PHILIP J TAVANO MD PC NPI 1801809967

NPI Information

  • NPI: 1801809967
  • Provider Name: PHILIP J TAVANO MD PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Doing Business As: MERRIMACK VALLEY INTERNAL MEDICINE ASSOCIATES, PC
  • CLIA Number: 22D0979424
  • Address: 20 RESEARCH PL
    SUITE 310
    N CHELMSFORD, MA
    ZIP 01863
  • Phone: (978) 459-2152

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NPI Details

PHILIP J TAVANO MD PC is an internal medicine in N Chelmsford, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PHILIP J TAVANO MD PC NPI is 1801809967. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Merrimack Valley Internal Medicine Associates, Pc.

The provider's business location address is:

20 RESEARCH PL
SUITE 310
N CHELMSFORD, MA
ZIP 01863-454
Phone: (978) 459-2152
Fax: (978) 452-7285

The provider's authorized official is Philip J Tavano .
The authorized official title is President and has the following contact phone number (978) 459-2152.

The CLIA number assigned to this NPI record is 22D0979424 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 4/10/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine42398MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11205861390OTHERNPI
200-00760OTHERMASSACHUSETTSEVERCARE
31710919238OTHERNPI
4MX7294MEDICARE PIN
5A38166MEDICARE UPIN
61043245145OTHERNPI
7C0470MEDICARE PINMASSACHUSETTS
8PHM13259OTHERMASSACHUSETTSBLUE SHIELD OF MA
9M13259MEDICARE ID-TYPE UNSPECIFIED
10MX3821MEDICARE PIN
11G91515MEDICARE UPIN
129719741MEDICAIDMASSACHUSETTS
13CX05345MEDICARE PIN
14702916OTHERMASSACHUSETTSTUFTS HEALTH PLAN
15G97404MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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