NEUROLOGY OF CENTRAL MASSACHUSETTS, PC (NPI# 1164743092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164743092 |
| Entity Type | Organization |
| Organization Name | NEUROLOGY OF CENTRAL MASSACHUSETTS, PC |
| Practice Address |
50 Memorial Dr Suite 211 Leominster MA 01453-2238 |
| Practice Telephone | 9784661190 |
| Mailing Telephone | 9784661190 |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2010-06-15 |
| Authorized Official Name | SRIREKHA MADDUKURI (PRESIDENT) |
| Authorized Official Telephone | 9784661190 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
50 MEMORIAL DR SUITE 211 |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467457523 | Geraldine Feldman | Allergy & Immunology | 50 Memorial Dr, Ste 206, Leominster, MA 01453-2238 | 2005-06-16 |
| 1932664182 | Jamie Elizabeth Lynch | Dietitian, Registered | 50 Memorial Dr, Leominster, MA 01453-2238 | 2019-02-01 |
| 1972977882 | Urology Central PC | Urology | 50 Memorial Dr, Suite 108, Leominster, MA 01453-2238 | 2015-11-17 |
| 1770982340 | Rebecca Kate Aslam | Dietitian, Registered | 50 Memorial Dr, Leominster, MA 01453-2238 | 2014-08-19 |
| 1225371107 | Tad Baum, M.d., P.C. | Ophthalmology | 50 Memorial Dr, Suite 105, Leominster, MA 01453-2238 | 2013-03-29 |
| 1669707642 | Allison P. Learned | Nurse Practitioner | 50 Memorial Dr, Suite 112, Leominster, MA 01453-2238 | 2009-10-09 |
| 1699920850 | Robert Deters, Md, Interventional Pain Management | Physical Medicine & Rehabilitation | 50 Memorial Dr, Suite 207, Leominster, MA 01453-2238 | 2008-12-01 |
| 1578714390 | Coordinated Primary Care Dba Healthalliance Urology | Urology | 50 Memorial Dr, Suite 207, Leominster, MA 01453-2238 | 2008-10-10 |
| 1144408212 | Curewell Gastroenterology, PC | Internal Medicine | 50 Memorial Dr, Suite 114, Leominster, MA 01453-2238 | 2008-01-31 |
| 1053510180 | Sun Medical Clinic, PC | Clinic/Center | 50 Memorial Dr, Suite 110, Leominster, MA 01453-2238 | 2007-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083168256 | Shreyans Shah | Psychiatry & Neurology | 330 Brookline Ave, Shapiro 8 Tcc, Boston, MA 02215-5400 | 2016-08-05 |
| 1255642286 | Gina Deck | Psychiatry & Neurology | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805 | 2010-06-24 |
| 1932339025 | Swapna Lakshmi Putta | Psychiatry & Neurology | 55 Fogg Road, Bwh Department of Neurology, Emerson 150, South Weumouth, MA 02190 | 2009-07-23 |
| 1275723413 | George A. Gonzalez, M.d., P.C. | Psychiatry & Neurology | 131 Old Road To 9 Acre Cor, Suite 660, Concord, MA 01742-4181 | 2007-07-25 |
| 1427255538 | Green Mountain Neurology, Inc | Psychiatry & Neurology | 777 North St, Suite 205, Pittsfield, MA 01201-4147 | 2007-07-02 |
| 1649227356 | Kaarkuzhali Babu Krishnamurthy | Psychiatry & Neurology | 736 Cambridge St, Boston, MA 02135-2907 | 2006-05-28 |
| City | LEOMINSTER |
| Zip Code | 01453 |
Please comment or provide details below to improve the information on NEUROLOGY OF CENTRAL MASSACHUSETTS, PC.
| 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.