JUDITH A MCNICHOLAS (NPI# 1013962026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013962026 |
Entity Type | Individual |
Full Name | JUDITH A MCNICHOLAS |
Credential | MD |
Practice Address |
900 Union St Westborough MA 01581-5408 |
Mailing Address |
630 Plantation Street Worcester MA 01605 |
Practice Telephone | 5088710700 |
Practice Fax Number | 5086164411 |
Mailing Telephone | 5088710700 |
Mailing Fax Number | 5086164411 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207V00000X | Obstetrics & Gynecology | 76652 | MA | Allopathic & Osteopathic Physicians |
Y | 207VF0040X |
Obstetrics & Gynecology Specialization: Female Pelvic Medicine and Reconstructive Surgery |
76652 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ONE HEALTH PLAN | 042472266 | 01 | |
HARVARD PILGRIM HLTHCARE | AA6366 | 01 | |
BLUE SHIELD INDEMNITY | J13545 | 01 | |
HEALTHY START | 28030 | 01 | |
THREE RIVERS | 042472266 | 01 | |
BLUE CARE ELECT | J13545 | 01 | |
UNITED HEALTHCARE | 042472266 | 01 | |
FALLON COMMUNITY HEALTH | 9901002 | 01 | |
TUFTS HEALTH PLAN | 406954 | 01 | |
CHILDRENS MED SECURITY | 28030 | 01 | |
TRICARE CHAMPUS | 042472266 | 01 | |
CIGNA HEALTH PLAN | 3212073 | 01 | |
BLUE SHIELD HMO BLUE | J13545 | 01 | |
FIRST HEALTH | 1060988 | 01 | |
PRIVATE HEALTHCARE SYSTEM | 042472266 | 01 | |
MA | 110052917A | 05 | |
AETNA US HEALTHCARE | 5070604 | 01 | |
MVP HEALTH CARE | 784221 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
101 Cedar St, Milford, MA 017571101 | 5086348127 | 5084538127 |
123 Summer St Ste 160, Worcester, MA 016081216 | 5083683102 | 5083683917 |
Street Address |
900 UNION ST |
City | WESTBOROUGH |
State | MA |
Zip Code | 01581-5408 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699757666 | Karin L Underkoffler | Optometrist | 900 Union St, Westborough, MA 01581-5408 | 2005-11-16 |
1023505674 | Quest Diagnostics Massachusetts LLC | Clinical Medical Laboratory | 900 Union St, Westborough, MA 01581-5408 | 2018-04-19 |
1992206205 | Natalie M Dolan | Physician Assistant | 900 Union St, Westborough, MA 01581-5408 | 2018-02-22 |
1114270857 | Reliant Medical Group | Optometrist | 900 Union St, Westborough, MA 01581-5408 | 2012-10-18 |
1548464092 | John P. Mcmahon | Social Worker | 900 Union St, Westborough, MA 01581-5408 | 2007-06-11 |
1184841736 | Allison Michelle Diamond Camacho | Nurse Practitioner | 900 Union St, Westborough, MA 01581-5408 | 2007-04-18 |
1538212477 | Seamus Mark | Family Medicine | 900 Union St, Westborough, MA 01581-5408 | 2007-01-22 |
1861408452 | Kalindi J Mehta | Family Medicine | 900 Union St, Westborough, MA 01581-5408 | 2006-08-01 |
1699781039 | Leah E Doret | Family Medicine | 900 Union St, Westborough, MA 01581-5408 | 2006-07-31 |
1275552002 | Susan Lynne Stevenson | Nurse Practitioner | 900 Union St, Westborough, MA 01581-5408 | 2006-07-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043791957 | Colby Schulz | Occupational Therapist | Kindred Transitional Care - Therapy Department, 8 Colonial Drive, Westborough, MA 01581 | 2018-08-28 |
1134621055 | Rachel Bennet | Counselor | 288 Lyman Street, Allen Hall- Suite 2, Westborough, MA 01581 | 2018-03-07 |
1003318031 | Adrienne Gladding | Social Worker | 288 Lynam St, Suite 2, Westborough, MA 01581 | 2018-03-06 |
1760997670 | Westborough Dental Partners, P.C. | Dentist | 176 E Main St Ste 2, Westborough, MA 01581 | 2017-12-14 |
1578912432 | Daylene Marshall | Counselor | 155a Oak Street, Westborough, MA 01581 | 2016-06-10 |
1366890709 | Autism Resource &therapy Center | Behavioral Analyst | 1900 West Park Dr, Westborough, MA 01581 | 2016-05-26 |
1649699802 | Jean Breen | Counselor | 154 Oak Street, Westboro, MA 01581 | 2014-04-15 |
1760772123 | Ayon Bose | Counselor | 45 Lyman St Ste 11, Westborough, MA 01581 | 2011-04-19 |
1437472917 | Sharon Levesque Courville | Social Worker | 5 East Main St., Ste. 3, Westborough, MA 01581 | 2010-03-11 |
1063645844 | Town of Westborough | Counselor | 45 West Main St, Westborough, MA 01581 | 2009-08-27 |
Find all providers in zip 01581 |
Taxonomy Code | 207VF0040X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Female Pelvic Medicine and Reconstructive Surgery |
A subspecialist in Female Pelvic Medicine and Reconstructive Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them. |
Notes: Source: American Board of Medical Specialties, 2011. [1/1/2012: new] Resources: www.abms.org |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588225973 | Boston Pelvic Health and Wellness PC | Obstetrics & Gynecology | 62 Walnut St Fl 2nd, Wellesley, MA 02481-2113 | 2019-06-26 |
1346712759 | New England Urogynecology P.C. | Obstetrics & Gynecology | 800 W Cummings Park Ste 2550, Woburn, MA 01801-6389 | 2018-12-24 |
1881227114 | Neugyn-winpho Inc | Obstetrics & Gynecology | 800 W Cummings Park Ste 2550, Woburn, MA 01801-6389 | 2020-02-14 |
1629363346 | New England Urogynecology P.C. | Obstetrics & Gynecology | 800 W Cummings Park, Suite 2550, Woburn, MA 01801-6372 | 2011-06-10 |
City | WESTBOROUGH |
Zip Code | 01581 |
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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.