MARYANNE O'TOOLE (NPI# 1376623645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376623645 |
| Entity Type | Individual |
| Full Name | MARYANNE O'TOOLE |
| Credential | NP |
| Practice Address |
49 Harry Kemp Way Provincetown MA 02657 |
| Mailing Address |
Po Box 1413 Wellfleet MA 02667 |
| Practice Telephone | 5084879395 |
| Practice Fax Number | 5084873285 |
| Mailing Telephone | 5082400208 |
| Mailing Fax Number | 5082400499 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2011-12-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
190922 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0710822 | 05 | |
| MA | BLUE CROSS | NP0166 | 01 |
| MA | CONNECTICARE | NP0166 | 01 |
| Street Address |
49 HARRY KEMP WAY |
| City | PROVINCETOWN |
| State | MA |
| Zip Code | 02657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639170848 | Andrew K Palmer | Orthopaedic Surgery | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2005-08-10 |
| 1679134902 | Krishtina Adhikari | Registered Nurse | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2019-06-26 |
| 1487137360 | Mahrya Katrinka Hart | Dental Hygienist | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2018-09-07 |
| 1356824205 | Maggie Rose Fogg | Dental Hygienist | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2018-09-06 |
| 1154801314 | Harbor Health Services, Inc. | Dentist | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2018-08-17 |
| 1225457567 | Marwa Elleboudy | Dentist | 49 Harry Kemp Way, Outer Cape Health Services, Inc., Provincetown, MA 02657 | 2014-04-15 |
| 1548685787 | Heather Duncan | Physician Assistant | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2014-02-25 |
| 1669895603 | Paul J Fasano | Dentist | 49 Harry Kemp Way, Outer Cape Health Services, Inc., Provincetown, MA 02657 | 2014-01-28 |
| 1376884619 | Outer Cape Health Services Inc | Pharmacy | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2013-03-12 |
| 1437494283 | Alexandra Broton Boyle | Registered Nurse | 49 Harry Kemp Way, Provincetown, MA 02657-1618 | 2012-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093365322 | Seashore Pointe Rehab Center LLC | Skilled Nursing Facility | Seashore Pointe Rehab Center LLC, 100 Alden Street, Provincetown, MA 02657 | 2019-09-18 |
| 1770685190 | Janet R Whelan | Internal Medicine | Outer Cape Health Services, 49 Harry Kemp Way, Provincetown, MA 02657 | 2006-09-05 |
| 1699712364 | John B Livingstone | Psychiatry & Neurology | 522 Commercial Road Street, Provincetown, MA 02657 | 2006-06-01 |
| 1730176561 | Seashore Point-deaconess, Inc. | Skilled Nursing Facility | 100 Alden St, Provincetown, MA 02657 | 2005-10-06 |
| 1366415713 | Mark Edward Schiffman | Optometrist | 120 Bradford St., Pob 212, Provincetown, MA 02657-0212 | 2006-02-08 |
| 1104307412 | Harvey Taylor Wilson | Counselor | 21 Bayberry Ave, Provincetown, MA 02657-1214 | 2018-08-24 |
| 1477918993 | Marilyn Massad | Massage Therapist | 5 Meadow Rd Unit 2, Provincetown, MA 02657-1256 | 2015-12-29 |
| 1699929901 | The Stop & Shop Supermarket Company LLC | Durable Medical Equipment & Medical Supplies | 56 Shank Painter Rd, Provincetown, MA 02657-1342 | 2008-11-13 |
| 1083653646 | Brian O'malley | Internal Medicine | 30 Shank Painter Rd, Provincetown, MA 02657-1342 | 2006-06-06 |
| 1215984190 | Brian O'malley & Wilsa J. Ryder, Ptr | Internal Medicine | 16 Shank Painter Rd, Provincetown, MA 02657-1343 | 2006-05-27 |
| Find all providers in zip 02657 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
| City | PROVINCETOWN |
| Zip Code | 02657 |
Please comment or provide details below to improve the information on MARYANNE O'TOOLE.
| 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.