ALICE MCCORMICK ABBOTT


Address: 421 N Main St, Leeds, MA 01053-9764
Phone: 4135844040

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
78634 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
BCBS J31132 01
MA 3141691 05

Other Providers ALICE ABBOTT

NPI Name Taxonomy Address Enumeration
1114128394 Alice Ann Abbott Psychologist 12012 Wickchester Ln, Suite550, Houston, TX 77079-1229 2007-05-29

Office Location

Street Address 421 N MAIN ST
City LEEDS
State MA
Zip Code 01053-9764

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

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.

Providers in the same taxonomy and state

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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Competitor

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City LEEDS
Zip Code 01053

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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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