Mary Ellen Conroy, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

71899 Issued in MA

Practice address

597 Merrimack St
Lowell, MA 01854-3908

Phone

(978) 746-7785

Fax

(978) 453-3289

NPI assigned

Aug 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mary.ellen.conroy.1@24697.direct.athenahealth.com

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

• Lowell Community Health Center, Inc.

  • Community/Retail Pharmacy
  • Lowell, MA
  • NPI 1295587368
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1346356250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585-597 MERRIMACK STREET",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01854",
            "telephone_number": "978-746-7785",
            "fax_number": "978-453-3289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 MERRIMACK ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018543908",
            "telephone_number": "978-746-7785",
            "fax_number": "978-453-3289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONROY",
        "first_name": "MARY ELLEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "71899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "J1029201",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth C Conner, NP, RN
• Joseph Harold Connolly, MSW
• Dianna Conole, MS
• Christina Conrad
• Crystal L Conroy
• Mary Cassidy Conway, PHYSICAL THERAPIST
• Stephen A Conway, MD
• Ruth E. Cook, RN
• Jaimee Cooke
• Carol A Cookingham, D.V.M.

• Pediatrics Physician in Lowell, MA
• Providers in Lowell, MA by specialty
• Pediatrics Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.