NORTHAMPTON VAMC (NPI# 1407399298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407399298 |
| Entity Type | Organization |
| Organization Name | NORTHAMPTON VAMC |
| Other Organization Name | WORCESTER 2 VA CLINIC |
| Practice Address |
55 N. Lake Avenue 7th Floor Worcester MA 01655-0002 |
| Mailing Address |
Po Box 3017 Lebanon PA 17042-3017 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| WORCESTER 2 VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659665537 | Northampton Vamc | Clinic/Center | 881 Main Street, Phillip J. Philbin Federal Building, Fitchburg, MA 01420-3057 | 2011-06-08 |
| 1083767503 | Northampton Vamc | Clinic/Center | 143 Munson St, Greenfield, MA 01301-9694 | 2007-01-19 |
| 1033156518 | Northampton Vamc | Clinic/Center | 73 Eagle St, Pittsfield, MA 01201-4714 | 2006-06-01 |
| 1013965896 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 25 Bond St, Springfield, MA 01104-3401 | 2006-05-04 |
| 1417301714 | Northampton Vamc | Clinic/Center | 377 Plantation St, Building #4, Worcester, MA 01605-2300 | 2016-04-22 |
| 1528354180 | Northampton Vamc | Department of Veterans Affairs (VA) Pharmacy | 605 Lincoln St, Worcester, MA 01605-1901 | 2011-06-22 |
| 1669766564 | Northampton Vamc | Clinic/Center | 605 Lincoln St, Worcester, MA 01605-1901 | 2011-06-08 |
| 1679626949 | Northampton Vamc | Clinic/Center | 25 Bond St, Springfield, MA 01104-3401 | 2007-01-19 |
| 1982642823 | Northampton Vamc | Clinic/Center | 25 Bond St, Springfield, MA 01104-3401 | 2006-06-03 |
| 1780634162 | Northampton Vamc | General Acute Care Hospital | 421 N Main St, Leeds, MA 01053-9764 | 2006-05-10 |
| Street Address |
55 N. LAKE AVENUE 7TH FLOOR |
| 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 | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417301714 | Northampton Vamc | Clinic/Center | 377 Plantation St, Building #4, Worcester, MA 01605-2300 | 2016-04-22 |
| 1669766564 | Northampton Vamc | Clinic/Center | 605 Lincoln St, Worcester, MA 01605-1901 | 2011-06-08 |
| 1477659944 | Stewart Ian Lipson | Clinic/Center | 605 Lincoln St, Worcester, MA 01605-1901 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265832943 | Milton Vazquez | Clinic/Center | 95 Ashley Ave Ste A, Springfield Vet Center, West Springfield, MA 01089-1352 | 2014-08-29 |
| 1659665537 | Northampton Vamc | Clinic/Center | 881 Main Street, Phillip J. Philbin Federal Building, Fitchburg, MA 01420-3057 | 2011-06-08 |
| 1083767503 | Northampton Vamc | Clinic/Center | 143 Munson St, Greenfield, MA 01301-9694 | 2007-01-19 |
| 1033156518 | Northampton Vamc | Clinic/Center | 73 Eagle St, Pittsfield, MA 01201-4714 | 2006-06-01 |
| 1902851306 | Providence Vamc | Clinic/Center | 233 Stevens St, Hyannis, MA 02601-3766 | 2006-05-23 |
| 1861887721 | Boston Vamc | Clinic/Center | 150 S Huntington Ave, Boston, MA 02130-4817 | 2015-03-30 |
| 1952650525 | Boston Vamc | Clinic/Center | 116 Long Pond Rd, Plymouth, MA 02360-2663 | 2012-08-29 |
| 1679626949 | Northampton Vamc | Clinic/Center | 25 Bond St, Springfield, MA 01104-3401 | 2007-01-19 |
| 1841386448 | Department of Veterans Affairs | Clinic/Center | 251 Causeway St, Room 265, Boston, MA 02114 | 2006-10-04 |
| 1447290176 | Boston Vamc | Clinic/Center | 130 Marshall Rd, Lowell, MA 01852-5130 | 2006-06-08 |
| Find all providers with the same taxonomy | ||||
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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.