ANDOVER OBSTETRICS AND GYNECOLOGICAL ASSOCIATES, PC (NPI# 1831304237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831304237 |
| Entity Type | Organization |
| Organization Name | ANDOVER OBSTETRICS AND GYNECOLOGICAL ASSOCIATES, PC |
| Practice Address |
323 Lowell Street Suite 302 Andover MA 01810-4501 |
| Practice Telephone | 9784752731 |
| Practice Fax Number | 9789752536 |
| Mailing Telephone | 9784752731 |
| Mailing Fax Number | 9789752536 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2016-05-19 |
| Authorized Official Name | MR. EDWIN C RADKE (PRESIDENT) |
| Authorized Official Telephone | 9784752731 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 81954 | MA | Other Service Providers |
| Street Address |
323 LOWELL STREET SUITE 302 |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750856647 | John O'shea | Physician Assistant | 323 Lowell Street, West Wing, 1st Floor, Andover, MA 01810 | 2018-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871123513 | Jill Katherine Priestley | Registered Nurse | 251 South Main Street, Andover, MA 01810 | 2020-01-22 |
| 1023672086 | Diane Marie Gallant | Occupational Therapy Assistant | 5606 80 Andover Street, Andover, MA 01810 | 2019-04-25 |
| 1932677473 | Jessica Howie | Physician Assistant | 28 Andover St Fl 1, Andover, MA 01810 | 2018-11-02 |
| 1972087138 | Mia Cloonan | Social Worker | 1 Punchard Avenue, Apt. 3 Rear, Andover, MA 01810 | 2018-09-23 |
| 1063995462 | Janet Suleski | Social Worker | 10 Stevens St, Andover, MA 01810 | 2018-09-11 |
| 1942794706 | Alison Catherine Lynch | Optometrist | 7 Parthenon Cir, Andover, MA 01810 | 2018-06-15 |
| 1740773647 | Wandajune Bishop-towle | Psychologist | 75 Wild Rose Dr., Andover, MA 01810 | 2018-06-14 |
| 1235689860 | Jo-ann Elizabeth Newcomb | Registered Nurse | 12 Hemlock Rd, Andover, MA 01810 | 2016-10-06 |
| 1922476712 | Marianela Rivera | Physical Therapist | 32 Osgood St., Andover, MA 01810 | 2015-09-10 |
| 1447535935 | Kathleen L Mccracken | Occupational Therapy Assistant | 200 Brickstone Square, 3rd Floor, Genesis Rehab Services, Andover, MA 01810 | 2011-10-15 |
| Find all providers in zip 01810 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508234063 | Kathryn Nutter | Specialist | 101 Cross St, Andover, MA 01810-3259 | 2015-09-14 |
| 1922388107 | Gail M. Bloom | Specialist | 27 Somerset Dr, Andover, MA 01810-1249 | 2011-08-19 |
| 1548575392 | Eve Larochelle Faucher | Specialist | 51 Dufton Rd, Andover, MA 01810-2730 | 2010-08-17 |
| 1922276971 | Jeanine Marie Witten | Specialist | 8 Greybirch Rd, Andover, MA 01810-3266 | 2008-02-12 |
| 1568647493 | Christine Lightburn | Specialist | 4 Pheasant Run, Andover, MA 01810-4271 | 2008-01-09 |
| 1952413387 | Stephen P. Amos | Specialist | 149 S Andover Rd, Andover, KS 67002-7920 | 2006-08-31 |
| 1659325066 | Mark H Winholtz | Specialist | 14860 Makah St Nw, Andover, MN 55304-2863 | 2006-05-20 |
| 1780654798 | Margaret Ann Downes | Specialist | 46 Walnut Ave, Andover, MA 01810-3113 | 2006-01-23 |
| 1407213747 | Cassi Sharrett | Specialist | 38 Water St, Andover, NY 14806-9417 | 2016-01-18 |
| 1770731739 | Pamela Ann Robsahm | Specialist | 13750 Crosstown Dr Nw, Suite L100, Andover, MN 55304-5853 | 2008-09-03 |
| Find all providers in ANDOVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.