NPIMap

Organization Active NPI

Family Doctors, LLC

  • Family Medicine Physician
  • Swampscott, MA
National Provider Identifier
1114052495
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52967 Issued in MA
Legal business name
FAMILY DOCTORS, LLC
Practice address
250 Paradise Rd
Swampscott, MA 01907-2948
Phone
(781) 596-2000
Fax
(781) 595-7111
NPI assigned
Feb 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Maryann Walker
Title
Office Manager
Phone
(781) 596-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 52967 MA Primary

Addresses

Primary practice location

250 Paradise Rd
Swampscott, MA 01907-2948

Mailing address

250 Paradise Rd
Swampscott, MA 01907-2948
Phone (781) 596-2000

National Provider Directory

National Provider Directory

Locations

6 Anderson St
Marblehead, MA 01945
Phone (781) 631-9955

Interoperability endpoints

  • Direct secure messaging: ceplikas.lisa.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: cohen.joshua.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: freedman.harold.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: nobil.keith.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: ritvo.amanda.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: smoller.sara.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: yang.sunmi.nsmc@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 6

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": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114052495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PARADISE RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072948",
            "telephone_number": "781-596-2000",
            "fax_number": "781-595-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PARADISE RD",
            "city": "SWAMPSCOTT",
            "state": "MA",
            "postal_code": "019072948",
            "telephone_number": "781-596-2000",
            "fax_number": "781-595-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTORS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MARYANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "781-596-2000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "52967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swampscott, MA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.