LARRY MEDOLO (NPI# 1225390362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225390362 |
| Entity Type | Individual |
| Full Name | LARRY MEDOLO |
| Practice Address |
606 Broadway Ave Haverhill MA 01830 |
| Mailing Address |
20 East St Tewksbury MA 01876-1960 |
| Practice Telephone | 9785212225 |
| Mailing Telephone | 9786771699 |
| Enumeration Date | 2012-06-14 |
| Last Update Date | 2017-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175L00000X | Homeopath | 959159 | MA | Other Service Providers |
| Street Address |
606 BROADWAY AVE |
| City | HAVERHILL |
| State | MA |
| Zip Code | 01830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275171753 | Saint Gemma Health and Wellness Center Inc. | Clinic/Center | C/o Mary Fallavollita, 375 Main St., Haverhill, MA 01830 | 2019-12-16 |
| 1689143968 | Margaret O'day | Social Worker | 621 Main Street, Haverhill, MA 01830 | 2018-11-16 |
| 1396213633 | Michelle Flanagan | Nurse Practitioner | 600 Primrose Street, Haverhill, MA 01830 | 2018-11-05 |
| 1992281265 | Megan Lee Cahill | Social Worker | 150 Water St., Haverhill, MA 01830 | 2018-07-19 |
| 1588116602 | Ronald Charles Jordan Jr. | Counselor | 6 Concordia Drive, Haverhill, MA 01830 | 2016-10-25 |
| 1902269772 | Alta Marie Tusini | Pediatrics | 600 Primrose St Ste 200, Haverhill, MA 01830 | 2016-03-30 |
| 1447611199 | Joan Hatem-roy | Social Worker | 280 Merrimack Street, Suite 400, Lawrence, MA 01830 | 2016-03-09 |
| 1326431818 | Divine Home Care | Home Health | 18 Kenoza St, Haverhill, MA 01830 | 2015-03-09 |
| 1821429861 | Emmaus | Case Manager/Care Coordinator | 127 How St., Haverhill, MA 01830 | 2013-12-02 |
| 1316257686 | Jeremy Scott Shannon | Behavioral Analyst | 10 Howard St., Haverhill, MA 01830 | 2010-10-20 |
| Find all providers in zip 01830 | ||||
| Taxonomy Code | 175L00000X |
| Grouping | Other Service Providers |
| Classification | Homeopath |
| A provider who is educated and trained in a system of therapeutics in which diseases are treated by drugs which are capable of producing in healthy persons symptoms like those of the disease to be treated. Treatment requires administering a drug in minute doses. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 26th edition. Philadelphia: W.B. Saunders Company, 1981. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| 1942503131 | Denise M Goddard | Homeopath | 275 Main St Rear, Webster, MA 01570-2262 | 2010-12-10 |
| 1992914709 | Jackie Clason | Homeopath | 44 Crown Hollow Rd, Vineyard Haven, MA 02568-7903 | 2007-05-21 |
| 1326493867 | Michael Williams | Homeopath | 23 Middle St, Suite 204, Newburyport, MA 01950-2774 | 2016-05-03 |
| 1609197870 | Jason Bettencourt | Homeopath | 15 Chestnut St, Peabody, MA 01960-5429 | 2010-06-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.