Mary E Scannell MD PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

MARY E SCANNELL MD PC

Practice address

140 West Boylston Dr
Worcester, MA 01606-2726

Phone

(508) 853-6662

NPI assigned

Oct 5, 2006

Last updated

Apr 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary E Scannell, MDNPI 1518928449

Title

President

Phone

(508) 853-6662

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary Elizabeth Scannell, MD

  • Obstetrics & Gynecology Physician
  • Worcester, MA
  • NPI 1518928449
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1568558930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WEST BOYLSTON DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062726",
            "telephone_number": "508-853-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WEST BOYLSTON DR",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016062726",
            "telephone_number": "508-853-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY E SCANNELL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "SCANNELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-853-6662",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CK8091",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP PROVIDER ID",
            "identifier": "M15675",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHP GROUP PROVIDER ID",
            "identifier": "0017847",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON VENDOR ID",
            "identifier": "8510",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS GROUP PAYEE ID",
            "identifier": "607331",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9769498",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Martiros, MED
• Marissa Martorelli
• Brian Charlie Marvie
• Morlu Marvie Jr.
• Dwight Marvin, MA, LMHC
• Mary Murphy Psychotherapy LLC
• Neil B Marya, M.D.
• Ashley Marie Maryyanek, LICSW
• Michaella Elizabeth Marzullo, PA-C
• Mas Medical Staffing Corporation (MAS Home Care of Massachusetts)

• Obstetrics & Gynecology Physician in Worcester, MA
• Providers in Worcester, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.