Organization Active NPI

Merrimack Valley OB/GYN Inc

  • Specialist
  • Lowell, MA
National Provider Identifier
1306867262
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
047410 Issued in MA
Legal business name
MERRIMACK VALLEY OB/GYN INC
Practice address
817 Merrimack St Ste 11
Lowell, MA 01854-3548
Phone
(978) 454-5150
Fax
(978) 452-7577
NPI assigned
Jul 23, 2006
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
Panna Kapadia, MDNPI 1134151905
Title
OB/GYN
Phone
(978) 454-5150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 047410 MA Primary

Addresses

Primary practice location

817 Merrimack St Ste 11
Lowell, MA 01854-3548

Mailing address

817 Merrimack St Ste 11
Lowell, MA 01854-3548
Phone (978) 454-5150

Other identifiers 6

IdentifierTypeStateIssuer
J05787OtherMABCBS
047410OtherMATUFTS
21985OtherMAFALLON
3013090MedicaidMA
13411OtherMAHARVARD PILGRIM
992376OtherMANETWORK HEALTH

National Provider Directory

National Provider Directory

Locations

817 Merrimack St
Ste 11
Lowell, MA 01854
Phone (978) 454-5150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306867262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 MERRIMACK ST STE 11",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543548",
            "telephone_number": "978-454-5150",
            "fax_number": "978-452-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 MERRIMACK ST STE 11",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543548",
            "telephone_number": "978-454-5150",
            "fax_number": "978-452-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK VALLEY OB/GYN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAPADIA",
        "authorized_official_first_name": "PANNA",
        "authorized_official_title_or_position": "OB/GYN",
        "authorized_official_telephone_number": "978-454-5150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "047410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J05787",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "047410",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "21985",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3013090",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "13411",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "992376",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, 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.