Elizabeth A Mcnichol (NPI# 1568865194, PAC ID# 1052628831) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1568865194 |
| PAC ID by PECOS | 1052628831 |
| Professional Enrollment ID | I20150910001555 |
| Full Name | Elizabeth A Mcnichol |
| Organization Legal Name | MYSTIC VALLEY DERMATOLOGY ASSOC., P.C. |
| Address |
92 Montvale Ave Suite 3000 Stoneham MA 02180-3658 |
| Phone Number | 7814386350 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8022083344 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220105 | WINCHESTER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3658 | 7814386350 | MYSTIC VALLEY DERMATOLOGY ASSOC., P.C. |
| Organization Legal Name | MYSTIC VALLEY DERMATOLOGY ASSOC., P.C. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jessica Scheel Connett | Dermatology | Mystic Valley Dermatology Assoc., P.C. | 92 High St, T21, Medford, MA 02155-3840 |
| Donald J Grande | Dermatology | Mystic Valley Dermatology Assoc., P.C. | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3658 |
| Oluwatobi Ogbechie-godec | Dermatology | Mystic Valley Dermatology Assoc., P.C. | 92 High St, T21, Medford, MA 02155-3840 |
| Zoe D Stitt | Dermatology | Mystic Valley Dermatology Assoc., P.C. | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3658 |
| Kate B Obrien | Nurse Practitioner | Mystic Valley Dermatology Assoc., P.C. | 92 High St, T21, Medford, MA 02155-3840 |
| Linda V Pham | Nurse Practitioner | Mystic Valley Dermatology Assoc., P.C. | 92 High St, T21, Medford, MA 02155-3840 |
| Lindsay M Demsey | Physician Assistant | Mystic Valley Dermatology Assoc., P.C. | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3658 |
| Street Address |
92 MONTVALE AVE SUITE 3000 |
| City | STONEHAM |
| State | MA |
| Zip | 02180-3658 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Craig Hansen | Physical Therapy | Orthopedic Surgery, Inc | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3601 |
| Craig Allen Lehmann | Physician Assistant | Orthopedic Surgery, Inc | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3601 |
| Lonny Maged-rubio | Psychologist, Clinical | Child and Family Psychological Services Pllc | 92 Montvale Ave, Suite 2450, Stoneham, MA 02180-3662 |
| Donald J Grande | Dermatology | Mystic Valley Dermatology Assoc., P.C. | 92 Montvale Ave, Suite 3000, Stoneham, MA 02180-3658 |
| Abraham T Shurland | Orthopedic Surgery | Orthopedic Surgery, Inc | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3601 |
| Evan J Zahner | Orthopedic Surgery | Orthopedic Surgery, Inc | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3601 |
| John Douzepis | Physical Therapy | Orthopedic Surgery, Inc | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3601 |
| Michael Bradley Bader | Internal Medicine | Partners Community Physicians Organization Inc | 92 Montvale Ave, Suite 3400, Stoneham, MA 02180-3668 |
| Christy H Wright | Occupational Therapy | Orthopedic Surgery, Inc | 92 Montvale Ave, Suite 1400, Stoneham, MA 02180-3601 |
| Sergio R Korndorfer | Psychiatry | Child and Family Psychological Services Pllc | 92 Montvale Ave, Suite 2450, Stoneham, MA 02180-3662 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dianne B Macleod | Nurse Practitioner | Daf Medical Associates Inc | 111 N St, Stoneham, MA 02180 |
| Alla Feygina | Internal Medicine | Daf Medical Associates Inc | 4 Virginia Lane, Stoneham, MA 02180 |
| Karen T Welch | Nurse Practitioner | Daf Medical Associates Inc | 4 Virginia Lane, Stoneham, MA 02180 |
| Lori L Pires | Physical Therapy | Advantage Sports Medicine and Physical Therapy,inc. | 245 N St, Stoneham, MA 02180 |
| Sharon B Lamb | Physical Therapy | Advantage Sports Medicine and Physical Therapy,inc. | 245 N St, Stoneham, MA 02180 |
| Joyce Lockert | Physical Therapy | Advantage Sports Medicine and Physical Therapy,inc. | 245 N St, Stoneham, MA 02180 |
| Robert G Alexander | Ophthalmology | 3 Woodland Rd, Med Off Bldg Suite 112, Stoneham, MA 02180-1703 | |
| Eric B Samuel | Family Medicine | Hallmark Health Medical Associates Inc | 3 Woodland Rd, Stoneham, MA 02180-1710 |
| Sonya Sheth | Optometry | Clear Vision Eye Center,inc | 3 Woodland Rd, Suite 120, Stoneham, MA 02180-1710 |
| Nilesh Sheth | Ophthalmology | Clear Vision Eye Center,inc | 3 Woodland Rd, Suite 120, Stoneham, MA 02180-1710 |
| Find all physicians in zip 02180 | |||
| City | STONEHAM |
| Zip Code | 02180 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | STONEHAM + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Elizabeth A Mcnichol.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.