ALICE MCCORMICK ABBOTT (NPI# 1922096205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922096205 |
Entity Type | Individual |
Full Name | ALICE MCCORMICK ABBOTT |
Other Name | ALICE GWYN MCCORMICK |
Credential | MD |
Practice Address |
421 N Main St Leeds MA 01053-9764 |
Mailing Address |
421 North Main Leeds MA 01053 |
Practice Telephone | 4135844040 |
Practice Fax Number | 4137738435 |
Mailing Telephone | 4135844040 |
Mailing Fax Number | 4137738435 |
Enumeration Date | 2005-10-11 |
Last Update Date | 2010-07-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
78634 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | J31132 | 01 | |
MA | 3141691 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114128394 | Alice Ann Abbott | Psychologist | 12012 Wickchester Ln, Suite550, Houston, TX 77079-1229 | 2007-05-29 |
Street Address |
421 N MAIN ST |
City | LEEDS |
State | MA |
Zip Code | 01053-9764 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346850088 | Elisa Roberts | Nurse Practitioner | 421 N Main St, Leeds, MA 01053-9764 | 2020-08-07 |
1558906669 | Tatiana K. Lakalo | Social Worker | 421 N Main St, Leeds, MA 01053-9764 | 2019-11-12 |
1831743954 | Sabina Camponogara | Psychologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-07-26 |
1528627551 | Kimberly Marie Grey | Audiologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-06-12 |
1912464694 | Rachael M Wilson | Psychologist | 421 N Main St, Leeds, MA 01053-9764 | 2019-02-28 |
1508331554 | Shamus Sullivan | Counselor | 421 N Main St, Leeds, MA 01053-9764 | 2018-10-05 |
1962982363 | Shayna Alexis Bronstein | Registered Nurse | 421 N Main St, Leeds, MA 01053-9764 | 2018-08-16 |
1114413713 | Matthew J Charette | Social Worker | 421 N Main St, Leeds, MA 01053-9764 | 2018-07-06 |
1386130268 | Linda Darlene Hinkle | Social Worker | 421 N Main St, Leeds, MA 01053-9764 | 2018-07-03 |
1720585433 | Betsy Anne Jarmolowicz | Respiratory Therapist, Registered | 421 N Main St, Leeds, MA 01053-9764 | 2018-04-09 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790297448 | Theresa Koloski | Nurse Practitioner | 38 Mulberry St # 204, Po Box 313, Leeds, MA 01053 | 2017-11-02 |
1881881878 | Geneva R Schmitt | Psychologist | 421 N. Main St. Va Central Western Ma, Leeds, MA 01053 | 2007-10-03 |
1457545014 | Angela Marie Park | Pharmacist | 421 N. Main St, Department of Veterans Affairs Medical Center, Leeds, MA 01053 | 2007-08-28 |
1720297351 | Amy Rowen | Social Worker | 421 No. Main St, Building 9a, Leeds, MA 01053 | 2007-05-21 |
1124125687 | Harry Savas Vulopas | Counselor | 421 North Main, Leeds, MA 01053 | 2006-09-19 |
1861506966 | Benjamin F Thompson | Social Worker | 38 Mulberry Street, P.o. Box 479, Leeds, MA 01053 | 2006-08-18 |
1003849969 | Ahmad Karagah | Specialist | 421 North Main Street, Northampton Va Medical Center, Leeds, MA 01053 | 2006-07-07 |
1043299456 | Steven Gary Kessler | Psychiatry & Neurology | 421 N. Main St., Northampton Va Medical Center, Leeds, MA 01053 | 2006-01-13 |
1619500774 | Martila Hooks | Counselor | 401 N Main Street, Leeds, MA 01053 | 2020-02-18 |
1215572839 | William Theodore Bryant | Student in an Organized Health Care Education/Training Program | 421 N. Main Street, Leeds, MA 01053 | 2019-11-07 |
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Taxonomy Code | 207RE0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Endocrinology, Diabetes & Metabolism |
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447604590 | Denise H. Wong | Internal Medicine | 720 Harrison Ave Ste 8100, Boston, MA 02118-2371 | 2016-04-14 |
1518334515 | Stephany Khalil Matta | Internal Medicine | 75 Kneeland St Lbby 5, Boston, MA 02111-1906 | 2015-08-25 |
1972982205 | Karen Mccloskey | Internal Medicine | 110 Francis St Ste 6a, Boston, MA 02215-5501 | 2015-05-19 |
1568873230 | Eric David Nolen-doerr | Internal Medicine | 720 Harrison Ave Ste 801, Boston, MA 02118-2326 | 2014-05-15 |
1790117133 | Z Hinedi Md PC | Internal Medicine | 145 Hampton Rd, Sharon, MA 02067-3203 | 2013-08-08 |
1134564859 | Sravanthi Madala | Internal Medicine | 131 Old Road To 9 Acre Cor Ste 700, Concord, MA 01742 | 2013-05-08 |
1932462660 | Frederick Thomas Murray | Internal Medicine | 50 Pinehills Dr, Suite 201, Plymouth, MA 02360-7807 | 2012-06-18 |
1952662710 | Susan Choe | Internal Medicine | Lahey Outpatient Center @ Danvers, 480 Maple Street 1st Fl, Danvers, MA 01923 | 2012-06-07 |
1710243621 | Michele A Gortakowski | Internal Medicine | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2012-04-04 |
1750678520 | Shayhira Suazo Herrera | Internal Medicine | 8 Isabella Street, Holyoke Medical Center - Endocrinology & Diabetes Ctr., Holyoke, MA 01040 | 2011-06-30 |
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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.