Ann L Eldridge MD PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

ANN L ELDRIDGE MD PC

Practice address

60 Munson Meeting Way Ste K
Chatham, MA 02633-1992

Phone

(508) 945-0022

Fax

(508) 945-1930

NPI assigned

Sep 20, 2007

Last updated

Sep 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ann L Eldridge, M.D.NPI 1023123791

Title

President

Phone

(508) 945-0022

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ann L Eldridge, M.D.

  • Dermatology Physician
  • Chatham, MA
  • NPI 1023123791
  NPD Authorized official

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1174719488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MUNSON MEETING WAY STE K",
            "city": "CHATHAM",
            "state": "MA",
            "postal_code": "026331992",
            "telephone_number": "508-945-0022",
            "fax_number": "508-945-1930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MUNSON MEETING WAY STE K",
            "city": "CHATHAM",
            "state": "MA",
            "postal_code": "026331992",
            "telephone_number": "508-945-0022",
            "fax_number": "508-945-1930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN L ELDRIDGE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-945-0022",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garland S Alcock, M.D.
• Deirdre O Arvidson
• Rachel Baum
• Carol Elisabeth Bliss
• Jennifer Ann Boutin, RDH
• Sarah Kay Bryce, RPH

• Dermatology Physician in Chatham, MA
• Providers in Chatham, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.