Judith Recknagel MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

44588 Issued in MA

Legal business name

JUDITH RECKNAGEL MD

Practice address

923 Main St
Route 6
Yarmouth Port, MA 02675-2159

Phone

(508) 362-3188

NPI assigned

Oct 18, 2007

Organization subpart

No

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

Authorized official

Name

Sheila Souza

Title

Billing Agency Ceo

Phone

(508) 548-8989

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith Recknagel, MD

  • Internal Medicine Physician
  • Yarmouthport, MA
  • NPI 1134183957
  NPD (past)
• Elizabeth Andrews Volz, PA-C

  • Physician Assistant
  • Bayfield, CO
  • NPI 1184861494
  NPD (past)

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192665600000",
    "number": "1124217856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025410905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 MAIN ST",
            "address_2": "ROUTE 6",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026752159",
            "telephone_number": "508-362-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUDITH RECKNAGEL MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2007-10-18",
        "status": "A",
        "authorized_official_last_name": "SOUZA",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "BILLING AGENCY CEO",
        "authorized_official_telephone_number": "508-548-8989"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "44588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne M. Ierardi, LMHC, D.MIN.
• Katie E Ilkovich
• Elizabeth Jackson
• James T. Reimer, M.D., P.C.
• John Andrew Johnson Jr., D.O.
• Sheila Ann Kane, APRN,BC
• Edith Sanborn Kaselis, MD
• Kendall Ceban, LMHC, LLC
• Megan Kenney, LICSW
• Laura Kett

• Internal Medicine Physician in Yarmouth Port, MA
• Providers in Yarmouth Port, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.