeration Date 2017-03-10
Last Update Date 2019-12-23
Authorized Official Name DAVID L LONGWORTH (CEO)
Authorized Official Telephone 7817448097
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name BETH ISRAEL LAHEY HEALTH INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208800000X Urology Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Lahey Physician Community Organization I INC Former Legal Business Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1922505072 Beth Israel Lahey Health Primary Care, Inc. Clinic/Center 1350 Market Street, 2nd Floor, Beth Israel Lahey Health Primary Care, Inc., Lynnfield, MA 01940 2018-04-06
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
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

Office Location

Street Address LAHEY PHYSICIAN COMMUNITY I INC
41 MALL RD.
City BURLINGTON
State MA
Zip Code 01805-0001

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750867909 Natalie Teresa Dal'Bo Student in an Organized Health Care Education/Training Program 41 Mall Road Office of Graduate Medical Education, Burlington, MA 01805 2018-07-11
1043710791 Beth Israel Lahey Health Primary Care, Inc. Urology Lahey Institute of Urology, Beverly, 41 Mall Rd., Burlington, MA 01805 2018-02-20
1902240872 Lloyd Jones Jr. Student in an Organized Health Care Education/Training Program 41 Mall Rd Department of Plastic Surgery, Burlington, MA 01805 2013-04-23
1508020470 Russell Andrew Baur Internal Medicine Lahey Clinic Inc., 41 Mall Road, Burlington, MA 01805 2008-07-10
1356491237 Jacob Magee Sands Internal Medicine 41 Burlington Mall Rd., Lahey Clinic, Burlington, MA 01805 2007-01-11
1588757108 Richard Alan Wold Nurse Anesthetist, Certified Registered Lahey Clinic Medical Center, 41 Mall Road, Burlington, MA 01805 2006-10-02
1841302387 David M. Venesy Internal Medicine Lahey Clinic Cardiology -5 E, 41 Mall Road, Burlington, MA 01805 2006-08-31
1790750354 Cara J. Foss Nurse Practitioner Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 2006-02-17
1750376380 Darryl D Esakof Preventive Medicine 41 Mall Road, Department of Cardiovascular Medicine, Lahey Clinic, Burlington, MA 01805 2005-09-20
1225022155 Laura Saluja Internal Medicine Lahey Clinic - General Internal Medicine, 41 Mall Road, Burlington, MA 01805 2005-09-07
Find all providers in zip 01805

Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891226791 Yao Li Internal Medicine Uvmmc 111 Colchester Ave, Burlington, VT 05401 2017-03-22
1316332208 Vishal Shah Internal Medicine 111 Colchester Ave # 311, Department of Medicine The University of Vermont Medica, Burlington, VT 05401 2015-03-30
1356745319 Louise King Internal Medicine 1214 Vaughn Rd # 2800, Burlington, NC 27217-2863 2014-10-20
1689081812 Jasmit Minhas Internal Medicine 9 Kimball Court, Apt 112, Burlington, MA 01803 2014-07-21
1972949949 Moses Cone Affiliated Physicians, Inc. Internal Medicine 1611 Flora Ave, Burlington, NC 27217-1017 2013-05-17
1548502966 Emily Greenberger Internal Medicine 111 Colchester Ave Shepardson 567, Internal Medicine Hospitalist Service, Burlington, VT 05401 2013-03-24
1548523988 Jessica Lynch Internal Medicine 41 Mall Road Department of Palliative Care, Burlington, MA 01805-0001 2012-06-20
1912263864 Ryan G Seibert Internal Medicine 41 Mall Road Lahey Hospital and Medical Ctr, Burlington, MA 01805-1114 2012-04-04
1104138346 Ajay Mohan Tunguturi Internal Medicine 1 S Prospect St., Arnold 2, Uvm Medical Center, Dept. of Neurology, Burlington, VT 05401 2010-07-03
1578794780 Srikar Reddy Sudini Internal Medicine 1207 Huffman Mill Rd, Burlington, NC 27215 2009-08-05
Find all providers in BURLINGTON

Competitor

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City BURLINGTON
Zip Code 01805

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Dataset Information

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.