MARK WEBSTER MAXFIELD (NPI# 1073757001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073757001 |
| Entity Type | Individual |
| Full Name | MARK WEBSTER MAXFIELD |
| Credential | M.D. |
| Practice Address |
67 Belmont St Worcester MA 01605-2657 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5083345826 |
| Practice Fax Number | 5083348195 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2020-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 269488 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
67 BELMONT ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255326112 | Min Shick Ahn | Otolaryngology | 67 Belmont St, Ste 103, Worcester, MA 01605-2657 | 2005-09-16 |
| 1952877458 | Katelyn Stickney | Nurse Practitioner | 67 Belmont St, Worcester, MA 01605-2657 | 2018-10-23 |
| 1568946952 | Dorcas Taylor | Nurse Practitioner | 67 Belmont St, Worcester, MA 01605-2657 | 2018-09-20 |
| 1710389960 | Maggie Frances Powers | Nurse Practitioner | 67 Belmont St, Surgery, Worcester, MA 01605-2657 | 2014-09-18 |
| 1164776449 | Francis Michael Huttinger | Psychiatry & Neurology | 67 Belmont St, Worcester, MA 01605-2657 | 2012-11-07 |
| 1144514688 | Mirret El-hagrassy | Psychiatry & Neurology | 67 Belmont St, Worcester, MA 01605-2657 | 2011-06-01 |
| 1487975157 | Ting Yu Xu | Surgery | 67 Belmont St, Worcester, MA 01605-2657 | 2010-06-17 |
| 1306166756 | Bryan Kun Hong | Ophthalmology | 67 Belmont St, Suite 302, Worcester, MA 01605-2657 | 2010-06-08 |
| 1720313232 | Angela S Amano | Nurse Practitioner | 67 Belmont St, Worcester, MA 01605-2657 | 2009-10-16 |
| 1881822021 | Suja Sadasivan | Psychiatry & Neurology | 67 Belmont St, Worcester, MA 01605-2657 | 2009-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215976303 | Angelo T Pezzella | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17 Shamrock St, Worcester, MA 01605-3024 | 2006-06-05 |
| 1245707348 | Sara Jordan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-10-26 |
| 1598033649 | Igor Gosev | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Lake Ave N, Department of Surgery, Worcester, MA 01655-0002 | 2011-12-05 |
| 1295997831 | Feiran Lou | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 67 Belmont St Dept Of, Worcester, MA 01605 | 2008-06-25 |
| 1083800585 | Leora Beth Balsam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Lake Avenue North, Department of Surgery, Worcester, MA 01655-0001 | 2007-09-18 |
| 1093895658 | Ricardo A Bello | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Lake Ave N, Worcester, MA 01655-0002 | 2006-10-17 |
| 1154415875 | Geoffrey M Graeber | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 67 Belmont St, Division of Thoracic Surgery, Worcester, MA 01605-2657 | 2006-10-03 |
| 1053405928 | John D Urschel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Lake Ave N, Department of Surgery, Worcester, MA 01655-0002 | 2006-10-03 |
| 1528174844 | Lynn H Harrison Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Lake Ave N, Department of Surgery, Worcester, MA 01655-0002 | 2006-08-21 |
| 1639111032 | Robert M. Bojar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 123 Summer St, Worcester, MA 01608-1216 | 2006-06-11 |
| 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.