PAUL S RAVA


Address: 55 Lake Ave N, Worcester, MA 01655-0002
Phone: 7744422062

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
254507 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MA 110096420A 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
157 Union St, Marlborough, MA 017521228 5084866700 5084866705

Other Providers PAUL RAVA

NPI Name Taxonomy Address Enumeration
1659840957 Paul William Rava Military Health Care Provider 9300 Dewitt Loop, Fort Belvoir, VA 22060-5285 2018-11-15

Office Location

Street Address 55 LAKE AVE N
City WORCESTER
State MA
Zip Code 01655-0002

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Competitor

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City WORCESTER
Zip Code 01655

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Dataset Information

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.

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