St Johns Emergency Assoc

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ST JOHNS EMERGENCY ASSOC

Practice address

1 Hospital Dr
Saints Medical Center
Lowell, MA 01852

Phone

(978) 458-1411

Fax

(978) 453-9330

NPI assigned

Nov 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Peter N Gorlin, MD

Title

Pres

Phone

(978) 453-3022

Specialties & licenses 1

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154495422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 BRIDGE ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01850",
            "telephone_number": "978-453-3022",
            "fax_number": "978-453-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "SAINTS MEDICAL CENTER",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01852",
            "telephone_number": "978-458-1411",
            "fax_number": "978-453-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOHNS EMERGENCY ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GORLIN",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "978-453-3022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9784713",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "M17128",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Gail Sprangers, PA-C
• Springfield Family Dental PC
• Moses Kato Ssebandeke
• Ronald Ssemanda, RN
• Micheal Ssenabulya
• Spencer St. James
• Julie St.Laurent
• Tammie A Stafford, MASTER OF ARTS
• Kristin M Stagliano-Rapallo, M.S, OTL
• Mallory Marie Stamp

• Emergency Medicine Physician in Lowell, MA
• Providers in Lowell, MA by specialty
• Emergency Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.