Merrimack Valley Endoscopy Center Tdi

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MERRIMACK VALLEY ENDOSCOPY CENTER TDI

Practice address

1 Parkway
Haverhill, MA 01830-6278

Phone

(978) 521-3235

Fax

(978) 521-3236

NPI assigned

Jul 20, 2007

Organization subpart

Yes

Parent organization

MERRIMACK VALLEY ENDOSCOPY CENTER TDIAs reported in NPPES

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

Authorized official

Name

Dr. Thomas L Fazio, MD

Title

Managing Partner

Phone

(978) 521-3235

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Merrimack Valley Endoscopy LLC2 organizations share this tax ID, including this one

Part of

Merrimack Valley Endoscopy LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Merrimack Valley Endoscopy, LLC

  • Ambulatory Surgical Clinic/Center
  • Haverhill, MA
  • NPI 1417944778
  NPD tax ID

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1437359155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARKWAY",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306278",
            "telephone_number": "978-521-3235",
            "fax_number": "978-521-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARKWAY",
            "city": "HAVERHILL",
            "state": "MA",
            "postal_code": "018306278",
            "telephone_number": "978-521-3235",
            "fax_number": "978-521-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK VALLEY ENDOSCOPY CENTER TDI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERRIMACK VALLEY ENDOSCOPY CENTER TDI",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "FAZIO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "978-521-3235",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF",
            "identifier": "040569",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Meriggi, DO
• Merrimack Behavioral Partners LLC
• Merrimack Psychiatric Associates, PC
• Merrimack Street Orthodontics, P.C.
• Merrimack Valley Child & Adolescent Health
• Merrimack Valley Endoscopy, LLC
• Merrimack Valley Foot Specialists, Inc
• Merrimack Valley Health Care Group
• Merrimack Valley Hospital
• Merrimack Valley Hospital, a Steward Family Hospital, Inc.

• Multi-Specialty Clinic/Center in Haverhill, MA
• Providers in Haverhill, MA by specialty
• Multi-Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.