Active NPI
Michel Lirette MD LLC
Doing business as Michel Lirette MD PC
- Medical Specialty Clinic/Center
- North Andover, MA
National Provider Identifier
1891054003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 76941
- Legal business name
- MICHEL LIRETTE MD LLC
- Doing business as
- Michel Lirette MD PC
- Practice address
- 203 Turnpike St
Suite 115
North Andover, MA 01845-5042 - Phone
- (978) 681-4505
- Fax
- (978) 681-4507
- NPI assigned
- May 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Gina Marie Croteau
- Title
- Practice Manager
- Phone
- (978) 681-4505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Birthing Clinic/Center | 261QB0400X | |||
| Medical Specialty Clinic/Center | 261QM2500X | 76941 | MA | Primary |
Addresses
Primary practice location
203 Turnpike St
Suite 115
North Andover, MA 01845-5042
Mailing address
203 Turnpike St
Suite 115
North Andover, MA 01845-5042
Phone (978) 681-4505
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| J13903 | Other | MA | BLUESHIELD OF MASSACHUSETTS |
| M17018 | Other | MA | BLUESHIELD OF MASSACHUSETTS |
| 3110541 | Medicaid | MA | |
| 13002 | Other | MA | HARVARDPILGRIM HEALTHCARE |
| 730461 | Other | MA | TUFTS HEALTH CARE |
| 9784802 | Medicaid | MA |
Other names 1
- Michel Lirette MD PC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1336435200000",
"number": "1891054003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 TURNPIKE ST",
"address_2": "SUITE 115",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455042",
"telephone_number": "978-681-4505",
"fax_number": "978-681-4507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 TURNPIKE ST",
"address_2": "SUITE 115",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455042",
"telephone_number": "978-681-4505",
"fax_number": "978-681-4507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHEL LIRETTE MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-08",
"last_updated": "2012-05-08",
"status": "A",
"authorized_official_last_name": "CROTEAU",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "978-681-4505",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QB0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Birthing",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "MA",
"license": "76941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD OF MASSACHUSETTS",
"identifier": "J13903",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUESHIELD OF MASSACHUSETTS",
"identifier": "M17018",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3110541",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARDPILGRIM HEALTHCARE",
"identifier": "13002",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH CARE",
"identifier": "730461",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9784802",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Michel Lirette MD PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.