Individual provider Active NPI

Suzanne E Duval, M.D.

  • Pediatrics Physician
  • North Andover, MA
National Provider Identifier
1366406704
Registry record updated Jan 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
220526 Issued in MA
Practice address
820A Turnpike St
Jefferson Office Park
North Andover, MA 01845-6124
Phone
(978) 557-5712
Fax
(978) 557-5406
NPI assigned
Apr 13, 2006
Last updated
Jan 27, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 220526 MA Primary

Addresses

Primary practice location

820A Turnpike St
Jefferson Office Park
North Andover, MA 01845-6124

Mailing address

820A Turnpike St
Jefferson Office Park
North Andover, MA 01845-6124
Phone (978) 557-5712

Other identifiers 5

IdentifierTypeStateIssuer
2068401MedicaidMA
467704OtherMATUFTS HEALTH PLAN
AA13740OtherMAHARVARD COMMUNITY HEALTH
J27796OtherMABLUE CROSS BLUE SHIELD
0926870001OtherMACIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
220526MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woburn Pediatric Associates Pediatrics Past Accepting new patients
North Andover Pediatric Associates Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sduval18350@direct.chppoc.masshiway.net

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296086400000",
    "number": "1366406704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820A TURNPIKE ST",
            "address_2": "JEFFERSON OFFICE PARK",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456124",
            "telephone_number": "978-557-5712",
            "fax_number": "978-557-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820A TURNPIKE ST",
            "address_2": "JEFFERSON OFFICE PARK",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456124",
            "telephone_number": "978-557-5712",
            "fax_number": "978-557-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "SUZANNE",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2011-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "220526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2068401",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "467704",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD COMMUNITY HEALTH",
            "identifier": "AA13740",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J27796",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0926870001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Andover, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.