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Deactivated NPI 1639283500 Deactivated / Inactive NPI Male Practitioner

Dr. Richard E Conway , MD

Specialist • Beverly, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Richard Conway has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2006
NPI Deactivation Date January 04, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Conway, MD was a registered Specialist practicing in Beverly, MA. Throughout an active medical career spanning 12 years, Dr. Conway provided care at the practice location at 100 CUMMINGS CENTER until profile deactivation on 2018-01-04.

Practice Location & Contact Primary Location

Practice Address

100 Cummings Center
Suite 315j

Beverly, MA 01915

Telephone 9789223900
Fax 9789223920
Associated Practice Facility / Clinic
🏢 The Beverly Center, P.c. Facility NPI 1275509663

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Beverly, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
36 Specialists

Practicing in Beverly, MA (1181 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MA 26342

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

16 Associated Practitioners
Dr. Pierre Abou-Ezzi , MD

Internal Medicine

NPI 1033134812

Doctor of Medicine (M.D.)

Deborah Sweeney , MSW, LICSW

Social Worker - Clinical

NPI 1053640425

Master of Social Work, Licensed Independent Clinical Social Worker

NPI 1093316283

M, ED, BCBALABA

NPI 1205927993

LICSWMSW

James Sperry , ABA

Behavior Analyst

NPI 1265860969
Robert Rennebohm

Social Worker - Clinical

NPI 1275818296

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 04, 2018

Record deactivated on January 04, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 100 CUMMINGS CENTER, SUITE 315J, BEVERLY, MA 01915 (Tel: 9789223900)

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Updated Business Mailing Address July 08, 2007

Registered at 81 HIGHLAND AVE, NORTH SHORE HEALTH SYSTEMS, SALEM, MA 01970 (Tel: 9783544173)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD CONWAY, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #26342 in MA)

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Initial NPI Registration & Enumeration August 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1639283500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: July 08, 2007
Deactivation Date: January 04, 2018

Mailing Address

81 Highland Ave, North Shore Health Systems

Salem, MA 01970

Phone: 9783544173

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.