Provider Demographics
NPI:1306839402
Name:NEIGHMOND, ABIGAIL A (DO)
Entity type:Individual
Prefix:DR
First Name:ABIGAIL
Middle Name:A
Last Name:NEIGHMOND
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3810
Mailing Address - Street 2:
Mailing Address - City:JOPLIN
Mailing Address - State:MO
Mailing Address - Zip Code:64803-3810
Mailing Address - Country:US
Mailing Address - Phone:417-347-2540
Mailing Address - Fax:417-347-2539
Practice Address - Street 1:8 MEDICAL PARK DR
Practice Address - Street 2:
Practice Address - City:BALLSTON SPA
Practice Address - State:NY
Practice Address - Zip Code:12020-5050
Practice Address - Country:US
Practice Address - Phone:518-289-2775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-24
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY303268207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO208428904Medicaid
KS200388320BMedicaid
MO214462OtherANTHEM
P00350059OtherRR MEDICARE
OK200089510AMedicaid
MO214462OtherANTHEM
MOH78792Medicare UPIN