Active NPI
Richard J. Iseke, M.D.
- Emergency Medicine Physician
- Lawrence, MA
National Provider Identifier
1144206335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 45687
- Practice address
- 1 General St
Andrea Sullivan-Director of Managed Care Dept.
Lawrence, MA 01841-2961 - Phone
- (978) 683-4000
- Fax
- (978) 946-8017
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 45687 | MA | Primary |
Addresses
Primary practice location
1 General St
Andrea Sullivan-Director of Managed Care Dept.
Lawrence, MA 01841-2961
Mailing address
1 General St
Andrea Sullivan-Director of Managed Care Dept.
Lawrence, MA 01841-2961
Phone (978) 683-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45687 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LGH Physician Associates, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Lawrence, MA
- NPI 1417918822
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1144206335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GENERAL ST",
"address_2": "ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT.",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018412961",
"telephone_number": "978-683-4000",
"fax_number": "978-946-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 GENERAL ST",
"address_2": "ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE DEPT.",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018412961",
"telephone_number": "978-683-4000",
"fax_number": "978-946-8017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISEKE",
"first_name": "RICHARD",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "45687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.