NPIMap

Individual provider Active NPI

Marie Dupic-Washburn, M.D.

  • Emergency Medicine Physician
  • Lowell, MA
National Provider Identifier
1619030640
Registry record updated Dec 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
58030 Issued in MA
Practice address
1230 Bridge St
Lowell, MA 01850
Phone
(978) 453-3022
Fax
(978) 453-9330
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 58030 MA Primary

Addresses

Primary practice location

1230 Bridge St
Lowell, MA 01850

Mailing address

1230 Bridge St
Lowell, MA 01850
Phone (978) 453-3022

Other identifiers 2

IdentifierTypeStateIssuer
J06387OtherMABLUE SHIELD
3020789MedicaidMA

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Lowell General Hospital Past Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients
Melrose Wakefield Emergency Physicians, Inc. Emergency Medicine Past Accepting new patients
LGH Professional Services LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: marie.dupicwashburn@urgentcare.circlehealthdirect.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1619030640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 BRIDGE ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01850",
            "telephone_number": "978-453-3022",
            "fax_number": "978-453-9330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 BRIDGE ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01850",
            "telephone_number": "978-453-3022",
            "fax_number": "978-453-9330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPIC-WASHBURN",
        "first_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "58030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "J06387",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3020789",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; 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.