NPIMap

Organization Active NPI

Merrimack Medical & Walk in S LLC

  • Family Medicine Physician
  • Lawrence, MA
National Provider Identifier
1013284637
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERRIMACK MEDICAL & WALK IN S LLC
Practice address
25 Marston St
Ste 304
Lawrence, MA 01841
Phone
(978) 688-3100
Fax
(978) 688-3133
NPI assigned
Nov 28, 2011
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
MERRIMACK MEDICAL & WALK IN CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Jody Michaud
Title
Practice Manager
Phone
(978) 688-3100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

25 Marston St
Ste 304
Lawrence, MA 01841

Mailing address

25 Marston St
Ste 304
Lawrence, MA 01841
Phone (978) 688-3100

Other names 1

  • Merrimack Medical & Walk In Center LLC Other name

National Provider Directory

National Provider Directory
Part of
Merrimack Medical Walk in

Locations

25 Marston St
Ste 304
Lawrence, MA 01841
Phone (978) 688-3100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIFBBA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1013284637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST",
            "address_2": "STE 304",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01841",
            "telephone_number": "978-688-3100",
            "fax_number": "978-688-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MARSTON ST",
            "address_2": "STE 304",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "01841",
            "telephone_number": "978-688-3100",
            "fax_number": "978-688-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK MEDICAL & WALK IN S LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERRIMACK MEDICAL & WALK IN CENTER LLC",
        "enumeration_date": "2011-11-28",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "MICHAUD",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "978-688-3100"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merrimack Medical & Walk In Center LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.