ELIZABETH M. LIDSTONE JAYANATH MD – NPI #1124000294
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

ELIZABETH LIDSTONE JAYANATH is a physician located in GARDER, MA. NPPES has assigned the NPI number 1124000294 to ELIZABETH LIDSTONE JAYANATH on November 15, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 11 years ago on Nov 16, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ELIZABETH LIDSTONE JAYANATH below.

NPI Profile for
ELIZABETH M. LIDSTONE JAYANATH

NPI Number
1124000294
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ELIZABETH M. LIDSTONE JAYANATH
Credentials
MD
Primary location
175 CONNORS STREET
GARDER, MA 01440
Phone: (978) 410-6100 Fax: (978) 410-6109
Mailing address
326 NICHOLS ROAD
FITCHBURG, MA 01420-1914
Phone: (978) 878-8100 Fax: (978) 878-8418
Sole Proprietor
No
Updated
Identifiers

Identifiers for ELIZABETH LIDSTONE JAYANATH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA/US HEALTHCARE7575320
OTHERBLUE CARE ELECTJ19766
OTHERBLUE SHIELD HMO BLUEJ19766
OTHERBLUE SHIELD INDEMNITYJ19766
OTHERCHILDRENS MED SECURITY PL33367
OTHERCIGNA HEALTH PLAN7521481
OTHERFALLON COMMUNITY HLTH PL42389
OTHERFIRST HEALTH1836498
OTHERHARVARD PILGRIM HEALTHCARAA1277
OTHERHEALTHCARE VALUE MNGMENT042472266
OTHERHEALTHY START33367
OTHERMEDICAID PCC3188787
OTHERMEDICAID/WELFARE3188787
OTHERMEDICARE BA29170
OTHERMVP HEALTH CARE784154
OTHERONE HEALTH PLAN042472266
OTHERPRIVATE HEALTHCARE SYSTEM042472266
MEDICAIDMA3188787
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MA 156974

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.