ALICJA M RUDNICKA (NPI# 1295795680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295795680 |
| Entity Type | Individual |
| Full Name | ALICJA M RUDNICKA |
| Credential | MD |
| Practice Address |
340 Thompson Road Webster MA 01570 |
| Mailing Address |
630 Plantation Street Wot 12th Floor Attn Physician Services Worcester MA 01605 |
| Practice Telephone | 5089496880 |
| Practice Fax Number | 5089496742 |
| Mailing Telephone | 5089496880 |
| Mailing Fax Number | 5089496742 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2009-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 37771 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PRIVATE HEALTHCARE SYSTEM | 042472266 | 01 | |
| HARVARD PILGRIM HEALTHCAR | AA3018 | 01 | |
| BLUE SHIELD HMO BLUE | E55044 | 01 | |
| FALLON COMMUNITY HEALTH P | 9901111 | 01 | |
| BLUE CARE ELECT | E55044 | 01 | |
| CIGNA HEALTH PLAN | 5771028 | 01 | |
| CHILDRENS MEDICAL SECURIT | 27219 | 01 | |
| EVERCARE | 0300124 | 01 | |
| FIRST HEALTH | 1061347 | 01 | |
| WELFARE | 2030071 | 01 | |
| MA | 2030071 | 05 | |
| MVP HEALTH CARE | 371202 | 01 | |
| ONE HEALTH PLAN | 042472266 | 01 | |
| HEALTHCARE VALUE MANAGEME | 043058466 | 01 | |
| HEALTHY START | 27219 | 01 | |
| BLUE SHIELD INDEMNITY | E55044 | 01 | |
| AETNA US HEALTHCARE | 4527481 | 01 |
| Street Address |
340 THOMPSON ROAD |
| City | WEBSTER |
| State | MA |
| Zip Code | 01570 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144296682 | Linda Aronson | Nurse Practitioner | 340 Thompson Road, Webster, MA 01570 | 2006-02-24 |
| 1518936343 | Neelima R Sudireddy | Internal Medicine | 340 Thompson Road, Webster, MA 01570 | 2006-03-15 |
| 1275500639 | Neeta S Shah | Internal Medicine | 340 Thompson Road, Webster, MA 01570 | 2006-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245730530 | Thomas Eugene Broffman | Social Worker | 340 Thompson Rd., Webster, MA 01570 | 2018-02-13 |
| 1669809646 | Wellness Dental, L.L.C. | Dentist | 96 Worcester Rd., Webster, MA 01570 | 2013-10-04 |
| 1467699884 | Nicole Anne Williams | Specialist/Technologist | 9 Tower St, Apt 3, Webster, MA 01570 | 2009-01-08 |
| 1295988301 | Diane Cappoli | Optometrist | 18 Negus St., Webster, MA 01570 | 2008-11-03 |
| 1962691832 | Chris A Lindstrom | Technician/Technologist | 56 Worcester Rd, Webster, MA 01570 | 2007-10-17 |
| 1538299102 | Timothy I Zajac | Dentist | 6 Slater Street, Webster, MA 01570 | 2007-03-06 |
| 1669515540 | Ronald Vincent Arcieri | Social Worker | 9 Pinewood Dr, Webster, MA 01570 | 2007-02-14 |
| 1053426403 | Re Bidinger Dds Jm Stiles Dmd PC | Dentist | 14 Cody Street, Webster, MA 01570 | 2006-08-19 |
| 1568476653 | Paul Ross Virgadamo Sr. | Dentist | 96 Worcester Road, Webster, MA 01570 | 2006-07-27 |
| 1730106733 | Paul Alexander Budzyakiewicz | Dentist | 156 Thompson Rd, Webster, MA 01570 | 2006-07-16 |
| Find all providers in zip 01570 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669506663 | Narin Apisarnthanarax | Dermatology | 450 Medical Center Blvd Ste 309, Webster, TX 77598-4230 | 2007-03-14 |
| 1245227263 | Stephen Keith Tyring | Dermatology | 451 N Texas Ave, Webster, TX 77598-4927 | 2005-10-04 |
| 1700884210 | Jeanne A Paz | Dermatology | 390 E Medical Center Blvd, Webster, TX 77598-4321 | 2005-07-08 |
| 1609212885 | Sharon Kim | Dermatology | 1010 S Ponds Dr, Webster, TX 77598-1409 | 2013-05-15 |
| 1255686465 | Clear Lake Dermatology, Pllc | Dermatology | 450 W Medical Center Blvd, Suite 309, Webster, TX 77598-4234 | 2012-07-13 |
| 1831335918 | Patricia Clement Lee | Dermatology | 451 N Texas Ave, Webster, TX 77598-4927 | 2008-12-19 |
| 1194923599 | Nassau Bay Dermatology Pa | Dermatology | 390 E Medical Center Blvd, Webster, TX 77598-4321 | 2007-07-06 |
| 1891765590 | Bay Area Dermatology Associates | Dermatology | 12 Professional Park Dr, Webster, TX 77598-4127 | 2006-01-25 |
| 1376545293 | Terry E. Williams | Dermatology | 12 Professional Park Dr, Webster, TX 77598-4127 | 2005-08-11 |
| 1659373579 | Janice R. Chang | Dermatology | 12 Professional Park Dr, Webster, TX 77598-4127 | 2005-08-11 |
| Find all providers in WEBSTER | ||||
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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.