Lydia R Jeffcoat, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

80924 Issued in MA

Practice address

1 Wallace Bashaw Way
Suite 2003
Newburyport, MA 01950-3875

Phone

(978) 465-0635

Fax

(978) 465-0941

NPI assigned

Sep 21, 2006

Last updated

Aug 13, 2012By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA, NH2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Medical Care of Boston Management Corporation

  • Internal Medicine Physician
  • Needham, MA
  • NPI 1437196359

  NH

  Medicare reassignment NPD
• Seacoast Affiliated Group Practice, Inc.

  • Clinic/Center
  • Newburyport, MA
  • NPI 1801892344
  Medicare reassignment NPD
• Children's Healthcare Inc

  • Pediatrics Physician
  • Newburyport, MA
  • NPI 1043364482
  NPD (past)
• River Valley Infectious Disease Specialists Inc.

  • Infectious Disease Physician
  • Newburyport, MA
  • NPI 1366712002
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1699874495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW WAY",
            "address_2": "SUITE 2003",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503875",
            "telephone_number": "978-465-0635",
            "fax_number": "978-465-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALLACE BASHAW WAY",
            "address_2": "SUITE 2003",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019503875",
            "telephone_number": "978-465-0635",
            "fax_number": "978-465-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFCOAT",
        "first_name": "LYDIA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "80924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110055616A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James J Diresta DPM PLLC
• James T. Quinn,DDS,PC
• James W. Koglin, DDS LLC
• Asja E James, PA-C
• Unknown Jeevika, MBBS
• Jeffrey M Bentley MD PC
• Jon Jenkins, M.D.
• Matthew A Johnson, NP
• Joseph M. Andreas, D.M.D., PC
• Julianna Oday, LMHC, LLC

• Internal Medicine Physician in Newburyport, MA
• Providers in Newburyport, 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 Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.