MEDICARE: PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QX0100X	Occupational Medicine Clinic/Center

General Provider Information

NPI Number	:	1417548850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC

Provider Business Mailing Address
First Line	:	5500 MARYLAND WAY STE 120
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-4993
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 FORBES RD
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02421-7306
Country	:	US
Telephone Number	:	781-863-3206
Fax Number	:	781-863-4047

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JON LEIZMAN
Credential	:	MD
Telephone Number	:	216-479-9063

Provider Enumeration Date	:	01/28/2021
Last Update Date	:	08/24/2022

Similar Medicare Providers

1740784768 — TAYLOR L SHACKLEFORD
Practice Location Address:

2195 HARRODSBURG RD 2ND FL
LEXINGTON, KY
40504-7306

Practice Phone: 859-323-4263
Practice Fax:

1336144419 — DR. DEBORAH LYNN MCCOY M.D.
Practice Location Address:

21 WORTHEN RD
LEXINGTON, MA
02421-4835

Practice Phone: 781-862-1620
Practice Fax: 781-863-9416

1528064011 — DR. JOHN MICHAEL LAZARUS M.D.
Practice Location Address:

95 HAYDEN AVE
LEXINGTON, MA
02421-7942

Practice Phone: 781-402-9000
Practice Fax: 781-402-9582

1770577926 — DR. BRIAN DAVID MARRIOTT M.D.
Practice Location Address:

244 WOOD ST
LEXINGTON, MA
02421-6426

Practice Phone: 781-981-7080
Practice Fax: 781-981-2165

1255325767 — MRS. DONNA ARLENE ZANGARA MSW
Practice Location Address:

19 MUZZEY ST , #303
LEXINGTON, MA
02421-5256

Practice Phone: 781-862-8310
Practice Fax: 781-862-8310

1669467486 — DR. DANIEL SALTER MD
Practice Location Address:

6 KITSON PARK DR
LEXINGTON, MA
02421-8109

Practice Phone: 781-710-7300
Practice Fax:

Directions to “PREMISE HEALTH OF MASSACHUSETTS, MEDICAL PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.