Judith Mary Maccormick, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

234475 Issued in MA

Practice address

300 Longwood Ave
Childrens Hospital Boston
Boston, MA 02115-5724

Phone

(817) 355-6000

NPI assigned

Jun 26, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1740442235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MARION ST",
            "address_2": "26",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464725",
            "telephone_number": "857-234-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "CHILDRENS HOSPITAL BOSTON",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155724",
            "telephone_number": "817-355-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCORMICK",
        "first_name": "JUDITH",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "MA",
            "license": "234475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Macauley, PT, GCS
• Finbar Patrick Maccarthy, MD, MRCPI
• Jasmin Maccarthy
• Amanda Macchi, LCSW
• Jacqueline Marie Maccormack-Gagnon, PHARMD
• Juliet Maccrate
• Madeline Macdonald-Poole
• Abigail Shaw Macdonald, MSW, LICSW
• Ainsley Rae Macdonald, CPNP
• Alison Macdonald

• Pediatric Cardiology Physician in Boston, MA
• Providers in Boston, MA by specialty
• Pediatric Cardiology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.