Healthcare Provider Details

I. General information

NPI: 1134175441
Provider Name (Legal Business Name): ABIGAIL M CHILDS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 11/05/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 GROVE ST
WORCESTER MA
01605-2627
US

IV. Provider business mailing address

PO BOX 1045
WORCESTER MA
01613-1045
US

V. Phone/Fax

Practice location:
  • Phone: 508-752-6068
  • Fax: 508-752-0822
Mailing address:
  • Phone: 508-752-6068
  • Fax: 508-752-0822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number4301511611
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number223955
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number333574
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier042477296
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerHEALTH CARE VALUE MANAGEM
# 2
Identifier0007041
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerNEIGHBORHOOD HEALTH PLAN
# 3
Identifier96034
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerFALLON COMMUNITY HEALTH P
# 4
Identifier2106230
Identifier TypeMEDICAID
Identifier StateMA
Identifier Issuer
# 5
Identifier042477296
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerPRIVATE HEALTH CARE SYSTE
# 6
IdentifierAA41875
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerHARVARD PILGRIM HEALTH CA
# 7
IdentifierJ28958
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerBLUE CROSS BLUE SHIELD
# 8
Identifier042477296
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerUNITED HEALTH CARE
# 9
Identifier2106230
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerHEALTHY START

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: