Active NPIIndividual provider

Kathryn Edmiston, MD

Internal Medicine, Hematology & Oncology in Worcester, Massachusetts

NPI Number1306820790
Practice location
55 Lake Ave N, Worcester, MA 01655-0002
Fax
774-442-6715
Last updated
October 30, 2020

Kathryn Edmiston is an Internal Medicine, Hematology & Oncology based in Worcester, MA. Kathryn Edmiston practices in Worcester, MA and has the professional credentials of MD. The NPI Number for Kathryn Edmiston is 1306820790 and holds a License No. 57722 (MA). The current practice location address for Kathryn Edmiston is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-6200 and via fax at 774-442-6715.

Provider Profile Details

NPI Number
1306820790
Provider Name
Kathryn Edmiston
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA 01655-0002
Phone Number
508-334-6200
Fax Number
774-442-6715
Primary Taxonomy
Internal Medicine, Hematology & Oncology · 207RH0003X
Sole Proprietor
No
Provider Enumeration Date
November 30, 2005
Last Update Date
October 30, 2020
Certification Date
October 30, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave N
Worcester, MA 01655-0002
Zip
01655-0002
Phone Number
508-334-6200
Fax Number
774-442-6715
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
Po Box 415348
Boston, MA 02241-5348
City
Boston
State
MA
Zip
02241-5348

License Information

License Number
57722
License State
MA
Taxonomy
Internal Medicine, Hematology & Oncology · 207RH0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kathryn Edmiston, MD?

The NPI number of Kathryn Edmiston, MD is 1306820790. It was assigned on November 30, 2005 and is currently active in the NPPES registry.

What is the specialty of Kathryn Edmiston, MD?

Kathryn Edmiston, MD is registered under the primary taxonomy Internal Medicine, Hematology & Oncology (code 207RH0003X), licensed in MA under license number 57722.

Where does Kathryn Edmiston, MD practice?

The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-6200 (phone) or 774-442-6715 (fax).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306820790 directly on the NPPES registry website.

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