MRS. CYNTHIA MCKALLAGAT (NPI# 1144346537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144346537 |
| Entity Type | Individual |
| Full Name | MRS. CYNTHIA MCKALLAGAT |
| Credential | CFM |
| Practice Address |
349 N Main St Andover MA 01810-2687 |
| Mailing Address |
39 Fernwood Ave Haverhill MA 01835-8153 |
| Practice Telephone | 9784757779 |
| Practice Fax Number | 9784751662 |
| Mailing Telephone | 9785211492 |
| Mailing Fax Number | 9784751662 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | CFM01485 | MA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0408654 | 05 | |
| MA | BLUECROSSBLUESHIELD | 339354 | 01 |
| Street Address |
349 N MAIN ST |
| City | ANDOVER |
| State | MA |
| Zip Code | 01810-2687 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265486682 | Letourneau's Pharmacy, Inc. | Pharmacy | 349 N Main St, Andover, MA 01810-2687 | 2006-05-20 |
| 1033316138 | Mary Anyzeski | Registered Nurse | 349 N Main St, Andover, MA 01810-2687 | 2007-07-02 |
| 1316069149 | Joseph W. Desiato, M.d. PC | Pediatrics | 349 N Main St, Andover, MA 01810-2687 | 2007-04-04 |
| 1811052335 | Cornelius M. Foley | Pharmacy Technician | 349 N Main St, Andover, MA 01810-2687 | 2006-12-26 |
| 1508920745 | Shawn W. Mckallagat | Pharmacist | 349 N Main St, Andover, MA 01810-2687 | 2006-12-21 |
| 1982768131 | Barbara J. Fleno | Pharmacist | 349 N Main St, Andover, MA 01810-2687 | 2006-12-21 |
| 1790862183 | Cataract and Laser Center of The North Shore, LLC | Clinic/Center | 349 N Main St, Andover, MA 01810-2687 | 2006-11-01 |
| 1164508339 | Robert A Keller | Nurse Anesthetist, Certified Registered | 349 N Main St, Cataract Laser Center, Andover, MA 01810 | 2006-10-31 |
| 1356435366 | Joseph William Desiato | Pediatrics | 349 N Main St, Andover, MA 01810-2687 | 2006-10-03 |
| 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 |
| 1831304237 | Andover Obstetrics and Gynecological Associates, PC | Specialist | 323 Lowell Street, Suite 302, Andover, MA 01810-4501 | 2007-05-11 |
| 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 |
| 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.