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
Gender :Female
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
Phone Number :978-410-6100
Fax Number :978-410-6109
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
NPI Entity Type : Individual
First Enrolment Date : 15 Nov, 2005
Last Updated On : 16 Nov, 2015
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 SpecialityPrimaryLicense No.State
208000000XPediatricsYes156974MA
Legacy Identifiers:
Other legacy medical identifiers of Elizabeth M Lidstone Jayanath such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
3188787OtherMEDICAID/WELFARE
784154OtherMVP HEALTH CARE
J19766OtherBLUE SHIELD INDEMNITY
042472266OtherONE HEALTH PLAN
42389OtherFALLON COMMUNITY HLTH PL
A29170OtherMEDICARE B
042472266OtherPRIVATE HEALTHCARE SYSTEM
33367OtherHEALTHY START
1836498OtherFIRST HEALTH
7521481OtherCIGNA HEALTH PLAN
3188787MEDICAIDMA
J19766OtherBLUE CARE ELECT
042472266OtherHEALTHCARE VALUE MNGMENT
3188787OtherMEDICAID PCC
33367OtherCHILDRENS MED SECURITY PL
7575320OtherAETNA/US HEALTHCARE
AA1277OtherHARVARD PILGRIM HEALTHCAR
J19766OtherBLUE 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
Phone Number :978-878-8100
Fax Number :978-878-8418
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.