LYDIA B CAROLLO (NPI# 1225015134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225015134 |
| Entity Type | Individual |
| Full Name | LYDIA B CAROLLO |
| Credential | PA-C |
| Practice Address |
197 Adams Rd Williamstown MA 01267-2930 |
| Practice Telephone | 4136645900 |
| Practice Fax Number | 4136645767 |
| Mailing Telephone | 4134588182 |
| Mailing Fax Number | 4134583140 |
| Enumeration Date | 2005-12-30 |
| Last Update Date | 2011-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 24 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 9000419 | 05 |
| Street Address |
197 ADAMS RD |
| City | WILLIAMSTOWN |
| State | MA |
| Zip Code | 01267-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154319200 | Williamstown Medical Associates PC | Nurse Practitioner | 197 Adams Rd, Williamstown, MA 01267-2930 | 2005-10-12 |
| 1366086936 | Colleen Elizabeth Henry | Physician Assistant | 197 Adams Rd, Williamstown, MA 01267-2930 | 2019-11-06 |
| 1124686530 | Fairview Hospital | Clinic/Center | 197 Adams Rd, Williamstown, MA 01267-2930 | 2019-05-31 |
| 1225401656 | Sarah Jf Kangas | Nurse Practitioner | 197 Adams Rd, Williamstown, MA 01267 | 2015-11-06 |
| 1003185026 | Margaret J Scott | Physician Assistant | 197 Adams Rd, Williamstown, MA 01267-2930 | 2011-12-20 |
| 1811277668 | Jennifer D. Mygatt | Registered Nurse | 197 Adams Rd, Williamstown, MA 01267 | 2011-08-25 |
| 1649468299 | Williamstown Medical Associates | Podiatrist | 197 Adams Rd, Williamstown, MA 01267-2930 | 2007-10-09 |
| 1841385754 | Lamia Sekkal | Physician Assistant | 197 Adams Rd, Williamstown, MA 01267-2930 | 2006-10-04 |
| 1811097009 | Marian Madden | Internal Medicine | 197 Adams Rd, Williamstown, MA 01267 | 2006-09-25 |
| 1013995869 | Jonna L. Racela | Physician Assistant | 197 Adams Rd, Williamstown, MA 01267-2930 | 2006-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306331335 | Laurie Heatherington | Psychologist | 25 Stetson Court, Williamstown, Williamstown, MA 01267 | 2018-06-22 |
| 1457861734 | Rebecca A Figueroa | Occupational Therapist | 189 Stratton Road, Apt. A5, Williamstown, MA 01267 | 2017-10-02 |
| 1417346974 | Jacob T Shelsy | Physician Assistant | 197 Adams Road, Williamstown, MA 01267 | 2015-01-21 |
| 1487063095 | Sb Operating Company LLC | Skilled Nursing Facility | 1516 Cold Spring Road, Williamstown, MA 01267 | 2014-08-07 |
| 1164862132 | Brookside Operator LLC | Skilled Nursing Facility | 1561 Cold Springs Rd, Williamstown, MA 01267 | 2013-07-05 |
| 1043508997 | Jacqueline Bianco | Physical Therapist | 212 B Main Street, Williamstown, MA 01267 | 2011-07-13 |
| 1053520379 | Deborah J Flynn | Nurse Practitioner | 105 The Knolls, Thompson Health Center, Williamstown, MA 01267 | 2007-05-22 |
| 1841369873 | Ellen Doyle | Psychologist | 90 Adams Road, Williamstown, MA 01267 | 2006-11-06 |
| 1962503300 | Joshua S Kleederman | Dentist | 172 Adams Road, Williamstown, MA 01267 | 2006-09-26 |
| 1629087671 | Ira S Lapidus Dmd PC | Dentist | 182 Adams Road, Willamstown, MA 01267 | 2006-08-07 |
| Find all providers in zip 01267 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326657958 | Laura Rosenthal | Physician Assistant | 147 Oblong Rd, Williamstown, MA 01267-3038 | 2020-07-29 |
| 1417346974 | Jacob T Shelsy | Physician Assistant | 197 Adams Road, Williamstown, MA 01267 | 2015-01-21 |
| 1497875132 | Diane Tabachnick | Physician Assistant | 118 Clark Rd, Williamstown, VT 05679-9449 | 2007-03-29 |
| 1841385754 | Lamia Sekkal | Physician Assistant | 197 Adams Rd, Williamstown, MA 01267-2930 | 2006-10-04 |
| 1013995869 | Jonna L. Racela | Physician Assistant | 197 Adams Rd, Williamstown, MA 01267-2930 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869274 | David M Correll | Physician Assistant | 45 Wollaston Ave, Arlington, MA 02476-5836 | 2020-10-23 |
| 1699374660 | Sarah Ilana Katz | Physician Assistant | 11a Laurel St, Salem, MA 01970-4657 | 2020-10-21 |
| 1205435393 | Allison Lee Nocon | Physician Assistant | 289 Beacon St Apt 8, Boston, MA 02116-1263 | 2020-10-20 |
| 1841898384 | Chloe Friedman | Physician Assistant | 62 Patricia Dr, Abington, MA 02351-1081 | 2020-10-16 |
| 1760080378 | Jason Lee | Physician Assistant | 42 Electric Ave, Somerville, MA 02144-1604 | 2020-10-15 |
| 1700484656 | Emily Cioffi | Physician Assistant | 5 Cosma Rd, North Easton, MA 02356-1331 | 2020-10-13 |
| 1407453806 | Emily Louis | Physician Assistant | 174 Groton Rd, North Chelmsford, MA 01863-1205 | 2020-10-08 |
| 1336746775 | Lee T Gernon-lakin | Physician Assistant | 202 Robinson Hall, 360 Huntington Ave, Boston, MA 02215 | 2020-10-08 |
| 1073110433 | Ellen Boyle | Physician Assistant | 11 Castle Gate Rd, Wayland, MA 01778-4310 | 2020-10-07 |
| 1992302897 | Marissa Pond | Physician Assistant | 95 Concord St, Haverhill, MA 01830-2809 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | WILLIAMSTOWN |
| Zip Code | 01267 |
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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.