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MARY ELIZABETH CHMURA MD NPI 1174586051


NPI Information

NPI: 1174586051
Provider Name: MARY ELIZABETH CHMURA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
58 OLD NORTH RD
WORTHINGTON, MA
ZIP 01098
Phone: (413) 238-5511
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Mary Elizabeth Chmura, MD is a family medicine in Worthington, MA with 28 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mary Elizabeth Chmura, MD NPI is 1174586051. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:1996

The provider's business location address is:

58 OLD NORTH RD
WORTHINGTON, MA
ZIP 01098-753
Phone: (413) 238-5511
Fax: (413) 238-5358

The NPI 1174586051 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 enumeration date for this NPI number is 4/11/2006 and was last updated on 10/7/2011.


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
1207Q00000XFamily Medicine221958MASSACHUSETTSYes

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
120-2253144OTHERMASSACHUSETTSPLAN VISTA
22104784MEDICAIDMASSACHUSETTS
320-2253144OTHERMASSACHUSETTSNORTHEAST HEALTH DIRECT
422-2253144OTHERMASSACHUSETTSNORTHEAST HEALTHCARE ALLI
5A38433MEDICARE PINMASSACHUSETTS
6J28908OTHERMASSACHUSETTSBCBS MA
720-2253144OTHERMASSACHUSETTSPHCS
820-2253144OTHERMASSACHUSETTSUNICARE/GIC
920-2253144OTHERMASSACHUSETTSCONSOLIDATED
10221958OTHERMASSACHUSETTSCONNECTICARE
113840924OTHERMASSACHUSETTSAETNA
12H09517MEDICARE UPIN
13000000031433OTHERMASSACHUSETTSBMC
1420-2253144OTHERMASSACHUSETTSNORTH AMERICAN PREFERRED
1536365OTHERMASSACHUSETTSHEALTH NEW ENGLAND
1687333OTHERMASSACHUSETTSCHILDREN'S MED. SECURITY
17414540OTHERMASSACHUSETTSTUFTS
1820-2253144OTHERMASSACHUSETTSGREAT-WEST
19AA34373OTHERMASSACHUSETTSHARVARD PILGRIM
204470530OTHERMASSACHUSETTSCIGNA

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.