National Provider Identifier Database

ELIZABETH M LIDSTONE JAYANATH, MD – NPI #1124000294
Pediatrics

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.

Contact Information

ELIZABETH M LIDSTONE JAYANATH, MD
175 CONNORS STREET
GARDER, MA  01440
Phone: 978-410-6100
Fax: 978-410-6109
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for ELIZABETH M LIDSTONE JAYANATH

NPI Number 1124000294
Credentials MD
Entity Individual
Enumeration date 11/15/2005
Last updated 11/16/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 156974
  • MA Medicaid: 3188787
  • Other: 7575320 AETNA/US HEALTHCARE
  • Other: J19766 BLUE CARE ELECT
  • Other: J19766 BLUE SHIELD HMO BLUE
  • Other: J19766 BLUE SHIELD INDEMNITY
  • Other: 33367 CHILDRENS MED SECURITY PL
  • Other: 7521481 CIGNA HEALTH PLAN
  • Other: 42389 FALLON COMMUNITY HLTH PL
  • Other: 1836498 FIRST HEALTH
  • Other: AA1277 HARVARD PILGRIM HEALTHCAR
  • Other: 042472266 HEALTHCARE VALUE MNGMENT
  • Other: 33367 HEALTHY START
  • Other: 3188787 MEDICAID PCC
  • Other: 3188787 MEDICAID/WELFARE
  • Other: A29170 MEDICARE B
  • Other: 784154 MVP HEALTH CARE
  • Other: 042472266 ONE HEALTH PLAN
  • Other: 042472266 PRIVATE HEALTHCARE SYSTEM
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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