Organization Active NPI

Michel Lirette MD LLC

Doing business as Michel Lirette MD PC

  • Medical Specialty Clinic/Center
  • North Andover, MA
National Provider Identifier
1891054003
Registry record updated May 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
76941 Issued in MA
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

Updated by the provider on May 8, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
J13903OtherMABLUESHIELD OF MASSACHUSETTS
M17018OtherMABLUESHIELD OF MASSACHUSETTS
3110541MedicaidMA
13002OtherMAHARVARDPILGRIM HEALTHCARE
730461OtherMATUFTS HEALTH CARE
9784802MedicaidMA

Other names 1

  • Michel Lirette MD PC Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.