Provider Demographics
NPI:1700849643
Name:ATKINSON, KATHERINE J (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:J
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 RESEARCH DRIVE
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-2178
Mailing Address - Country:US
Mailing Address - Phone:413-549-8400
Mailing Address - Fax:413-549-8409
Practice Address - Street 1:17 RESEARCH DRIVE
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-2178
Practice Address - Country:US
Practice Address - Phone:413-549-8400
Practice Address - Fax:413-549-8409
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA155210207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA20-2253144OtherPHCS
MA20-2253144OtherCONSOLIDATED
MA20-2253144OtherNORTH AMERICAN PREFERRED
MA20-2253144OtherNORTHEAST HEALTHCARE ALLI
MA20-2253144OtherPLAN VISTA
MA24889OtherHEALTH NEW ENGLAND
MA710685OtherHARVARD PILGRIM
MA155210OtherTUFTS
MA155210OtherCONNECTICARE
MA20-2253144OtherGREAT-WEST
MA20-2253144OtherNORTHEAST HEALTH DIRECT
MA2636535OtherCIGNA
MA2804217OtherAETNA
MAJ18971OtherBCBS MA
MA000000007730OtherBMC
MA33428OtherCHILDREN'S MED. SECURITY
MA3182029Medicaid
MA20-2253144OtherNORTH AMERICAN PREFERRED
MA24889OtherHEALTH NEW ENGLAND