MARY ANNE MCKENDALL (NPI# 1679774988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679774988 |
| Entity Type | Individual |
| Full Name | MARY ANNE MCKENDALL |
| Credential | MD |
| Practice Address |
One Enterprise Drive Blue Cross Blue Shield of Massachusetts Quincy MA 02171 |
| Practice Telephone | 6172469922 |
| Mailing Telephone | 6172469922 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2010-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD027333E | PA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 023987 | CT | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD06152 | RI | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 49861 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
ONE ENTERPRISE DRIVE BLUE CROSS BLUE SHIELD OF MASSACHUSETTS |
| City | QUINCY |
| State | MA |
| Zip Code | 02171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730661190 | Yvonne Ann Roth | Social Worker | 1 Enterprise Drive, Quincy, MA 02171 | 2018-09-03 |
| 1902397631 | Kristen Spain | Registered Nurse | 110 West Squantum St., North Quincy, MA 02171 | 2018-05-29 |
| 1760984777 | Oumaima Mansouri | Counselor | 110 West Squantum Street, Quincy, MA 02171 | 2018-03-06 |
| 1386163699 | Sophonie Belizaire | Assistant Behavior Analyst | South Shore Mental Health, 500 Victory Rd., Quincy, MA 02171 | 2017-09-18 |
| 1306209168 | Katherine R Standish | Family Medicine | 110 W Squantum St Ste 8, North Quincy, MA 02171 | 2016-03-30 |
| 1669852778 | Joseph Odom | Counselor | 43 Old Colony Road, Quincy, MA 02171 | 2015-06-03 |
| 1578825436 | Hoi Yuk Pang | Counselor | 1 Billings Rd, Quincy, MA 02171 | 2012-06-15 |
| 1275862526 | Naeemah Tahira Smith | Counselor | 210a Quincy Shore Dr, Quincy, MA 02171 | 2009-12-16 |
| 1386876779 | Mark Everds | Counselor | 97 Holmes Street, 2nd Floor, North Quincy, MA 02171 | 2009-08-18 |
| 1306014741 | Ping-chiu Chan | Acupuncturist | Chinese Medical Center, 38 Billings Road, Quincy, MA 02171 | 2008-02-20 |
| Find all providers in zip 02171 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386999001 | Kristi Michelle Gillette | Internal Medicine | 5011 Oak St, Quincy, IL 62305 | 2012-07-18 |
| 1447525241 | Pratt Medical Group, Inc | Internal Medicine | 1690 Crown Colony Dr, Suite 209, Quincy, MA 02169-0913 | 2012-03-13 |
| 1275819179 | Yan Tan | Internal Medicine | 40 Willard St Ste 103, Quincy, MA 02169 | 2011-10-24 |
| 1891079836 | Yueling Guo Moran | Internal Medicine | 1690 Crown Colony Drive, Quincy, MA 02169 | 2011-10-10 |
| 1740418466 | Alan C Wong | Internal Medicine | 500 Congress St Ste 3a, Quincy, MA 02169-0927 | 2009-07-01 |
| 1225284615 | Michael Van Haute | Internal Medicine | 40 Butler Rd Apt 15, Quincy, MA 02169-2242 | 2008-08-18 |
| 1013102326 | Robert H. Wu. Md, PC. | Internal Medicine | 339 Hancock St, Quincy, MA 02171-2438 | 2007-09-10 |
| 1790803294 | Alicja Gupta Mdpc | Internal Medicine | 21 Mayor Thomas J Mcgrath Hwy, Suite 202, Quincy, MA 02169-5351 | 2007-03-26 |
| 1396889085 | Seraphim P Papajiannis | Internal Medicine | 13 Presidents Ln, Quincy, MA 02169-1928 | 2007-02-16 |
| 1336232784 | Hantz C Hercule | Internal Medicine | 809 E Jefferson St, Quincy, FL 32351-2623 | 2006-09-30 |
| Find all providers in QUINCY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.