S.R. Amesbury, M.D., P.C.

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

S.R. AMESBURY, M.D., P.C.

Practice address

900 Cummings Ctr
Suite 218U
Beverly, MA 01915-6198

Phone

(978) 922-3622

Fax

(978) 998-6796

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Spencer Raleigh Amesbury, M.D.

Title

Owner

Phone

(978) 922-3622

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mindful Medicine Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucy Ann Belter, LCMT, LICSW

  • Clinical Social Worker
  • Topsfield, MA
  • NPI 1881805919
  NPD (past)
• Matthew David Halverson, NP

  • Adult Health Nurse Practitioner
  • Gloucester, MA
  • NPI 1508976341
  NPD (past)
• Kathleen Elizabeth Searles, MS, RD, LDN

  • Registered Dietitian
  • Beverly, MA
  • NPI 1497923197
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174670939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR",
            "address_2": "SUITE 218U",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156198",
            "telephone_number": "978-922-3622",
            "fax_number": "978-998-6796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CUMMINGS CTR",
            "address_2": "SUITE 218U",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019156198",
            "telephone_number": "978-922-3622",
            "fax_number": "978-998-6796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.R. AMESBURY, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMESBURY",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "RALEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-922-3622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9737740",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jameson D Rust
• Julie Ryan-Berman, L.I.C.S.W.
• Alexandra Ryan
• Katherine Ryan
• S. Charles Khani, M.D. PHD, P.C.
• Shahram Saberi
• Nai Saetern, LMHC
• Sai Dental Services LLC
• Sybille Saincalir
• Shamila Mohammedhshafi Saiyed, M.D.

• Geriatric Medicine (Family Medicine) Physician in Beverly, MA
• Providers in Beverly, MA by specialty
• Geriatric Medicine (Family 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.