Individual Healthcare Provider
Michael Dean Medlock, MD
Provider's NPPES record last updated: November 18, 2022
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1902887185
- Primary Specialty
- Preventive Medicine — Addiction Medicine
- Practice Location
- Salem, Massachusetts
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 2:16 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Preventive Medicine
Addiction Medicine
Allopathic & Osteopathic Physicians
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Taxonomy code 2083A0300X Neurological Surgery
Allopathic & Osteopathic Physicians
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Taxonomy code 207T00000XPediatrics
Allopathic & Osteopathic Physicians
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Taxonomy code 208000000X
Provider-Reported License Information
- Preventive Medicine (Massachusetts)
- 79690
- Neurological Surgery (Massachusetts)
- 79690
- Pediatrics (Massachusetts)
- 79690
Practice Locations
Practice Location
47 Congress St
Salem, Massachusetts 01970
Phone: (978) 744-8388
Additional Practice Location
4 Centennial Dr
North Shore Neurosurgery and Spine
Peabody, Massachusetts 01960-7935
Phone: (978) 977-0586
Fax: (978) 977-0905
Record Information
- Enumeration Date
- November 7, 2005
- Provider's NPPES Record Last Updated
- November 18, 2022
- Certification Date
- November 18, 2022
- NPISignal NPPES Dataset
- August 2026
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