UMASS MEMORIAL MEDICAL CENTER (NPI# 1306238449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306238449 |
Entity Type | Organization |
Organization Name | UMASS MEMORIAL MEDICAL CENTER |
Practice Address |
55 Lake Ave N Worcester MA 01655-0002 |
Mailing Address |
365 Plantation St Worcester MA 01605-2397 |
Practice Telephone | 5083341501 |
Practice Fax Number | 5083341964 |
Mailing Telephone | 0583341501 |
Mailing Fax Number | 5083341964 |
Enumeration Date | 2015-02-26 |
Last Update Date | 2015-02-26 |
Authorized Official Name | MR. SERGIO MELGAR (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 5083441501 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649334269 | Umass Memorial Medical Center | General Acute Care Hospital | 37 Amherst St, Apt #3, Worcester, MA 01602-2009 | 2006-12-20 |
1346626553 | Umass Memorial Medical Center | General Acute Care Hospital | 119 Belmont St, Worcester, MA 01605-2903 | 2015-08-11 |
1891115861 | Umass Memorial Medical Center | General Acute Care Hospital | 55 Lake Ave N, Worcester, MA 01655-0002 | 2014-04-17 |
1356670293 | Umass Memorial Medical Center | Clinic/Center | 119 Belmont St, New England Hemophilia Center At Umass Memorial, Worcester, MA 01605-2903 | 2009-12-23 |
1679791339 | Umass Memorial Medical Center | Clinic/Center | 55 Lake Ave North, Worcester, MA 01655 | 2007-04-20 |
1679574933 | Umass Memorial Medical Center | Pharmacy | 55 Lake Ave N, Worcester, MA 01655-0002 | 2005-08-09 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | UMASS MEMORIAL MEDICAL CENTER, INC. | One Biotech, 365 Plantation Street, Worcester, MA 01605 |
Street Address |
55 LAKE AVE N |
City | WORCESTER |
State | MA |
Zip Code | 01655-0002 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 01655 |
Taxonomy Code | 261QX0203X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oncology, Radiation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689116956 | Newburyport, Ma Radiation Center, LLC | Clinic/Center | 1 Wallace Bashaw Jr Way Ste 1001, Newburyport, MA 01950-3876 | 2016-11-17 |
1902469679 | Brigham and Women's Physicians Organization Inc | Clinic/Center | 20 Prospect St, Milford, MA 01757-3026 | 2019-04-18 |
1568696474 | Massachusetts Oncology Services PC | Clinic/Center | 5 Hospital Center Drive, Holyoke, MA 01040-6601 | 2009-05-06 |
1104978519 | Radiation Therapy of Southeastern Mass, LLC | Clinic/Center | 89 Forbes Blvd, Mansfield, MA 02048-1125 | 2007-01-17 |
1578614459 | Radiation Therapy of Winchester, LLC | Clinic/Center | 620 Washington St, Winchester, MA 01890-1328 | 2007-01-16 |
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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.