LOREN J MEDNICK (NPI# 1619055753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619055753 |
| Entity Type | Individual |
| Full Name | LOREN J MEDNICK |
| Credential | M.D. |
| Practice Address |
1221 Main St Holyoke MA 01040-5396 |
| Mailing Address |
11 Cedar Hill St Palmer MA 01069-2202 |
| Practice Telephone | 4135386213 |
| Mailing Telephone | 4135386213 |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
35186 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
1221 MAIN ST |
| City | HOLYOKE |
| State | MA |
| Zip Code | 01040-5396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174510135 | Robert E Byrne | Internal Medicine | 1221 Main St, Suite 208, Holyoke, MA 01040-5396 | 2005-10-04 |
| 1336798073 | Omayra Reyes-cruz | Peer Specialist | 1221 Main St, Holyoke, MA 01040-5311 | 2019-09-05 |
| 1750864427 | Deirdre D. Moraes | Social Worker | 1221 Main St, Holyoke, MA 01040-5311 | 2018-09-10 |
| 1215428362 | Nadia Schuessler | Counselor | 1221 Main St, Ste 309, Holyoke, MA 01040 | 2018-05-24 |
| 1457876542 | Nicholas John Felton | Physician Assistant | 1221 Main St, Holyoke, MA 01040-5311 | 2017-08-09 |
| 1114366507 | Kathleen Marie Hershon | Psychiatry & Neurology | 1221 Main St, Holyoke, MA 01040-5311 | 2013-06-18 |
| 1942574496 | Vanessa Vargas | Counselor | 1221 Main St, Holyoke, MA 01040-5311 | 2012-03-01 |
| 1386859932 | Purnima Adlakha | Internal Medicine | 1221 Main St, Ste 117, Holyoke, MA 01040-5396 | 2007-05-14 |
| 1881741163 | Claudia Lynn Koppelman | Internal Medicine | 1221 Main St, Suite 205, Holyoke, MA 01040-5396 | 2007-01-05 |
| 1326100330 | Joann Marie Richmond | Pathology | 1221 Main St, Suite 115, Holyoke, MA 01040-5396 | 2006-12-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1225646904 | Jasmine Glover | Counselor | 476 Appleton St. Suite 5, Holyoke, MA 01040 | 2020-07-17 |
| 1932662319 | Damaris Santingo Martinez | Registered Nurse | 46 Magnolia Ave, Holyoke, MA 01040 | 2019-04-11 |
| 1104302371 | Cheryl Ann Lauben | Counselor | 476 Appleton Street, Suite 2, Holyoke, MA 01040 | 2018-07-11 |
| 1740704741 | Miranda Lynn Fogg | Behavior Technician | 244 Westfield Rd, Holyoke, MA 01040 | 2017-08-01 |
| 1770020018 | Total Wellness Centers, LLC | Clinical Medical Laboratory | 59 Bobala Rd, Holyoke, MA 01040 | 2017-01-25 |
| 1184097768 | Chi Wan Wong | Physical Therapy Assistant | 110 Cherry Street, Holyoke, MA 01040 | 2015-11-04 |
| 1841666724 | Danielle Moroney | Counselor | River Valley Counseling Center Mental Health Service, 303 Beech St, Holyoke, MA 01040 | 2015-08-14 |
| 1285019638 | Ashley Papineau | Social Worker | 9 Faille Ave, Apt 3, Holyoke, MA 01040 | 2015-07-28 |
| 1205216967 | Vanessa Vazquez | Counselor | 1233 Main St., Holyoke, MA 01040 | 2015-06-08 |
| Find all providers in zip 01040 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316322852 | Marie-christine Guilbert | Pathology | 259 Beacon St, Apt 62, Boston, MA 02116-1209 | 2015-07-27 |
| 1326432667 | Israa Laklouk | Pathology | 5 Fruit St, Boston, MA 02114-2621 | 2015-03-25 |
| 1740570787 | Hatice Deniz Gur | Pathology | 108 Peterborough St, 4h, Boston, MA 02215-4785 | 2011-04-11 |
| 1427299601 | Marie Y. Lithgow | Pathology | 1400 Vfw Pkwy # 1b-120, Boston, MA 02132 | 2009-03-17 |
| 1831349869 | George J Busch | Pathology | 43 Glenridge Dr, Bedford, MA 01730-2009 | 2008-09-26 |
| 1376736587 | Joseph M Edelstein | Pathology | 1008 Massachusetts Ave, Apt 510, Cambridge, MA 02138-5358 | 2007-08-21 |
| 1902098023 | Francoise Truong | Pathology | Three Biotech One Innovation Drive, Department of Anatomic Pathology, Worcester, MA 01605 | 2007-08-13 |
| 1831380831 | Edmond J Yunis | Pathology | 44 Binney St Rm Lhrrb203, Dana-farber Cancer Inst, Boston, MA 02115 | 2007-08-05 |
| 1619098779 | Michael A Gimbrone | Pathology | Brigham & Women Hospital, 75 Francis Street, Boston, MA 02115 | 2007-04-03 |
| 1447379698 | Farid J Louis | Pathology | Quest Diagnostic Inc, 415 Massachusetts Avenue, Cambridge, MA 02139 | 2007-03-28 |
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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.