DR. LYNN H HARRISON JR. (NPI# 1528174844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528174844 |
| Entity Type | Individual |
| Full Name | DR. LYNN H HARRISON JR. |
| Credential | M.D. |
| Practice Address |
55 Lake Ave N Department of Surgery Worcester MA 01655-0002 |
| Mailing Address |
Po Box 62 Turnpike Station Shrewsbury MA 01545-0062 |
| Practice Telephone | 5083343278 |
| Mailing Telephone | 5083348815 |
| Mailing Fax Number | 5083345374 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 227540 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2115123 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053689208 | Lynn Harrison | Dental Hygienist | 143 Spring St, Fairhaven, MA 02719-4131 | 2011-12-02 |
| 1003022856 | Lynn Roberta Harrison | Counselor | 3504 Industrial, Fairbanks, AK 99701 | 2007-05-15 |
| 1326229436 | Lynn Sherrill Harrison | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2007-11-16 |
| Street Address |
55 LAKE AVE N DEPARTMENT OF SURGERY |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215976303 | Angelo T Pezzella | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 17 Shamrock St, Worcester, MA 01605-3024 | 2006-06-05 |
| 1245707348 | Sara Jordan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-10-26 |
| 1598033649 | Igor Gosev | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Lake Ave N, Department of Surgery, Worcester, MA 01655-0002 | 2011-12-05 |
| 1073757001 | Mark Webster Maxfield | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 67 Belmont St, Worcester, MA 01605-2657 | 2009-04-21 |
| 1295997831 | Feiran Lou | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 67 Belmont St Dept Of, Worcester, MA 01605 | 2008-06-25 |
| 1083800585 | Leora Beth Balsam | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Lake Avenue North, Department of Surgery, Worcester, MA 01655-0001 | 2007-09-18 |
| 1093895658 | Ricardo A Bello | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Lake Ave N, Worcester, MA 01655-0002 | 2006-10-17 |
| 1154415875 | Geoffrey M Graeber | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 67 Belmont St, Division of Thoracic Surgery, Worcester, MA 01605-2657 | 2006-10-03 |
| 1053405928 | John D Urschel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 55 Lake Ave N, Department of Surgery, Worcester, MA 01655-0002 | 2006-10-03 |
| 1639111032 | Robert M. Bojar | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 123 Summer St, Worcester, MA 01608-1216 | 2006-06-11 |
| 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.