NPIMap

Individual provider Active NPI

Mary E Norris, MD

  • Gastroenterology Physician
  • Holyoke, MA
National Provider Identifier
1881694362
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD00045945 Issued in WA
Practice address
2 Hospital Dr
Suite 203
Holyoke, MA 01040-6632
Phone
(413) 540-5048
Fax
(413) 540-5049
NPI assigned
Jul 27, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 18549 MS
Gastroenterology Physician 207RG0100X MD00045945 WA Primary

Addresses

Primary practice location

2 Hospital Dr
Suite 203
Holyoke, MA 01040-6632

Mailing address

2 Hospital Dr
Suite 203
Holyoke, MA 01040-6632
Phone (413) 540-5048

Other identifiers 5

IdentifierTypeStateIssuer
207359OtherWAL & I
8941018OtherWACRIME VICTIMS
8448490MedicaidWA
028101MedicaidOR
03088021MedicaidMS

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

LicenseStateTypeSpecialty
18549MSMDGastroenterology Physician
MD00045945WAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stone, Goldenberg & Dharan LLP Gastroenterology Past Accepting new patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients
Holyoke Medical Center, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337817600000",
    "number": "1881694362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL DR",
            "address_2": "SUITE 203",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406632",
            "telephone_number": "413-540-5048",
            "fax_number": "413-540-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOSPITAL DR",
            "address_2": "SUITE 203",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406632",
            "telephone_number": "413-540-5048",
            "fax_number": "413-540-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORRIS",
        "first_name": "MARY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2012-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MS",
            "license": "18549",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "MD00045945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "207359",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8941018",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8448490",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "028101",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03088021",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.

Verify at the official NPI Registry.