MDSA LLC (NPI# 1871839530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871839530 |
| Entity Type | Organization |
| Organization Name | MDSA LLC |
| Practice Address |
380 Merrimack St Suite 3a Methuen MA 01844-5870 |
| Practice Telephone | 9786852471 |
| Practice Fax Number | 9786833985 |
| Mailing Telephone | 9786852471 |
| Mailing Fax Number | 9786833985 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |
| Authorized Official Name | DR. GARY H WAINWRIGHT (MEMBER) |
| Authorized Official Telephone | 9786852471 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
DN16836 | MA | Dental Providers |
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
16114 | MA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN20469 | MA | Dental Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MDSA LLC | 16 Lichfield Blvd., # 5902, Fredericksburg, Virginia 22403 |
| Street Address |
380 MERRIMACK ST SUITE 3A |
| City | METHUEN |
| State | MA |
| Zip Code | 01844-5870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487653861 | Kevin J Berry | Internal Medicine | 380 Merrimack St, Ste. 2d, Methuen, MA 01844-5870 | 2005-07-19 |
| 1609491190 | Diora Guzman Marte | Nurse Practitioner | 380 Merrimack St, Methuen, MA 01844-5870 | 2020-06-10 |
| 1932760311 | Swaitha S Maripuri | Dentist | 380 Merrimack St, Methuen, MA 01844-5870 | 2019-06-26 |
| 1518520303 | Patriot Urgent Care Professionals PC | Clinic/Center | 380 Merrimack St, Methuen, MA 01844-5870 | 2019-04-17 |
| 1578093936 | Katharine Nash | Speech-Language Pathologist | 380 Merrimack St, Methuen, MA 01844-5870 | 2017-06-18 |
| 1225587108 | Javed Ilyas Siddiqi, M.d. LLC | Obstetrics & Gynecology | 380 Merrimack St, Suite 2c, Methuen, MA 01844-5870 | 2016-10-03 |
| 1942602172 | Rcna1, Pllc | Clinic/Center | 380 Merrimack St, R, Methuen, MA 01844-5870 | 2014-09-18 |
| 1912313958 | Natural Health Services Corporation | Nutritionist | 380 Merrimack St, Suite 3d, Methuen, MA 01844-5870 | 2014-07-10 |
| 1225459886 | Orthotic and Prosthetic Center of Boston LLC | Prosthetic/Orthotic Supplier | 380 Merrimack St, Methuen, MA 01844-5870 | 2013-12-30 |
| 1255678785 | Vascular and Vein Physician Group PC | Surgery | 380 Merrimack St, Suite 1c, Methuen, MA 01844 | 2013-01-03 |
| 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 | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902376569 | East Merrimac Dental PC | Dentist | 280 Merrimac St., Ste. E, Methuen, MA 01844-6435 | 2018-11-27 |
| 1457788200 | Bassam Jamous,llc | Dentist | 126a Pleasant Valley St, Suite 1,2, Methuen, MA 01844-7217 | 2013-10-10 |
| 1740214907 | Shih Mei Josephine Chiang | Dentist | 13 Branch St, Suite 212, Methuen, MA 01844-1975 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871134833 | Supontep Teerakanok | Dentist | Henry Goldman School of Dental Medicine, 635 Albany St, Boston, MA 02118 | 2019-10-01 |
| 1437700218 | Mansour Alasiri | Dentist | 650 Albany St Ste 341, Boston, MA 02118-2518 | 2019-09-24 |
| 1508417338 | Bushra Aljahdali | Dentist | 650 Albany St Fl 3, Boston, MA 02118-2518 | 2019-09-23 |
| 1164077152 | North Shore Smiles LLC | Dentist | 293 Humphrey Str., Swampscott, MA 01907 | 2019-08-06 |
| 1790330298 | Cambridge Periodontics LLC | Dentist | 1692 Massachusetts Ave Ste 3, Cambridge, MA 02138 | 2019-08-02 |
| 1043863533 | Ricardo Lazaro Pascual | Dentist | 1 Kneeland St Dept, Boston, MA 02111-1527 | 2019-07-23 |
| 1568014827 | David B Rosen Dmd | Dentist | 57 Bedford St Ste 110, Lexington, MA 02420-4550 | 2019-07-16 |
| 1396209961 | Gabriel Boustani Dmd PC | Dentist | 822 Boylston St Ste 200, Chestnut Hill, MA 02467-2504 | 2019-01-28 |
| 1568935153 | Periodontology Associates of Concord, Pllc | Dentist | 290 Baker Ave Ste 3, Concord, MA 01742-2189 | 2019-01-07 |
| 1467925057 | Periodontology Associates of Lexington, Pllc | Dentist | 35 Bedford St Ste 20, Lexington, MA 02420-4440 | 2019-01-07 |
| 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.