Mary Lou Duthie, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

021617 Issued in MA

Practice address

163 Libbey Industrial Pkwy
Suite 301
Weymouth, MA 02189-3137

Phone

(781) 337-4224

Fax

(781) 335-0429

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• South Suburban Gastroenterology, PC

  • Gastroenterology Physician
  • South Weymouth, MA
  • NPI 1114948478
  Medicare reassignment NPD
• South Shore Anesthesia Associates, Inc

  • Anesthesiology Physician
  • Weymouth, MA
  • NPI 1215066394
  NPD (past)
• Weymouth Endoscopy, LLC

  • Endoscopy Clinic/Center
  • South Weymouth, MA
  • NPI 1033199906
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1750468997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 LIBBEY INDUSTRIAL PKWY",
            "address_2": "SUITE 301",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893137",
            "telephone_number": "781-337-4224",
            "fax_number": "781-335-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 LIBBEY INDUSTRIAL PKWY",
            "address_2": "SUITE 301",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021893137",
            "telephone_number": "781-337-4224",
            "fax_number": "781-335-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTHIE",
        "first_name": "MARY LOU",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "115516",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "021617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "430035852",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Cadigan Dulieu
• Themy F Dumlao Jr., M.D.
• Emma Dunbar
• Ronald W Dunlap, M.D.
• Scott Durdin, DC
• Susan Duty, RN, ANP-BC
• Dva Healthcare of Massachusetts Inc (Weymouth Dialysis)
• George Dwyer, RN
• James Charles Dwyer
• James Edward Dwyer, D.P.M.

• Certified Registered Nurse Anesthetist in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Certified Registered Nurse Anesthetist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.