KELLY NOONAN (NPI# 1922459973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922459973 |
Entity Type | Individual |
Full Name | KELLY NOONAN |
Credential | D.P.M. |
Practice Address |
451 Andover St Ste 209 North Andover MA 01845 |
Mailing Address |
451 Andover St Ste 209 North Andover MA 01845-5070 |
Practice Telephone | 9786867623 |
Practice Fax Number | 9786839911 |
Mailing Telephone | 9786867623 |
Enumeration Date | 2016-06-30 |
Last Update Date | 2019-09-30 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
2490 | MA | Podiatric Medicine & Surgery Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1565 Main St Ste 102, Tewksbury, MA 018764766 | 9786401010 | 9786409444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376077941 | Kelly Noonan | Occupational Therapist | 800 E Gate Blvd, Garden City, NY 11530-2105 | 2017-04-20 |
Street Address |
451 ANDOVER ST STE 209 |
City | NORTH ANDOVER |
State | MA |
Zip Code | 01845 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902421332 | Foot Health Center of Merrimack Valley-stew PC | Podiatrist | 451 Andover St Ste 209, North Andover, MA 01845-5070 | 2020-06-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780222091 | Bh Brightview North Andover Opco, LLC | Alzheimer Center (Dementia Center) | 1275 Turnpike Street, North Andover, MA 01845 | 2019-12-17 |
1770132052 | Nancy Boshar | Social Worker | 109 Saw Mill Road, North Andover, MA 01845 | 2019-09-09 |
1497307854 | Maria Nappa | Nurse Practitioner | 47 High Street, Suite 101, North Andover, MA 01845 | 2019-07-15 |
1235794041 | North Andover Women's Care Pllc | Obstetrics & Gynecology | 100 Andover Bypass, Suite 300, North Andover, MA 01845 | 2019-05-07 |
1891278040 | Kristen Dee | Counselor | 6 Garnet Circle, North Andover, MA 01845 | 2018-09-13 |
1154809770 | Oped Medical, Inc. | Durable Medical Equipment & Medical Supplies | 37 Flagship Drive, North Andover, MA 01845 | 2018-08-06 |
1902382658 | Barry Myers | Physical Therapist | 231 Sutton Street, Suite 1c, North Andover, MA 01845 | 2018-07-16 |
1174042337 | Beth Israel Lahey Health Primary Care, Inc. | Internal Medicine | Lahey Health Primary Care, North Andover, 170 Pleasant St., N. Andover, MA 01845 | 2017-09-19 |
1174041792 | Eric Tweedie | Specialist/Technologist | 72 Fernview Ave Apt 2, North Andover, MA 01845 | 2017-09-04 |
1043734379 | Hiron Health | Internal Medicine | 820a Turnpike Street, North Andover, MA 01845 | 2017-07-28 |
Find all providers in zip 01845 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801800701 | Bobby M Kuruvilla | Podiatrist | 575 Turnpike St, Suite 11, North Andover, MA 01845-5924 | 2006-07-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568096261 | East Point Foot & Ankle PC | Podiatrist | 250 N Main St Ste 102, E Longmeadow, MA 01028-1834 | 2020-03-03 |
1144705443 | Bay State Foot & Ankle Specialists, LLC | Podiatrist | 380 Lowell St Ste 102, Wakefield, MA 01880-1984 | 2018-10-02 |
1396230298 | Samuel Caine | Podiatrist | 732 Harrison Ave Fl 5, Boston, MA 02118-2309 | 2018-06-25 |
1467982413 | Navicular LLC | Podiatrist | 140 Park St Ste 1, Attleboro, MA 02703-8048 | 2017-06-13 |
1669904140 | Zachary Sax | Podiatrist | 264 Beacon St Fl 2, Boston, MA 02116-1236 | 2017-04-03 |
1215488937 | Brian D Tedesco, Dpm & George A Abboud, Dpm PC | Podiatrist | 30 Newcrossing Road, Suite 311, Reading, MA 01867 | 2016-10-18 |
1487107769 | Chih Kang David Liou | Podiatrist | 10 Beacon St, Somerville, MA 02143-4311 | 2016-08-03 |
1477905446 | Erik Henriksen | Podiatrist | 116 Court St Ste 3, Plymouth, MA 02360-8710 | 2016-07-01 |
1831503549 | Julie Riley | Podiatrist | 409 Pond St Ste 3, Braintree, MA 02184-6853 | 2014-06-20 |
1790199412 | Justin Paul Kaminski | Podiatrist | 6 Essex Center Dr Ste 208, Peabody, MA 01960-2906 | 2014-06-20 |
Find all providers with the same taxonomy |
City | NORTH ANDOVER |
Zip Code | 01845 |
Please comment or provide details below to improve the information on KELLY NOONAN.
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.