Marion Pediatrics, P.C.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MARION PEDIATRICS, P.C.

Practice address

404 Huttleston Ave
Fairhaven, MA 02719-5630

Phone

(508) 996-9333

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie Church

Title

Billing Manager

Phone

(508) 996-9333

Specialties & licenses 1

Addresses

Other identifiers 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 7

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.

• Vanda Blinn, M.D., M.P.H.

  • Pediatrics Physician
  • Fairhaven, MA
  • NPI 1992780167
  NPD (past)
• Cynthia Louise Fox, MD

  • Pediatrics Physician
  • Fairhaven, MA
  • NPI 1205851540
  NPD (past)
• Lily E Khoury, MD

  • Pediatrics Physician
  • Fairhaven, MA
  • NPI 1225065121
  NPD (past)
• Saba Adel Shamoon-Michaud, M.D.

  • Pediatrics Physician
  • Fairhaven, MA
  • NPI 1942287677
  NPD (past)
• Matthew A Shurtleff, M.D.

  • Pediatrics Physician
  • Fairhaven, MA
  • NPI 1639287345
  NPD (past)
• Anna A Ward, M.D.

  • Pediatrics Physician
  • Fairhaven, MA
  • NPI 1447341581
  NPD (past)
• Audrey J Webb

  • Pediatrics Physician
  • Fairhaven, MA
  • NPI 1386306157
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043427230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 HUTTLESTON AVE",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195630",
            "telephone_number": "508-996-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HUTTLESTON AVE",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195630",
            "telephone_number": "508-996-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARION PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "508-996-9333"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "97853202",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP #",
            "identifier": "680878",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA GROUP #",
            "identifier": "M17252",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTH NET GROUP #",
            "identifier": "000000024150",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suzelle S. Luc, MD
• Jennifer C Lussier, PA-C
• M.O. L.I.F.E., Inc.
• Christine J Manoli
• Charles D Margis, PHARM.D
• Stephanie Martins, PHARMD
• Ronald J. Mastrolia Jr., O.D.
• Harry W Matelski, MD
• Lisa Matheson
• Mathew Barbosa, LMHC (Learning to Bend Counseling Services)

• Pediatrics Physician in Fairhaven, MA
• Providers in Fairhaven, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.