Plastic Cosmetic & Reconstructive Surgery of Merrimack Valley Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

27779 Issued in MA

Legal business name

PLASTIC COSMETIC & RECONSTRUCTIVE SURGERY OF MERRIMACK VALLEY INC

Practice address

451 Andover St
North Andover, MA 01845-5044

Phone

(978) 687-1313

Fax

(978) 685-8910

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Joseph Scully, M.D.

Title

Owner

Phone

(978) 687-1313

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1154506103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "978-687-1313",
            "fax_number": "978-685-8910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 ANDOVER ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455044",
            "telephone_number": "978-687-1313",
            "fax_number": "978-685-8910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC COSMETIC & RECONSTRUCTIVE SURGERY OF MERRIMACK VALLEY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "SCULLY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-687-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "27779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Medical Group, LLC
• Pioneer Health Medical PLLC
• Barry M Pisick, MD
• Kelly Pittendreigh
• Jill Pizza, LMT
• Joshua D Pletka, MD
• Maura Plomondon, M.S., CCC-SLP
• Gloria M Polianites, COTA
• Aaron Jeffery Pollock, D.C.
• Leah Poloskey, ATC

• Medical Specialty Clinic/Center in North Andover, MA
• Providers in North Andover, MA by specialty
• Medical Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.