Provider Demographics
NPI:1558477596
Name:BIGGERS, ELLEN MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:ELLEN
Middle Name:MARIE
Last Name:BIGGERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 NORTH PARK STREET
Mailing Address - Street 2:APT #2
Mailing Address - City:CAMBRIDGE
Mailing Address - State:NY
Mailing Address - Zip Code:12816
Mailing Address - Country:US
Mailing Address - Phone:518-677-7882
Mailing Address - Fax:518-677-5392
Practice Address - Street 1:22 NORTH PARK STREET
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:NY
Practice Address - Zip Code:12816
Practice Address - Country:US
Practice Address - Phone:518-677-7882
Practice Address - Fax:518-677-5392
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY185142207V00000X
VT042-0009970207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
4138900001OtherHEALTHNOW DMERC A
47471OtherGHI HMO SELECT
NY00405843006OtherBLUE CROSS/BLUE SHIELD
NY01297465Medicaid
0200961OtherGHI
2371486OtherAETNA HMO
4397374OtherAETNA PPO
NYEB03C04310OtherEMPIRE BLUE CROSS
VT1006529Medicaid
NY15843OtherMVP
NY10000164OtherCDPHP
VT38346OtherBC/BS VERMONT
NY040426005189OtherFIDELIS
VT783158OtherMVP VERMONT
NYCC3006Medicare ID - Type Unspecified
VT1006529Medicaid
NYEB03C04310OtherEMPIRE BLUE CROSS