PRIMARY PHYSICIAN PARTNERS (NPI# 1518971860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518971860 |
| Entity Type | Organization |
| Organization Name | PRIMARY PHYSICIAN PARTNERS |
| Other Organization Name | PRIMARY PHYSICIAN PARTNERS |
| Practice Address |
123 Summer St Suite 385n Worcester MA 01608-1216 |
| Mailing Address |
Po Box 2793 Worcester MA 01613-2793 |
| Practice Telephone | 5083637300 |
| Practice Fax Number | 5083639688 |
| Mailing Telephone | 5083637300 |
| Mailing Fax Number | 5083639688 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | MS. KELLY ANN WILSON (BILLING MANAGER) |
| Authorized Official Telephone | 5083637707 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
MA | Ambulatory Health Care Facilities | |
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 3101347 | 05 | |
| BCBS | M18243 | 01 | |
| NETWORK | 41834 | 01 | |
| TUFTS | 691558 | 01 |
| Other Name | Type Code |
|---|---|
| Primary Physician Partners | Doing Business As Name - Organization |
| Street Address |
123 SUMMER ST SUITE 385N |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434229 | Thom A. Tarquinio | Orthopaedic Surgery | 123 Summer St, Suite 320, Worcester, MA 01608-1216 | 2005-06-02 |
| 1396352092 | Arushi Sharma | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-09-26 |
| 1134733280 | Freda Agyemang | Nurse Practitioner | 123 Summer St, Worcester, MA 01608-1216 | 2020-09-06 |
| 1316559305 | Bijay Khanal | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-20 |
| 1497367395 | Hajrah Ahsan | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-20 |
| 1205448487 | Sajjadh Mohamed Jawahar Ali | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-19 |
| 1639781909 | Kamal Pokhrel | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-18 |
| 1366054637 | Regina Devi Shrestha | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-18 |
| 1912519489 | Mithun George Jacob | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-17 |
| 1194336800 | Anil Phuyal | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886235 | Elizabeth Muhia | Internal Medicine | 19 Crown St Apt 15, Worcester, MA 01609-2097 | 2020-09-18 |
| 1821614892 | Lyndia Personnat | Internal Medicine | 123 Summer St Ste 200, Worcester, MA 01608-1216 | 2020-06-24 |
| 1871007344 | Shekhar Patil | Internal Medicine | 123 Summer St Ste 120, Worcester, MA 01608-1216 | 2017-11-20 |
| 1770036451 | Gyu Cheol Choi | Internal Medicine | 1 W Boylston St # 2700, Worcester, MA 01605-1265 | 2016-07-28 |
| 1528449311 | Jyothi Margapuri | Internal Medicine | 55 Lake Ave N Apt A16, Worcester, MA 01655-0002 | 2015-06-17 |
| 1972935070 | Vernon Integrative Medical Group, LLC | Internal Medicine | 141 Massasoit Rd, Worcester, MA 01604-3318 | 2013-07-31 |
| 1437461092 | Mohammed Mohaialdeen Mohammed | Internal Medicine | 285 Plantation St, Worcester, MA 01604-7701 | 2010-07-11 |
| 1447561204 | Samson H Hanka | Internal Medicine | 102 Shore Dr Ste 303, Worcester, MA 01605-3154 | 2010-06-27 |
| 1972823870 | Chidimma I Okoli | Internal Medicine | 100 Grove St Ste 210, Worcester, MA 01605 | 2010-06-03 |
| 1750548996 | Abdulkadir Omer | Internal Medicine | 123 Summer St Ste 535, Worcester, MA 01608-1216 | 2008-05-16 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on PRIMARY PHYSICIAN PARTNERS.
| 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.