MADELEINE R FAY


Address: 425 N Lake Ave, Worcester, MA 01605-2047
Phone: 5085952855

MADELEINE R FAY (NPI# 1164413860) 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) 1164413860
Entity Type Individual
Full Name MADELEINE R FAY
Credential MD
Practice Address 425 N Lake Ave
Worcester
MA 01605-2047
Mailing Address 630 Plantation St
Wot 12th Fl Attn Physician Services
Worcester
MA 01605-2038
Practice Telephone 5085952855
Practice Fax Number 5085952602
Mailing Telephone 5083685529
Mailing Fax Number 5083685530
Enumeration Date 2005-11-02
Last Update Date 2012-01-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RE0101X Internal Medicine
Specialization: Endocrinology, Diabetes & Metabolism
48500 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
ONE HEALTH PLAN 042472266 01
FIRST HEALTH 917696 01
BLUE SHIELD HMO BLUE J04439 01
WELFARE 3099407 01
EVERCARE 3300063 01
HEALTHCARE VALUE MANAGEME 042472266 01
CHILDRENS MEDICAL SECURIT 26807 01
HEALTHY START 26807 01
FALLON COMMUNITY HEALTH 9900106 01
HARVARD PILGRIM HEALTHCAR AA4451 01
CIGNA HEALTH PLAN 1592180 01
BLUE SHIELD INDEMNITY J04439 01
PRIVATE HEALTHCARE SYSTEM 042472266 01
MVP HEALTH CARE 784017 01
BLUE CARE ELECT J04439 01
AETNA US HEALTHCARE 5180602 01

Office Location

Street Address 425 N LAKE AVE
City WORCESTER
State MA
Zip Code 01605-2047

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528103025 Reliant Medical Group, Inc. Social Worker 425 N Lake Ave, Worcester, MA 01605-2047 2007-02-21
1437127719 Joel H Popkin Internal Medicine 425 N Lake Ave, Worcester, MA 01605 2006-03-10

Providers in the same zip code

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 Information

Taxonomy Code 207RE0101X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Endocrinology, Diabetes & Metabolism

Taxonomy Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013997329 Saint Vincent Physician Services, Inc. Internal Medicine 123 Summer St Ste 279, Worcester, MA 01608-1216 2006-01-20
1467441311 Edward Leo Klaiber Internal Medicine 130 Lincoln St, Suite 7, Worcester, MA 01605-2430 2005-10-13
1336523315 Vrushali H. Shah Internal Medicine 55 Lake Ave N, Worcester, MA 01655-0002 2015-07-19
1770927543 Shamima Yeasmin Internal Medicine 55 Lake Ave N, Endocrinology, Worcester, MA 01655 2013-04-24
1003173287 Lihong Huo Internal Medicine 123 Summer St Ste 535, Worcester, MA 01608-1216 2012-04-12
1982920567 Andrea Kassai Internal Medicine 55 Lake Ave N, Acc Building, Worcester, MA 01655-0002 2010-04-08
1437390119 Swetha Lahari Kommareddy Internal Medicine 5 Neponset St, Worcester, MA 01606-2714 2009-03-10
1023208162 Heather L Elias Internal Medicine 55 Lake Ave N, Worcester, MA 01655-0002 2007-07-25
1790999357 Eyad Hamoudeh Internal Medicine 55 Lake Ave N, Worcester, MA 01655-0002 2007-05-10
1083737951 David M Harlan Internal Medicine 55 Lake Ave N, Ambulatory Care Center, Room Ac4.127, Worcester, MA 01655-0002 2007-04-07
Find all providers in WORCESTER

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City WORCESTER
Zip Code 01605

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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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