Active NPI
Valley Regional Medical SVS.
- Obstetrics Physician
- Methuen, MA
National Provider Identifier
1578665691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- 49865
- Legal business name
- VALLEY REGIONAL MEDICAL SVS.
- Practice address
- 60 East St
Suite 3300
Methuen, MA 01844-4500 - Phone
- (978) 685-9440
- Fax
- (978) 686-3093
- NPI assigned
- Sep 1, 2006
- Last updated
- Mar 12, 2009
- Organization subpart
- Yes
- Parent organization
- VALLEY REGIONAL MEDICAL SERVICES CORP.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Martha M. McDrury, SVP COO
- Title
- Senior Vice President Chief Operati
- Phone
- (978) 687-0156
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | 49865 | MA | Primary |
Addresses
Primary practice location
60 East St
Suite 3300
Methuen, MA 01844-4500
Mailing address
PO Box 71
C/O KDC Management
Tewksbury, MA 01876-0071
Phone (978) 657-5866
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01Y005533MA01 | Other | NH | ANTHEM |
| 2441758 | Other | MA | AETNA |
| 0029641 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 978403 | Other | MA | NETWORK |
| 9787143 | Medicaid | MA | |
| 30008466 | Other | NH | MEDICAID OF NH |
| M17489 | Other | MA | BC/BS GROUP NUMBER |
| 51762 | Other | MA | FALLON |
| 611003 | Other | MA | TUFTS |
Other names 1
- Valley Regional Support Services
National Provider Directory
National Provider Directory- Part of
- Valley Regional Med SVC
Locations
60 East St
Ste 3300
Methuen, MA 01844
Phone (978) 685-3440
9 Branch St
Methuen, MA 01844
Phone (978) 327-5410
103 Stiles Rd
Ste 203
Salem, NH 03079
Phone (603) 870-9150
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Specialist
- Methuen, MA
- NPI 1780675538
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Obstetrics & Gynecology Physician
- Methuen, MA
- NPI 1831204122
-
- Family Medicine Physician
- Athol, MA
- NPI 1790714079
-
- Family Medicine Physician
- Salem, NH
- NPI 1629077359
-
- Family Medicine Physician
- Buffalo, NY
- NPI 1215929658
-
- Family Nurse Practitioner
- Derry, NH
- NPI 1942393988
-
- Family Medicine Physician
- Salem, NH
- NPI 1689711954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236816000000",
"number": "1578665691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 71",
"address_2": "C/O KDC MANAGEMENT",
"city": "TEWKSBURY",
"state": "MA",
"postal_code": "018760071",
"telephone_number": "978-657-5866",
"fax_number": "978-657-5877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 EAST ST",
"address_2": "SUITE 3300",
"city": "METHUEN",
"state": "MA",
"postal_code": "018444500",
"telephone_number": "978-685-9440",
"fax_number": "978-686-3093"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY REGIONAL MEDICAL SVS.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VALLEY REGIONAL MEDICAL SERVICES CORP.",
"enumeration_date": "2006-09-01",
"last_updated": "2009-03-12",
"status": "A",
"authorized_official_last_name": "MCDRURY",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "SENIOR VICE PRESIDENT CHIEF OPERATI",
"authorized_official_telephone_number": "978-687-0156",
"authorized_official_credential": "SVP COO"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "MA",
"license": "49865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "01Y005533MA01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2441758",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0029641",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK",
"identifier": "978403",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9787143",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID OF NH",
"identifier": "30008466",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS GROUP NUMBER",
"identifier": "M17489",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON",
"identifier": "51762",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "611003",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Valley Regional Support Services",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Methuen, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.