Judith A McNicholas, MD

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

76652 Issued in MA

Practice address

900 Union St
Westborough, MA 01581-5408

Phone

(508) 871-0700

Fax

(508) 616-4411

NPI assigned

May 24, 2006

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: judith.mcnicholas.npi1013962026.reliant@direct.optumcare.masshiway.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Reliant Medical Group, Inc

  • Physical Therapist
  • Worcester, MA
  • NPI 1295827962
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1013962026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PLANTATION STREET",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "01605",
            "telephone_number": "508-871-0700",
            "fax_number": "508-616-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 UNION ST",
            "city": "WESTBOROUGH",
            "state": "MA",
            "postal_code": "015815408",
            "telephone_number": "508-871-0700",
            "fax_number": "508-616-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Summer St Ste 160",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016081216",
            "country_code": "US",
            "telephone_number": "508-368-3102",
            "fax_number": "508-368-3917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Milford",
            "state": "MA",
            "postal_code": "017571101",
            "country_code": "US",
            "telephone_number": "508-634-8127",
            "fax_number": "508-453-8127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNICHOLAS",
        "first_name": "JUDITH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "MA",
            "license": "76652",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "76652",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David McGarry, M.D.
• Julie McLucas
• John P. McMahon, LCSW
• Dana Robert McMaster, D.M.D.
• Kevin Emmett McNamara, RPH
• Medexpress Primary Care Massachusetts, P.C. (BJ's Wholesale - Westborough)
• Jennifer Megna, RPH
• Kalindi J Mehta, M.D.
• Daniel J Meininger, D.C.
• George A. Mele

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Westborough, MA
• Providers in Westborough, MA by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.