MARTHA BORGES WAITE MD NPI 1700861655

NPI Information

NPI: 1700861655
Provider Name: MARTHA BORGES WAITE, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
64 BOYDEN RD
HOLDEN, MA
ZIP 01520
Phone: (508) 885-2003
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Martha Borges Waite, MD is a pediatrics in Holden, MA. The provider is a pediatrician 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. Martha Borges Waite, MD NPI is 1700861655. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

64 BOYDEN RD
HOLDEN, MA
ZIP 01520
Phone: (508) 885-2003
Fax: (508) 885-8071

The NPI 1700861655 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 12/14/2005 and was last updated on 6/1/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		73863	MASSACHUSETTS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	042472266	OTHER		PRIVATE HEALTHCARE SYSTEM
2	1061488	OTHER		FIRST HEALTH
3	110053797A	MEDICAID	MASSACHUSETTS
4	3548144	OTHER		CIGNA HEALTHSOURCE
5	J30184	OTHER		BLUE CARE SELECT
6	27044	OTHER		CHILDRENS MEDICAL SECURIT
7	4532668	OTHER		AETNA US HEALTHCARE
8	991088	OTHER		FALLON COMMUNITY HEALTH
9	J30184	OTHER		BLUE SHIELD INDEMNITY
10	042472266	OTHER		THREE RIVERS
11	AA1183	OTHER		HARVARD PILGRIM
12	J30184	OTHER		BLUE SHIELD HMO BLUE
13	784208	OTHER		MVP HEALTH CARE
14	27044	OTHER		HEALTHY START
15	042472266	OTHER		ONE 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: 11/14/2023

NPI Synchronization or Removal

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