Peabody OBGYN, LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

12345 Issued in MA

Legal business name

PEABODY OBGYN, LLC

Practice address

6 Essex Center Dr
Suite 206
Peabody, MA 01960-2910

Phone

(978) 538-5380

Fax

(978) 538-5385

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

N Luisa Kontoules, MD

Title

Owner/President

Phone

(978) 538-5380

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sara B Golden, CNM

  • Midwife
  • Haverhill, MA
  • NPI 1497754873
  NPD (past)
• Monica M Joyce, CNM

  • Advanced Practice Midwife
  • Boston, MA
  • NPI 1336175389
  NPD (past)

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1831198217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 206",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602910",
            "telephone_number": "978-538-5380",
            "fax_number": "978-538-5385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 ESSEX CENTER DR",
            "address_2": "SUITE 206",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602910",
            "telephone_number": "978-538-5380",
            "fax_number": "978-538-5385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEABODY OBGYN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "KONTOULES",
        "authorized_official_first_name": "N",
        "authorized_official_middle_name": "LUISA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "978-538-5380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "12345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9718010",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peabody Dental Spa, PLLC (Peabody Smile Design)
• Peabody Dental Specialties PLLC
• Peabody Family Chiropractic, Inc.
• Peabody Family Dental PLLC
• Peabody Management Systems Inc (Pilgrim Rehabilitation & Skilled Nursing Center)
• Peabody Podiatry LLC
• Peabody Podiatry LLC
• Peabody Podiatry LLC
• Peabody Smile Design Family Dentistry PLLC
• Peabody Surgery Center, LLC.

• Obstetrics & Gynecology Physician in Peabody, MA
• Providers in Peabody, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• 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.

Verify at the official NPI Registry.