Provider Demographics
NPI:1093821092
Name:SCHWARTZ-MARTIN, NORA ETHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:NORA
Middle Name:ETHEL
Last Name:SCHWARTZ-MARTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NORA
Other - Middle Name:ETHEL
Other - Last Name:SCHWARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:31 BAYBERRY LN
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1668
Mailing Address - Country:US
Mailing Address - Phone:413-253-2575
Mailing Address - Fax:413-253-9651
Practice Address - Street 1:26 S PROSPECT ST UNIT 9
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2362
Practice Address - Country:US
Practice Address - Phone:413-253-2575
Practice Address - Fax:413-253-9651
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2009-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA764542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA196933OtherMHN PRACTICE ID
MA3123821Medicaid
MAJ14634OtherBCBS PROVIDER ID
MA751336OtherTUFTS PROVIDER ID
MA554765000OtherMAGELLAN MIS #
MA1169655OtherFIRST HEALTH NETWORK
MA5942458OtherAETNA PROVIDER ID
MA1169655OtherFIRST HEALTH NETWORK
MA554765000OtherMAGELLAN MIS #