Active NPI
Andreja Packard, MD, PC
- Neurology Physician
- Leominster, MA
National Provider Identifier
1952586034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 209020
- Legal business name
- ANDREJA PACKARD, MD, PC
- Practice address
- 80 Erdman Way
Suite 202
Leominster, MA 01453-1840 - Phone
- (978) 537-0493
- Fax
- (978) 537-0649
- NPI assigned
- Jan 8, 2008
- Last updated
- Jun 24, 2008
- 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
- Andreja Packard, MD, PHD
- Title
- Owner
- Phone
- (978) 537-0493
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 209020 | MA | Primary |
Addresses
Primary practice location
80 Erdman Way
Suite 202
Leominster, MA 01453-1840
Mailing address
80 Erdman Way
Suite 202
Leominster, MA 01453-1840
Phone (978) 537-0493
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Neurology Physician
- Nashua, NH
- NPI 1215992052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1952586034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 ERDMAN WAY",
"address_2": "SUITE 202",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014531840",
"telephone_number": "978-537-0493",
"fax_number": "978-537-0649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 ERDMAN WAY",
"address_2": "SUITE 202",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "014531840",
"telephone_number": "978-537-0493",
"fax_number": "978-537-0649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREJA PACKARD, MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "PACKARD",
"authorized_official_first_name": "ANDREJA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "978-537-0493",
"authorized_official_credential": "MD, PHD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "209020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leominster, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.