Elizabeth M Lidstone Jayanath
MD | Pediatrics | Female
Elizabeth M Lidstone Jayanath, MD is a Garder, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Elizabeth M Lidstone Jayanath is
175 Connors Street, Garder, Massachusetts - 01440. She can be contacted on phone at
978-410-6100 and fax number 978-410-6109.
Elizabeth M Lidstone Jayanath is a sole proprietor of her business.
NPI number (Unique professional ID) for Elizabeth M Lidstone Jayanath is
1124000294 which was assigned by NPPES on 15 Nov, 2005 and it was last updated on 16 Nov, 2015.
Elizabeth M Lidstone Jayanath license number is
156974 for Pediatrics (208000000X) in Massachusetts.
Elizabeth M Lidstone Jayanath is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Elizabeth M Lidstone Jayanath basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Elizabeth M Lidstone Jayanath |
|---|
| Credential : | MD |
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| Gender : | Female |
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Business Address:
Elizabeth M Lidstone Jayanath address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 175 Connors Street
Garder, MA, 01440
United States |
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| Phone Number : | 978-410-6100 |
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| Fax Number : | 978-410-6109 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1124000294 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 15 Nov, 2005 |
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| Last Updated On : | 16 Nov, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elizabeth M Lidstone Jayanath are as mentioned. Primary taxonomy code for Elizabeth M Lidstone Jayanath, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 156974 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Elizabeth M Lidstone Jayanath such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3188787 | Other | | MEDICAID/WELFARE |
| 784154 | Other | | MVP HEALTH CARE |
| J19766 | Other | | BLUE SHIELD INDEMNITY |
| 042472266 | Other | | ONE HEALTH PLAN |
| 42389 | Other | | FALLON COMMUNITY HLTH PL |
| A29170 | Other | | MEDICARE B |
| 042472266 | Other | | PRIVATE HEALTHCARE SYSTEM |
| 33367 | Other | | HEALTHY START |
| 1836498 | Other | | FIRST HEALTH |
| 7521481 | Other | | CIGNA HEALTH PLAN |
| 3188787 | MEDICAID | MA | |
| J19766 | Other | | BLUE CARE ELECT |
| 042472266 | Other | | HEALTHCARE VALUE MNGMENT |
| 3188787 | Other | | MEDICAID PCC |
| 33367 | Other | | CHILDRENS MED SECURITY PL |
| 7575320 | Other | | AETNA/US HEALTHCARE |
| AA1277 | Other | | HARVARD PILGRIM HEALTHCAR |
| J19766 | Other | | BLUE SHIELD HMO BLUE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 326 Nichols Road
Fitchburg, MA, 01420-1914
United States |
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| Phone Number : | 978-878-8100 |
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| Fax Number : | 978-878-8418 |
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Business Location:
Patients can refer following map for directions to
Elizabeth M Lidstone Jayanath practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.