Essent Healthcare - Ayer, Inc.

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

2298 Issued in MA

Legal business name

ESSENT HEALTHCARE - AYER, INC.

Doing business as

Nashoba Valley Medical Center

Practice address

200 Groton Rd
Ayer, MA 01432-1168

Phone

(978) 784-9000

NPI assigned

Jun 14, 2005

Last updated

May 16, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

ESSENT HEALTHCARE, INC.As reported in NPPES

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

Authorized official

Name

Judy Gibson

Title

VP Reimbursement

Phone

(615) 312-5106

Specialties & licenses 1

Addresses

Other identifiers 11

Other names 1

• Nashoba Valley Medical Center Doing business as

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1164427431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GROTON RD",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321168",
            "telephone_number": "978-784-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GROTON RD",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321168",
            "telephone_number": "978-784-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENT HEALTHCARE - AYER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ESSENT HEALTHCARE, INC.",
        "enumeration_date": "2005-06-14",
        "last_updated": "2011-05-16",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "VP REIMBURSEMENT",
        "authorized_official_telephone_number": "615-312-5106"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "MA",
            "license": "2298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "974225",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "136598CF",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "6300130",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1001311",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1213270",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HC",
            "identifier": "903837",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS INPATIENT",
            "identifier": "2222009801",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OUTPATIENT",
            "identifier": "2222009810",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS OUTPATIENT",
            "identifier": "982010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS INPATIENT",
            "identifier": "982011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "M21244",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nashoba Valley Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Stephen L. Simpson, M.D., P.C.
• Annette Claire Dratch, OTR
• Brian C Dressel, MD
• Christopher A Duffey, RN
• Michele R Dunn, MS OTR/L
• Federal Medical Center Devens (Federal Bureau of Prisons)
• Jeffrey Paul Fennelly, MD
• Matthew Foley, MD
• Darlene Gaibor, RN
• Gary Crbonello (Follow Me Trans)

• General Acute Care Hospital in Ayer, MA
• Providers in Ayer, MA by specialty
• General Acute Care Hospital in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2011; 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.