Larry Medolo

Primary specialty

HomeopathTaxonomy code 175L00000X

License

959159 Issued in MA

Practice address

184 Pleasant Valley St Ste 1-204
Methuen, MA 01844-5855

Phone

(978) 935-1390

Fax

(978) 737-3510

NPI assigned

Jun 14, 2012

Last updated

Sep 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Medical Massage & Wellness

  • Homeopath
  • Methuen, MA
  • NPI 1023765864
  NPD Authorized official

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632355200000",
    "number": "1225390362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 PLEASANT VALLEY ST STE 1-204",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445855",
            "telephone_number": "978-935-1390",
            "fax_number": "978-737-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 PLEASANT VALLEY ST STE 1-204",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445855",
            "telephone_number": "978-935-1390",
            "fax_number": "978-737-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDOLO",
        "first_name": "LARRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2021-09-23",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175L00000X",
            "taxonomy_group": "",
            "desc": "Homeopath",
            "state": "MA",
            "license": "959159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina McNichol, M.S., CCC-SLP
• MD Consultants, Inc (Kangaroo Smiles)
• Mdsa LLC
• Medexpress Urgent Care, PC - Massachusetts (MedExpress Urgent Care - Methuen, Broadway)
• Medical Coverage Solutions, LLC
• Meel Pediatrics (Child Health Center)
• Wilberto Mejias Sr., CLINICIAN
• Melan Wellness, LLC (Melan Wellness)
• Claire Melley
• Jessica Mendez, BSN

• Homeopath in Methuen, MA
• Providers in Methuen, MA by specialty
• Homeopath in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.