ELLEN M MCCAFFERTY-OCONNELL


Address: 66 Lewis Bay Road, Breast Care Center, Hyannis, MA 02601
Phone: 5088627816

ELLEN M MCCAFFERTY-OCONNELL (NPI# 1184692766) 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) 1184692766
Entity Type Individual
Full Name ELLEN M MCCAFFERTY-OCONNELL
Other Name ELLEN M MCCAFFERTY
Credential NP
Practice Address 66 Lewis Bay Road
Breast Care Center
Hyannis
MA 02601
Practice Telephone 5088627816
Practice Fax Number 5087789381
Mailing Telephone 5088627816
Mailing Fax Number 5087789381
Enumeration Date 2006-03-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
164362 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BCBS NP1768 01

Office Location

Street Address 66 LEWIS BAY ROAD
BREAST CARE CENTER
City HYANNIS
State MA
Zip Code 02601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235107251 Margaret M Mcardle Nurse Practitioner 66 Lewis Bay Road, Breast Care Center, Hyannis, MA 02601 2006-03-08

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1295110732 Karen Messier Nurse Practitioner 89 Suomi Road, Hyannis, MA 02601-3634 2015-07-27

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NPI Name Taxonomy Address Enumeration
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1962064626 Katharine Kingsley Campbell Nurse Practitioner 50 Orchardhill Rd, Jamaica Plain, MA 02130-3725 2019-07-02
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Competitor

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City HYANNIS
Zip Code 02601

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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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