MERRIMACK VALLEY PET PC (NPI# 1407802416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407802416 |
| Entity Type | Organization |
| Organization Name | MERRIMACK VALLEY PET PC |
| Other Organization Name | NEW ENGLAND PET IMAGING SYSTEM |
| Practice Address |
70 East St Methuen MA 01844-4597 |
| Mailing Address |
354 Merrimack St Entrance D Lawrence MA 01843-1754 |
| Practice Telephone | 9786894738 |
| Practice Fax Number | 9786820984 |
| Mailing Telephone | 9786878187 |
| Mailing Fax Number | 9789878185 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2011-10-31 |
| Authorized Official Name | MR. MARK R TAYLOR (CEO) |
| Authorized Official Telephone | 9786872321 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
67-0291 | MA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS OF MA | M17506 | 01 | |
| AETNA HMO | 2330313 | 01 | |
| HARVARD PILGRIM | 626241 | 01 | |
| TUFTS | 685730 | 01 | |
| MA | 9723510 | 05 | |
| NEIGHBORHOOD HELATH | 0021989 | 01 | |
| BLUE CROSS OF NH | 15Y002275MA02 | 01 |
| Other Name | Type Code |
|---|---|
| New England PET Imaging System | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922055094 | Merrimack Valley Pet PC | Clinic/Center | 185 Queen City Ave, Manchester, NH 03101-7121 | 2006-05-27 |
| Street Address |
70 EAST ST |
| City | METHUEN |
| State | MA |
| Zip Code | 01844-4597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977105 | Rizwan Ul Haque | Anesthesiology | 70 East St, Methuen, MA 01844-4597 | 2005-07-26 |
| 1538789003 | Wanda Marelis | Registered Nurse | 70 East St, Methuen, MA 01844-4597 | 2020-04-24 |
| 1740845189 | Kelsey Wilson | Physician Assistant | 70 East St, Methuen, MA 01844-4597 | 2019-05-01 |
| 1437625191 | Michael Cook | Nurse Practitioner | 70 East St, Methuen, MA 01844-4597 | 2018-10-22 |
| 1528543667 | Erin Colleen Solomon | Social Worker | 70 East St, Methuen, MA 01844 | 2018-09-25 |
| 1043792963 | Jeffrey Henry Janco | Nurse Practitioner | 70 East St, Methuen, MA 01844-4597 | 2018-09-06 |
| 1164901377 | Sandra Ann Mansur | Social Worker | 70 East St, Methuen, MA 01844-4597 | 2018-08-08 |
| 1093293292 | Elizabeth Torrisi | Social Worker | 70 East St, Methuen, MA 01844-4597 | 2018-07-31 |
| 1659858520 | Nikole Elaine Matzouranis | Social Worker | 70 East St, Methuen, MA 01844-4597 | 2018-07-24 |
| 1639655467 | Incare LLC | Internal Medicine | 70 East St, Methuen, MA 01844-4597 | 2018-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313629 | Claude Zeligou | Behavior Technician | Guy Lougbo, 26 Loring Road, Methuan, MA 01844 | 2020-10-15 |
| 1265938609 | Angely Martinez | Student in an Organized Health Care Education/Training Program | 28 Kirk Street, Methuen, MA 01844 | 2018-04-04 |
| 1073037909 | Lauren Boenitz | Physical Therapy Assistant | 318 1/2 Broadway, Methuen, MA 01844 | 2017-08-02 |
| 1821512229 | Janice Marie Benoit | Registered Nurse | 12 Ingales Court, M, Methuen, MA 01844 | 2017-07-28 |
| 1194266825 | Zuri Counseling Services LLC | Nurse Practitioner | 39 Haverhill Street, Methuen, MA 01844 | 2017-03-14 |
| 1740732775 | Florinda Delarosa | Assistant Behavior Analyst | 106 North Lowell St, Methuen, MA 01844 | 2016-10-25 |
| 1376094888 | Kristan Mazaka | Social Worker | 19 1/2 Mystic Street, Methuen, MA 01844 | 2016-10-19 |
| 1013365394 | Diana Echeverry | Counselor | 271 Broadway St. Apartment 7, Methuen, MA 01844 | 2016-05-27 |
| 1104283944 | Danielle Lee Lambert | Counselor | 100a Haverhill St., Methuen, MA 01844 | 2016-01-25 |
| 1265839443 | Josef Peter Kish | Counselor | 100a Haverhill Street, Metheun, MA 01844 | 2014-12-03 |
| Find all providers in zip 01844 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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|---|---|---|---|---|
| 1861979130 | New England Imaging Center | Clinic/Center | 257 Turnpike Rd Ste 330, Southborough, MA 01772-1791 | 2018-07-19 |
| 1730621335 | Allstar Diagnostic Imaging LLC | Clinic/Center | 1180 Beacon St. Ste 2a, Brookline, MA 02146 | 2016-11-14 |
| 1942609359 | Carewell Radiology Group | Clinic/Center | 2 Adams Pl, Suite 305, Quincy, MA 02169-7456 | 2014-08-21 |
| 1518114305 | Merrimack Valley Health Services Inc | Clinic/Center | 323 Lowell Street, Ll, Suite 002, North Andover, MA 01810 | 2008-08-22 |
| 1992979694 | Radiology Diagnostics LLC | Clinic/Center | 5a Norfolk Ave, South Easton, MA 02375 | 2008-04-15 |
| 1457478000 | Inmed Diagnostic Services of Massachusetts LLC | Clinic/Center | 59 Longwater Dr, Norwell, MA 02061-1611 | 2007-03-26 |
| 1023103942 | Bay State Dental & Medical Imaging Inc. | Clinic/Center | 1208b Vfw Pkwy, Suite 301, West Roxbury, MA 02132-4349 | 2006-10-04 |
| 1760400204 | Dedham Mri Inc | Clinic/Center | 200 Providence Hwy Route 1, Ste 210, Dedham, MA 02026 | 2006-07-17 |
| 1578514097 | Raytel Cardiac Services | Clinic/Center | 235 Bear Hill Road, Waltham, MA 02451 | 2006-05-12 |
| 1134187685 | Weymouth Mri, LLC | Clinic/Center | 420 Libbey Industrial Pkwy, Weymouth, MA 02189-3134 | 2006-05-03 |
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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.