Individual provider Active NPI

Suzanne Maria Ohara

  • Women's Health Nurse Practitioner
  • Tewksbury, MA
National Provider Identifier
1003488057
Registry record updated Jul 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
RN251609 Issued in MA
Practice address
54 Hill St
Tewksbury, MA 01876-3025
Phone
(978) 509-4305
NPI assigned
Jul 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X RN251609 MA Primary

Addresses

Primary practice location

54 Hill St
Tewksbury, MA 01876-3025

Mailing address

54 Hill St
Tewksbury, MA 01876-3025
Phone (978) 509-4305

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL suzanne.ohara@lowellgeneral.org lowell general hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230518002165 MA Practitioner - Nurse Practitioner 0941666812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Circle Health OBGYN, LLC.Group PAC ID 1052483476, 18 clinicians

Practice addresses (Care Compare)

20 Research PL
Suite 320
North Chelmsford, MA 01863-2455
Phone (978) 256-1858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN251609MAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Health OBGYN, LLC. CurrentSince Feb 8, 2023 Accepting new patients
LGH Womanhealth PastSince Feb 8, 2023 Accepting new patients
LGH Medical Group, Inc. Past Accepting new patients

Locations

9 Loon Hill Rd
Ste 202
Dracut, MA 01826

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

20 Research Pl
Ste 320
North Chelmsford, MA 01863
Phone (978) 256-1858

198 Littleton Rd
Ste 201
Westford, MA 01886

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625875200000",
    "number": "1003488057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HILL ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018763025",
            "telephone_number": "978-509-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HILL ST",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018763025",
            "telephone_number": "978-509-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OHARA",
        "first_name": "SUZANNE",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-10",
        "last_updated": "2021-07-10",
        "certification_date": "2021-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MA",
            "license": "RN251609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "suzanne.ohara@lowellgeneral.org",
            "affiliation": "Y",
            "affiliationName": "lowell general hospital",
            "address_1": "54 Hill St",
            "city": "Tewksbury",
            "state": "MA",
            "country_code": "US",
            "postal_code": "018763025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tewksbury, MA

Sources for this page

Verify at the official NPI Registry.