Vascular Associates of the Merrimack Valley PC

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

VASCULAR ASSOCIATES OF THE MERRIMACK VALLEY PC

Practice address

10 Research PL
Suite 207
North Chelmsford, MA 01863-2439

Phone

(978) 453-6900

Fax

(978) 453-6905

NPI assigned

Feb 19, 2006

Last updated

Apr 1, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Paul M Burke Jr., M.D.NPI 1427018738

Title

Owner

Phone

(978) 453-6900

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 6

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.

• Paul M Burke Jr., M.D.

  • Vascular Surgery Physician
  • Lowell, MA
  • NPI 1427018738
  Medicare reassignment NPD Authorized official
• Wei Du, MD

  • Vascular & Interventional Radiology Physician
  • Lowell, MA
  • NPI 1144214206
  NPD (past)
• Jonathan K Gordon, MD

  • Surgery Physician
  • Lawrence, MA
  • NPI 1568460483

  Vascular Surgery

  NPD (past)
• Allan Hoffman, MD

  • Vascular & Interventional Radiology Physician
  • Salem, MA
  • NPI 1689668410
  NPD (past)
• Paul C Gryzenia, MD

  • Vascular & Interventional Radiology Physician
  • Troy, MI
  • NPI 1255325262
  NPD (past)
• Laurence P Young, M.D.

  • Vascular Surgery Physician
  • Manchester, NH
  • NPI 1588722177
  NPD (past)

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

{
    "created_epoch": "1140307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1881669398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2200",
            "city": "AMHERST",
            "state": "NH",
            "postal_code": "030314200",
            "telephone_number": "603-673-9411",
            "fax_number": "603-673-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 RESEARCH PL",
            "address_2": "SUITE 207",
            "city": "NORTH CHELMSFORD",
            "state": "MA",
            "postal_code": "018632439",
            "telephone_number": "978-453-6900",
            "fax_number": "978-453-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VASCULAR ASSOCIATES OF THE MERRIMACK VALLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-19",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "978-453-6900",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "M17112",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0013994",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "668785",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9708189",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON COMMUNITH HEALTH",
            "identifier": "37664",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toward Independent Living and Learning,Inc.
• Trauma and Family Integration
• Patricia Anne Tremblay, RN
• Usha Tripathi, MD
• Grace S Trivers, APRN-BC
• Lauren Verra, M.D.
• Bethany Villa, PA-C
• Village Primary Care & Wellness PC
• Caitlin G. Waters, MD
• Kate Alissa Weber

• Vascular Surgery Physician in North Chelmsford, MA
• Providers in North Chelmsford, MA by specialty
• Vascular Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.