Active NPI
William Albert Tanguay, M.D.
- Internal Medicine Physician
- Haverhill, MA
National Provider Identifier
1629073424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36854
- Practice address
- 1 Parkway
Haverhill, MA 01830-6278 - Phone
- (978) 521-3270
- Fax
- (978) 374-8479
- NPI assigned
- Jun 17, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36854 | MA | Primary |
Addresses
Primary practice location
1 Parkway
Haverhill, MA 01830-6278
Mailing address
1 Parkway
Haverhill, MA 01830-6278
Phone (978) 521-3270
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016288 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 2001893 | Other | CIGNA | |
| 974553 | Other | NETWORK HEALTH | |
| 110214688 | Other | RAILROAD MEDICARE | |
| 1629073424 | Other | MA | FALLON COMMUNITY HEALTH PLAN |
| 5789143 | Other | MA | AETNA NON HMO |
| 30200165 | Other | NH | NEW HAMPSHIRE MEDICAID |
| 67884 | Other | HEALTHSOURCE | |
| J03184 | Other | MA | BLUE CROSS BLUE SHIELD |
| 110035980A | Medicaid | MA | |
| 62756 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| 734732 | Other | MA | TUFTS HEALTH PLAN |
| 1629073424 | Other | MA | AETNA HMO |
| 04-07069 | Other | EVERCARE | |
| B74396 | Other | NH | ANTHEM BLUE CROSS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36854 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Emergency Associates PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Haverhill, MA
- NPI 1649215856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353456000000",
"number": "1629073424",
"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": "978-521-3270",
"fax_number": "978-374-8479"
},
{
"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": "978-521-3270",
"fax_number": "978-374-8479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANGUAY",
"first_name": "WILLIAM",
"middle_name": "ALBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2012-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "36854",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0016288",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2001893",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "974553",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110214688",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FALLON COMMUNITY HEALTH PLAN",
"identifier": "1629073424",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "5789143",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW HAMPSHIRE MEDICAID",
"identifier": "30200165",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "67884",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J03184",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110035980A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "62756",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "734732",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1629073424",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "04-07069",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "B74396",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.