Healthcare Provider Details

I. General information

NPI: 1508082470
Provider Name (Legal Business Name): CORINA SANTMIRE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CORINA FILIP

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 HERRICK ST
BEVERLY MA
01915-1777
US

IV. Provider business mailing address

85 HERRICK ST
BEVERLY MA
01915-1790
US

V. Phone/Fax

Practice location:
  • Phone: 978-922-3000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberLP01020
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number167473
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number22442
License Number StateHI
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number21356
License Number StateNH
# 5
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number235023
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: