DIANE KILDUFF (NPI# 1700829058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700829058 |
| Entity Type | Individual |
| Full Name | DIANE KILDUFF |
| Credential | NP |
| Practice Address |
42 Patton Rd Ayer MA 01434-3801 |
| Mailing Address |
P.o. Box 3652 8 Wenaumet Bluff Dr. Pocasset MA 02559 |
| Practice Telephone | 9787961000 |
| Mailing Telephone | 5082464463 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
198195 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0708216 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 116 Belmont St, Worcester, MA 016052964 | 5087701602 |
| Street Address |
42 PATTON RD |
| City | AYER |
| State | MA |
| Zip Code | 01434-3801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841277357 | Amy Marie Taylor | Psychiatry & Neurology | 42 Patton Rd, Ayer, MA 01434-4006 | 2005-12-27 |
| 1861056418 | Dean J. Overmiller | Emergency Medical Technician, Basic | 42 Patton Rd, Ayer, MA 01434-3802 | 2019-04-30 |
| 1982185096 | Robyn Coons | Social Worker | 42 Patton Rd, Ayer, MA 01434-3802 | 2018-08-27 |
| 1649769613 | Janet Howson | Psychologist | 42 Patton Rd, Ayer, MA 01434-3802 | 2018-05-05 |
| 1407356421 | Christina L Cozza | Social Worker | 42 Patton Rd, Ayer, MA 01434-3802 | 2018-02-16 |
| 1497175970 | Michaela Alexis Montecalvo | Physician Assistant | 42 Patton Rd, Ayer, MA 01434-3802 | 2014-04-23 |
| 1295046647 | Federal Medical Center Devens | Clinic/Center | 42 Patton Rd, Ayer, MA 01433 | 2010-06-30 |
| 1487803011 | Sandra Lynn Howard | Internal Medicine | 42 Patton Rd, Ayer, MA 01434-3802 | 2008-09-18 |
| 1205052958 | Howard J. Haas | Psychiatric Hospital | 42 Patton Rd, Ayer, MA 01434-3802 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598063794 | Erik Pfundstein | Physical Therapist | 399th Combat Support Hospital, Apo, AA 01434 | 2011-03-11 |
| 1518514884 | Kerrie Moran | Nurse Practitioner | 85 Patton Rd, Devens, MA 01434 | 2019-08-21 |
| 1194851212 | Kristen Ann Hickey | Registered Nurse | 85 Patton Rd, Devens, MA 01434 | 2007-02-25 |
| 1578711735 | Ramsey Rehabilitation, Inc. | Clinic/Center | 94 Jackson Rd, Devens, MA 01434-4011 | 2008-08-29 |
| 1750833083 | Barbara Gregoire | Registered Nurse | 38 Jackson Rd, Devens, MA 01434-4020 | 2016-11-03 |
| 1104047216 | Bionostics, Inc. | Durable Medical Equipment & Medical Supplies | 7 Jackson Rd, Mailorderdiabetes.com, Devens, MA 01434-4026 | 2007-05-02 |
| 1952923229 | Manpreet Kaur | Emergency Medical Technician, Basic | 27 Jackson Rd Ste 302, Devens, MA 01434-4037 | 2020-05-10 |
| 1962451716 | Craig M Coldwell | Psychiatry & Neurology | 85 Patton Rd, Devens, MA 01434-4401 | 2006-05-09 |
| 1649888702 | Yangchen Tenzin Gethoktsang | Nurse Practitioner | 85 Patton Rd, Devens, MA 01434-4401 | 2020-07-15 |
| 1689208050 | Jean-merimee Kouagheu | Registered Nurse | 85 Patton Rd, Devens, MA 01434-4401 | 2020-02-25 |
| Find all providers in zip 01434 | ||||
| Taxonomy Code | 207RA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Addiction Medicine |
| An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154804698 | Bay Medical Systems Associates LLC | Internal Medicine | 29 Main St Ste 101, Millbury, MA 01527-2005 | 2018-09-11 |
| 1619491198 | Willett & Associates | Internal Medicine | 22 Adams St Ste 1, Lynn, MA 01902-2804 | 2017-07-27 |
| 1275897092 | Jeoffrey Michael Hill | Internal Medicine | 100 Stone Manor Dr, New Marlborough, MA 01230-9744 | 2012-06-26 |
| 1487944914 | William Robert Caruso | Internal Medicine | 8 Winthrop Ave, Po 1153, Duxbury, MA 02332-5207 | 2011-04-18 |
| 1417139700 | David Anthony Tortorella | Internal Medicine | 170 Main St Units G4-g8, Tewksbury, MA 01876 | 2007-11-29 |
| 1609920776 | Theodore Treibick | Internal Medicine | 138 East St, Carlisle, MA 01741-1105 | 2007-01-23 |
| 1174544548 | William M Burke | Internal Medicine | 157 Temple St, West Roxbury, MA 02132-3804 | 2006-07-21 |
| 1083633580 | Michael J.f. Iannessa | Internal Medicine | 1233 State Rd, Plymouth, MA 02360-5133 | 2006-07-18 |
| 1235165291 | Robert Barry Downes | Internal Medicine | 169 Pine St, Natick, MA 01760-1332 | 2006-06-23 |
| 1669430526 | Alan A Wartenberg | Internal Medicine | 3 Prince St, Attleboro, MA 02703-1613 | 2006-05-02 |
| Find all providers with the same taxonomy | ||||
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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.