SEUNGJU OH (NPI# 1376178590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376178590 |
| Entity Type | Individual |
| Full Name | SEUNGJU OH |
| Practice Address |
55 Lake Ave N # S4-740 Worcester MA 01655-0002 |
| Practice Telephone | 8575003277 |
| Mailing Telephone | 8575003277 |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
55 LAKE AVE N # S4-740 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| 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 | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661927 | Ekaterina V Pimental | Student in an Organized Health Care Education/Training Program | 72 Salisbury St Apt 5, Worcester, MA 01609-3134 | 2020-05-19 |
| 1841810900 | Charles Purcell | Student in an Organized Health Care Education/Training Program | 80 Carter Rd, Worcester, MA 01609-1038 | 2020-04-19 |
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1982232336 | Min Zhang | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr. Biotech 3, Worcester, MA 01605-4306 | 2020-03-31 |
| 1336777952 | Zhenwei Zhang | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr Ste 2, Worcester, MA 01605-4306 | 2020-03-30 |
| 1932736634 | Gregory Stephen Kazarian | Student in an Organized Health Care Education/Training Program | 2 Marissa Cir, Worcester, MA 01604-2674 | 2020-03-24 |
| 1962032946 | Samuel James Casey | Student in an Organized Health Care Education/Training Program | 4 Normal St Apt 2, Worcester, MA 01605-3496 | 2020-01-18 |
| 1265072169 | Klajdi Kosovrasti | Student in an Organized Health Care Education/Training Program | 46 Fox Meadow Dr, Worcester, MA 01602-2242 | 2020-01-09 |
| 1669012449 | Jacob Moninghoff | Student in an Organized Health Care Education/Training Program | 16 Norton St Apt 1, Worcester, MA 01605-3780 | 2020-01-09 |
| 1104463637 | Ian Dziewietin | Student in an Organized Health Care Education/Training Program | 67 Kenwood Ave, Worcester, MA 01605-1340 | 2019-12-03 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on SEUNGJU OH.
| 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.