TELE-PHYSICIANS PC (NPI# 1467498493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467498493 |
| Entity Type | Organization |
| Organization Name | TELE-PHYSICIANS PC |
| Practice Address |
55 Lake Ave N Worcester MA 01655-0002 |
| Mailing Address |
70 Walnut St Wellesley MA 02481-2102 |
| Practice Telephone | 5083341000 |
| Practice Fax Number | 5088564485 |
| Mailing Telephone | 7812397580 |
| Mailing Fax Number | 7812397584 |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. COLIN TIMORTHY MCDONALD (PRESIDENT/CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 7812397580 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
153541 | MA | Ambulatory Health Care Facilities |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093047367 | Frank P. Fechner, Md LLC | Clinic/Center | 428 Shrewsbury St, Worcester, MA 01604-1661 | 2010-02-11 |
| 1356670293 | Umass Memorial Medical Center | Clinic/Center | 119 Belmont St, New England Hemophilia Center At Umass Memorial, Worcester, MA 01605-2903 | 2009-12-23 |
| 1811120066 | Frank P. Fechner | Clinic/Center | 428 Shrewsbury St, Worcester, MA 01604-1661 | 2009-09-03 |
| 1518155860 | Rice Ophthalmology Assoc., P.C. | Clinic/Center | 591 Lincoln St, Worcester, MA 01605-1901 | 2007-10-11 |
| 1366650301 | Brinkman Chiropractic Clinic P.C. | Clinic/Center | 372 Chandler St, Suite 201, Worcester, MA 01602-3300 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306400478 | Valentine Eye Group | Clinic/Center | 80 Erdman Way # 205, Leominster, MA 01453-1840 | 2019-04-24 |
| 1578034641 | Zuhayr Hemady Md Bi PC | Clinic/Center | 1261 Furnace Brook Pkwy Ste 33, Quincy, MA 02169-4762 | 2018-12-16 |
| 1528448693 | Dr. Susan Rodgin | Clinic/Center | 39 W Plain St, Wayland, MA 01778-4409 | 2015-06-04 |
| 1205215373 | Mass Medical Group, LLC | Clinic/Center | 200 Central St, Suite #2, Lowell, MA 01852-2201 | 2015-05-22 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1053740241 | Aesthetic Plastic Surgery of North Shore PC | Clinic/Center | 900 Cummings Ctr Ste 301u, Beverly, MA 01915-6181 | 2013-11-07 |
| 1518217694 | Sarah M Barnett Md Pllc | Clinic/Center | 119 Drum Hill Rd # 128, Chelmsford, MA 01824-1505 | 2012-09-14 |
| 1255687166 | James V Kowalski M.d. P.C. | Clinic/Center | 795 W Main St, Hyannis, MA 02601-3424 | 2012-07-29 |
| 1548564073 | Mind Body Healthlink | Clinic/Center | 26 Castle Rd, Northborough, MA 01532-1249 | 2010-12-23 |
| 1316184005 | Simon Faynzilbergmd PC | Clinic/Center | 157 Winthrop Rd Unit 2, Brookline, MA 02445-4642 | 2009-01-16 |
| 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.