Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 76652 | MA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 76652 | MA |
NPI | 1013962026 |
---|---|
Provider Name | Judith A Mcnicholas |
First Address | Worcester, MA 01605 |
Second Address | Westborough, MA 01581-5408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
042472266 | ONE HEALTH PLAN (01) | |
042472266 | PRIVATE HEALTHCARE SYSTEM (01) | |
042472266 | THREE RIVERS (01) | |
042472266 | TRICARE CHAMPUS (01) | |
042472266 | UNITED HEALTHCARE (01) | |
1060988 | FIRST HEALTH (01) | |
110052917A | (05) | MA |
28030 | CHILDRENS MED SECURITY (01) | |
28030 | HEALTHY START (01) | |
3212073 | CIGNA HEALTH PLAN (01) | |
406954 | TUFTS HEALTH PLAN (01) | |
5070604 | AETNA US HEALTHCARE (01) | |
784221 | MVP HEALTH CARE (01) | |
9901002 | FALLON COMMUNITY HEALTH (01) | |
AA6366 | HARVARD PILGRIM HLTHCARE (01) | |
F53369 | (02) | |
J13545 | BLUE CARE ELECT (01) | |
J13545 | BLUE SHIELD HMO BLUE (01) | |
J13545 | BLUE SHIELD INDEMNITY (01) |