Philip J Tavano MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

42398 Issued in MA

Legal business name

PHILIP J TAVANO MD PC

Doing business as

merrimack valley internal medicine associates, pc

Practice address

20 Research PL
Suite 310
N Chelmsford, MA 01863-2454

Phone

(978) 459-2152

Fax

(978) 452-7285

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Philip J Tavano, M.D.NPI 1710919238

Title

President

Phone

(978) 459-2152

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• merrimack valley internal medicine associates, pc Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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.

• Philip J Tavano, M.D.

  • Internal Medicine Physician
  • N Chelmsford, MA
  • NPI 1710919238
  Authorized official Same address or phone

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1801809967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "SUITE 310",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632454",
            "telephone_number": "978-459-2152",
            "fax_number": "978-452-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RESEARCH PL",
            "address_2": "SUITE 310",
            "city": "N CHELMSFORD",
            "state": "MA",
            "postal_code": "018632454",
            "telephone_number": "978-459-2152",
            "fax_number": "978-452-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP J TAVANO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "TAVANO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-459-2152",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "42398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MA",
            "identifier": "PHM13259",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1043245145",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "00-00760",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205861390",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "702916",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9719741",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710919238",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "merrimack valley internal medicine associates, pc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kelly Maria Price, N.P.
• Regis College
• Harsh Chandravadan Sanchorawala, MD
• Tricia M Scott, M.D.

• Internal Medicine Physician in N Chelmsford, MA
• Providers in N Chelmsford, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.