Middleton Family Medicine Urgent Care, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

MIDDLETON FAMILY MEDICINE URGENT CARE, LLC

Practice address

99 Conifer Hill Dr
Danvers, MA 01923-1193

Phone

(978) 774-2555

Fax

(978) 774-8715

NPI assigned

Mar 6, 2025

Organization subpart

No

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

Authorized official

Name

Kyle Elliott

Title

Coo

Phone

(978) 774-2555

Specialties & licenses 3

Addresses

Tax ID family

MFM Express Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Middleton Family Medicine Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Danvers, MA
  • NPI 1114741709
  NPD tax ID

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1609674563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 S MAIN ST",
            "city": "MIDDLETON",
            "state": "MA",
            "postal_code": "019492446",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 CONIFER HILL DR",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019231193",
            "telephone_number": "978-774-2555",
            "fax_number": "978-774-8715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "147 S Main St",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "MA",
            "postal_code": "019492446",
            "country_code": "US",
            "telephone_number": "978-774-2555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIDDLETON FAMILY MEDICINE URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "978-774-2555"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "133VN1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael S. Gordon M.D.
• John Edward Michalski Sr.
• Lindsay Michaud
• Amanda Mickle
• Middleton Family Medicine Urgent Care, LLC
• Adam Milaszewski
• Lorraine Miles
• Alainna Milkey
• Macarena Millan, B.A
• Bailey Miller

• Registered Dietitian in Danvers, MA
• Providers in Danvers, MA by specialty
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.