Mary Anderson, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

10841 Issued in NH

Practice address

23 Stiles Rd Ste 102
Att: Christine Vallante
Salem, NH 03079-2853

Phone

(603) 893-4352

Fax

(603) 894-4522

NPI assigned

Sep 8, 2005

Last updated

Sep 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Caritas Medical Group Inc.

  dba Caritas Radiology Associates

  • Diagnostic Radiology Physician
  • Boston, MA
  • NPI 1760498034
  NPD (past)
• Northern Radiology Associates

  • Diagnostic Radiology Physician
  • Methuen, MA
  • NPI 1205813722
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1346234192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 STILES RD STE 102",
            "address_2": "ATT: CHRISTINE VALLANTE",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792853",
            "telephone_number": "603-893-4352",
            "fax_number": "603-894-4522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 STILES RD STE 102",
            "address_2": "ATT: CHRISTINE VALLANTE",
            "city": "SALEM",
            "state": "NH",
            "postal_code": "030792853",
            "telephone_number": "603-893-4352",
            "fax_number": "603-894-4522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "10841",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "54360",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3024211",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30200654",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Amador, LMT
• Ambulatory Anesthesia Services LLC
• Rachael A Amos
• Wendy Andersen
• Jessica Anderson, MS, CCC-SLP
• Wendy Anderson
• Andover Urology Associates P.C.
• Lynne Andrews
• Linda Andrus
• Anew Perspective Counseling Northeast LLC

• Diagnostic Radiology Physician in Salem, NH
• Providers in Salem, NH by specialty
• Diagnostic Radiology Physician in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.