St Marys Internal Medicine PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ST MARYS INTERNAL MEDICINE PC

Practice address

6 Essex Center Dr
Suite 304
Peabody, MA 01960-2904

Phone

(978) 854-6376

NPI assigned

Aug 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Sungsik Hahn, MD

Title

President

Phone

(508) 265-3975

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 1

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

• Linus Sungsik Hahn, M.D.

  • Internal Medicine Physician
  • Peabody, MA
  • NPI 1609067917
  Medicare reassignment NPD

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1194270413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 304",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602904",
            "telephone_number": "978-854-6376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 304",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602904",
            "telephone_number": "978-854-6376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARYS INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-16",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "HAHN",
        "authorized_official_first_name": "SUNGSIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-265-3975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "236055",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sports Medicine North Orthopedic Surgery, Inc.
• Sports Therapy North, Inc
• Makaylah Leigh Sprankle
• Krystle Marie Sprei, FNP-C
• Tracee M Sprong, LICSW
• Roginald St. Fort
• Kim Marie Stamnas
• Katie Stannard, M.A
• Christopher P. Stanton, PA-C
• Richard Bruce Staples, CAGS, LMHC

• Internal Medicine Physician in Peabody, MA
• Providers in Peabody, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.