JUDITH A MCNICHOLAS


Address: 900 Union St, Westborough, MA 01581-5408
Phone: 5088710700

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
101 Cedar St, Milford, MA 017571101 5086348127 5084538127
123 Summer St Ste 160, Worcester, MA 016081216 5083683102 5083683917

Office Location

Street Address 900 UNION ST
City WESTBOROUGH
State MA
Zip Code 01581-5408

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 207VF0040X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Female Pelvic Medicine and Reconstructive Surgery

Taxonomy Definition

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

Providers in the same taxonomy and state

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

Competitor

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City WESTBOROUGH
Zip Code 01581

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Dataset Information

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.

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