DAVID A PHILLIPS (NPI# 1407894777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407894777 |
| Entity Type | Individual |
| Full Name | DAVID A PHILLIPS |
| Credential | M.D. |
| Practice Address |
55 Lake Ave North Umass Memorial/radiology Worcester MA 01655 |
| Mailing Address |
221 Columbus Ave # 502 Boston MA 02116-5194 |
| Practice Telephone | 5088561512 |
| Mailing Telephone | 5088561512 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
36800 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497158257 | David Scott Phillips | Dentist | 710 12th Street Se, Auburn, WA 98002 | 2014-10-07 |
| 1194165688 | David Alexander Phillips | Family Medicine | 6410 Main St Apt 107, Miami Lakes, FL 33014-2218 | 2013-06-27 |
| 1720425192 | David Ryan Phillips | Otolaryngology | 721 W 13th St Ste 325, Jasper, IN 47546-1857 | 2013-05-26 |
| 1265777247 | David Brooks Phillips | Marriage & Family Therapist | 2023 N St Ste 100, Sacramento, CA 95811-4240 | 2012-12-03 |
| 1770712812 | David Matthew Phillips | Registered Nurse | 1222 South Patterson Blvd, Dayton, OH 45402 | 2009-07-10 |
| 1730357583 | David Paul Phillips | Counselor | 803 W Bayou Pines Dr, Suite F, Lake Charles, LA 70601-7096 | 2008-02-14 |
| 1730203696 | David M Phillips | Dentist | 2110 Enterprise St Se Ste 201, Kentwood, MI 49508-5050 | 2007-03-18 |
| 1033299508 | David Robert Phillips | Chiropractor | 948a E Broad St, Columbus, OH 43205-1131 | 2006-10-17 |
| 1932148517 | David Anthony Phillips | Chiropractor | 5779 Broadway St, Lancaster, NY 14086-2360 | 2006-06-06 |
| 1700846078 | David A Phillips | Otolaryngology | 550 Hospital Drive, Hosp Hill Med Center, Warrenton, VA 20186-3027 | 2006-03-23 |
| Street Address |
55 LAKE AVE NORTH UMASS MEMORIAL/RADIOLOGY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184094872 | Umass Memorial Group | General Acute Care Hospital | 55 Lake Ave North, Worcester, MA 01655 | 2015-10-07 |
| 1104134402 | Mary Ann Badon | Orthopaedic Surgery | 55 Lake Ave North, Worcester, MA 01655 | 2010-09-21 |
| 1235347808 | Krishna V Shroff | Pharmacist | 55 Lake Ave North, University of Massachusetts Memorial Medical Center, Worcester, MA 01655 | 2007-05-18 |
| 1679791339 | Umass Memorial Medical Center | Clinic/Center | 55 Lake Ave North, Worcester, MA 01655 | 2007-04-20 |
| 1396895603 | Susan N Bol | Dietitian, Registered | 55 Lake Ave North, Ummhc, Worcester, MA 01655 | 2007-01-11 |
| 1255488383 | David L. Polan | Emergency Medicine | 55 Lake Ave North, Department of Emergency Medicine, Worcester, MA 01655 | 2007-01-04 |
| 1881767416 | John Albert Beauchesne | Physician Assistant | 55 Lake Ave North, Umass Memorial Health Care Dept of Adolescent Medicine, Worcester, MA 01605 | 2006-11-15 |
| 1801977640 | Jay G. Fong | Pediatrics | 55 Lake Ave North, Worcester, MA 01655 | 2006-10-18 |
| 1164511648 | Corey D Harrison | Emergency Medicine | 55 Lake Ave North, Department of Emergency Medicine, Worcester, MA 01655-0000 | 2006-10-12 |
| 1548375207 | Sheyda Namazie-kummer | Pediatrics | 55 Lake Ave North, U Mass Memorial Medical Ctr, Pediatric Hospitalist Grp, Worcester, MA 01655 | 2006-08-20 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043508617 | Kathryn R Wagner | Radiology | 10 Belvidere Ave, Worcester, MA 01605 | 2011-07-18 |
| 1922164755 | Brian T Brochu | Radiology | U-mass Memorial Medical Center, 55 Lake Avenue North, Worcester, MA 01655 | 2006-12-28 |
| 1932291184 | Nicholas Constantine Mazanitis | Radiology | 20 Westwood Drive, Worcester, MA 01609 | 2006-09-28 |
| 1053359935 | David M Rogovitz | Radiology | 55 Lake Av North, Umass Memorial Medical Center, Worcester, MA 01655 | 2006-06-03 |
| 1134175441 | Abigail M Childs | Radiology | 100 Grove St, Worcester, MA 01605-2627 | 2006-05-26 |
| 1790743177 | Patricia H Sutman | Radiology | 55 Lake Ave N., Umass Memorial, Worcester, MA 01605 | 2006-05-03 |
| 1477520930 | Jorge M Medina | Radiology | 55 Lake Ave N # S2-824, Worcester, MA 01655-0002 | 2006-03-03 |
| 1578554044 | Christine L Petersen | Radiology | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2005-11-02 |
| 1689197196 | Nazanin Hajarol Asvadi | Radiology | 123 Summer St, Worcester, MA 01608 | 2017-07-18 |
| 1417305632 | Vivek Pargaonkar | Radiology | 55 Lake Ave N, Worcester, MA 01655-0002 | 2016-05-27 |
| Find all providers in WORCESTER | ||||
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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.