PAUL S RAVA (NPI# 1063641504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063641504 |
Entity Type | Individual |
Full Name | PAUL S RAVA |
Credential | MD, PHD |
Practice Address |
55 Lake Ave N Worcester MA 01655-0002 |
Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
Practice Telephone | 7744422062 |
Enumeration Date | 2009-07-06 |
Last Update Date | 2020-10-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
254507 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110096420A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
157 Union St, Marlborough, MA 017521228 | 5084866700 | 5084866705 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659840957 | Paul William Rava | Military Health Care Provider | 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 | 2018-11-15 |
Street Address |
55 LAKE AVE N |
City | WORCESTER |
State | MA |
Zip Code | 01655-0002 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
Find all providers in zip 01655 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902873409 | Mark J Brenner | Radiology | 20 Washington Sq, Worcester, MA 01604-4013 | 2006-03-02 |
1649533175 | Jonathan Michael Glanzman | Radiology | 55 Lake Ave N, Department of Radiation Oncology, Worcester, MA 01655-0002 | 2012-06-19 |
1639345929 | Eric Chi-ching Ko | Radiology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2008-05-06 |
1518152438 | Shirin Sioshansi | Radiology | 55 Lake Ave N, Department of Radiation Oncology, Worcester, MA 01655-0002 | 2007-09-13 |
1598897472 | Won K Tak | Radiology | 119 Belmont Street, U-mass Memorial Med.cent, Worcester, MA 01605 | 2007-03-09 |
1871661603 | Mark S Smyczynski | Radiology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2006-12-01 |
1891709341 | Gayle Faith Tillman | Radiology | 55 Lake Ave N, Department of Radiation Oncology, Worcester, MA 01655-0002 | 2006-07-28 |
1811933047 | William Barry Casey | Radiology | 1 Eaton Pl, Worcester, MA 01608-1232 | 2006-06-22 |
1427005156 | Ralph C Kennaugh | Radiology | 20 Worcester Center Blvd, Worcester, MA 01608-1312 | 2006-05-28 |
1659355915 | Sidney P Kadish | Radiology | 1 Eaton Pl, Worcester, MA 01608-1232 | 2005-12-01 |
Find all providers in WORCESTER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.