David W. Ammerman, MD
Individual provider Active NPI Family Medicine Physician · Leominster, MA
NPI 1730160169 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1730160169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 56267 (MA)
- Practice address
- 60 Hospital Rd
Health Alliance Leominster Hospital
Leominster, MA 01453-2205 - Phone
- (978) 466-4169
- Fax
- (978) 466-4164
- NPI assigned
- Nov 11, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56267 | MA | MD | Family Medicine Physician |
| MD56267 | MA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hospital | Family Medicine | Past | Accepting new patients |
| Bernard a Westerling III, MD, LLC | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD56267 | MA | |
| Family Medicine Physician | 207Q00000X | 56267 | MA | Yes |
Addresses
Primary practice location
60 Hospital Rd
Health Alliance Leominster Hospital
Leominster, MA 01453-2205
Mailing address
PO Box 415348
Boston, MA 02241-5348
Phone (800) 225-8885
Other practice location 1
201 Highland St
Clinton, MA 01510-1037
Phone (978) 368-3000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3016978 | Medicaid | MA |
Other providers in Leominster, MA
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- Melissa A Alston
- Mandi Altman
- Mahal Alvarez-Backus
- Always on Call Health Services, Inc
- Leticia Pokuaa Amofah
- Nadege M Amuwum
- Alicia Nichola Anderson
- Jane A Anderson
- Juliette Anderson
All providers in Leominster, MA · Family Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.