Organization Active NPI

Maura McGrane, MD, PC

  • Specialist
  • Beverly, MA
National Provider Identifier
1760481733
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
MAURA MCGRANE, MD, PC
Practice address
83 Herrick St
Ste 2001
Beverly, MA 01915-2757
Phone
(978) 922-9778
Fax
(978) 922-3878
NPI assigned
Jul 20, 2005
Last updated
Mar 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Maura F McGrane, MDNPI 1114926193
Title
Owner/President
Phone
(978) 922-9778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

83 Herrick St
Ste 2001
Beverly, MA 01915-2757

Mailing address

83 Herrick St
#2001
Beverly, MA 01915-2757
Phone (978) 922-9778

Other identifiers 1

IdentifierTypeStateIssuer
3142990MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041026000617 MA Part B Supplier - Clinic/Group Practice 1557322179 Receives reassigned benefits from 1 practitioner
Practice locations: Gloucester, MA; Salem, MA; Lynn, MA; Beverly, MA

National Provider Directory

National Provider Directory
Tax ID family
Maura F McGrane MD2 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.

Locations

83 Herrick St
Ste 2001
Beverly, MA 01915
Phone (978) 816-2589

85 Herrick St
#N
Beverly, MA 01915
Phone (978) 921-3000

298 Washington St
#N
Gloucester, MA 01930
Phone (978) 283-4000

10 Colonial Rd
Ste 7
Salem, MA 01970
Phone (978) 744-3111

Interoperability endpoints

  • Direct secure messaging: mcgrane.maura.mfm@direct.partners.masshiway.net

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1760481733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 HERRICK ST",
            "address_2": "#2001",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152757",
            "telephone_number": "978-922-9778",
            "fax_number": "978-922-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 HERRICK ST",
            "address_2": "STE 2001",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152757",
            "telephone_number": "978-922-9778",
            "fax_number": "978-922-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAURA MCGRANE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "MCGRANE",
        "authorized_official_first_name": "MAURA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "978-922-9778",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3142990",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.