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ELIZABETH A MAHANOR MD NPI 1013994755


NPI Information

NPI: 1013994755
Provider Name: ELIZABETH A MAHANOR, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

PECOS Registration: Yes

Address:
123 SUMMER ST
WORCESTER, MA
ZIP 01608
Phone: (508) 368-3190
Get Directions

Elizabeth A Mahanor, MD is a vascular surgery surgery in Worcester, MA with 28 years of experience. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Elizabeth A Mahanor, MD NPI is 1013994755. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

123 SUMMER ST
WORCESTER, MA
ZIP 01608-312
Phone: (508) 368-3190
Fax: (508) 368-3193

The NPI 1013994755 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)

The enumeration date for this NPI number is 12/23/2005 and was last updated on 12/29/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0129XSurgeryVascular Surgery226477MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110041617AMEDICAIDMASSACHUSETTS
27480522OTHERMASSACHUSETTSAETNA
390832OTHERFALLON COMMUNITY HEALTH
4494359OTHERMASSACHUSETTSTUFTS HEALTH PLAN
5J29570OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD OF MA
61013994755OTHERMASSACHUSETTSUNITED HEALTH CARE
7A39481OTHERMASSACHUSETTSMEDICARE
8AA44138OTHERMASSACHUSETTSHARVARD PILGRIM
93589507OTHERMASSACHUSETTSCIGNA HEALTH PLAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.