DR. JOHANNAH KATHRYN MERRILL (NPI# 1386098093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386098093 |
| Entity Type | Individual |
| Full Name | DR. JOHANNAH KATHRYN MERRILL |
| Credential | MD |
| Practice Address |
1 General St Lawrence MA 01841-2997 |
| Mailing Address |
21 Executive Dr Unit 414 Stoneham MA 02180-0032 |
| Practice Telephone | 4349819742 |
| Mailing Telephone | 4349819742 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2020-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 2019-00453 | NC | Allopathic & Osteopathic Physicians |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
281944 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Manning Dr, Chapel Hill, NC 275144220 | 9849747833 | |
| 170 Manning Dr # 7594, Chapel Hill, NC 275144221 | 9199666442 | 9199663049 |
| 601 Elmwood Ave Box 655, Rochester, NY 146420001 | 5854632940 |
| Street Address |
1 GENERAL ST |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01841-2997 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217862 | Lawrence M. Casha | Radiology | 1 General St, Lawrence General Hospital, Lawrence, MA 01841-2961 | 2005-07-07 |
| 1952924888 | Annapurna Hegde | Nurse Practitioner | 1 General St, Lawrence, MA 01841-2961 | 2020-05-27 |
| 1033732284 | Melvin Alex Garcia | Nurse Practitioner | 1 General St, Lawrence, MA 01841-2961 | 2020-05-22 |
| 1992362743 | Quetcy I Saade | Specialist/Technologist, Other | 1 General St, Lawrence, MA 01841-2961 | 2019-05-28 |
| 1528621133 | Megan Clancy | Registered Nurse | 1 General St, Lawrence, MA 01841-2997 | 2019-04-18 |
| 1710444260 | Kelly Gallant | Nurse Anesthetist, Certified Registered | 1 General St, Lawrence, MA 01841-2997 | 2019-02-20 |
| 1447725965 | Laura Solari | Social Worker | 1 General St, Lawrence, MA 01841-2961 | 2018-10-11 |
| 1891270864 | Stephen Amoroso | Social Worker | 1 General St, Lawrence, MA 01841-2961 | 2018-09-26 |
| 1699256966 | Peter Garand | Social Worker | 1 General St, Lawrence, MA 01841-2961 | 2018-08-24 |
| 1376024992 | Maureen Couture | Social Worker | 1 General St, Lawrence, MA 01841-2997 | 2018-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326502501 | Toby Lazerson | Social Worker | 135 Butler Street, Bruce School, Lawrence, MA 01841 | 2019-01-22 |
| 1376038414 | Maggie Townsend | Physical Therapist | 172 Lawrence Street, Lawrence, MA 01841 | 2018-06-29 |
| 1265941678 | Melvinson Polanco | Psychologist | 170 Sanborn St, Lawrence, MA 01841 | 2017-09-28 |
| 1407385834 | Lawrence Health Solutions, LLC | Clinic/Center | 25 Marston St., Suite 105, Lawrence, MA 01841 | 2017-06-08 |
| 1619419652 | Helen Santos | Social Worker | 5 Colby St, Lawrence, MA 01841 | 2016-11-08 |
| 1740737329 | James Michael Torres | Social Worker | 439 S. Union Street, Larwrence, MA 01841 | 2016-09-01 |
| 1588010003 | Michael Castillo | Counselor | 274 East Haverhill St, Lawrence, MA 01841 | 2016-05-13 |
| 1619379351 | Marlene Reyes | Psychologist | 27 Clarke St, Lawrence, MA 01841 | 2014-09-25 |
| 1982016762 | Erica Vasquez | Counselor | 590 Canal Street, Lawrence, MA 01841 | 2014-05-28 |
| 1538500202 | Azadeh Suppappola | Optometrist | 25 Marston Street #104, Boston Eye Group, Lawrence, MA 01841 | 2013-07-10 |
| Find all providers in zip 01841 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700106168 | Joshua David Korosac | Emergency Medicine | 325 Maine St, Lawrence, KS 66044-1360 | 2010-06-08 |
| 1578660536 | Toni S Reynolds | Emergency Medicine | 325 Maine St, Lawrence, KS 66044-1360 | 2006-09-20 |
| 1538144472 | Meghan M. Dierks | Emergency Medicine | 1 General St, Andrea Sullivan-director of Managed Care Dept., Lawrence, MA 01841-2961 | 2005-12-14 |
| 1629053970 | Maria Vytvytska-dienhart | Emergency Medicine | 1 General St, Andrea Sullivan-director of Managed Care, Lawrence, MA 01841-2961 | 2005-12-09 |
| 1265417521 | Patrick R. Curran | Emergency Medicine | 1 General St, Andrea Sullivan-director of Managed Care, Lawrence, MA 01841-2961 | 2005-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952768558 | Westfield Medical Corp | Emergency Medicine | 24 North Westfield St, Ste 1, Feeding Hills, MA 01030 | 2016-01-27 |
| 1689006322 | Westfield Medical Corporation | Emergency Medicine | 57 Union St, Ste 101, Westfield, MA 01085-2658 | 2013-08-05 |
| 1023215696 | Howard Theodore Hermann | Emergency Medicine | 34 Prospect Park, Newtonville, MA 02460-2309 | 2007-06-28 |
| 1770694556 | Iqubal S. Dhaliwal | Emergency Medicine | 24 Common St, Suite 3, Wrentham, MA 02093-1399 | 2006-08-31 |
| 1295849198 | Yong Hwa Lee | Emergency Medicine | 280 Highland Ave, Somerville, MA 02143-1324 | 2006-08-18 |
| 1730103268 | James Phillip Varner | Emergency Medicine | 2324 Washington St, Suite 1, Canton, MA 02021-1159 | 2006-07-27 |
| 1730136425 | Anita Karcz | Emergency Medicine | 89 Bailey Rd, East Watertown, MA 02472-4925 | 2006-05-28 |
| 1750334371 | Kimberly Schoen | Emergency Medicine | 370 Providence Hwy, Dedham, MA 02026-1875 | 2006-05-17 |
| 1588622070 | David J Doyle | Emergency Medicine | 1515 Allen Street, Springfield, MA 01118 | 2006-05-03 |
| 1194715292 | Robert L. Spangler | Emergency Medicine | 84 Pinewood Dr, Unit 3-b, Gardner, MA 01440 | 2005-10-28 |
| Find all providers with the same taxonomy | ||||
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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.