SHEETAL PRAMOD JUTOOR (NPI# 1700270972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700270972 |
| Entity Type | Individual |
| Full Name | SHEETAL PRAMOD JUTOOR |
| Credential | MBBS |
| Practice Address |
19 Tacoma St Worcester MA 01605-3516 |
| Mailing Address |
201 Lyons Ave Newark NJ 07112-2027 |
| Practice Telephone | 5088521805 |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 276562 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 201 Lyons Ave, Newark, NJ 071122027 | 9739267040 |
| Street Address |
19 TACOMA ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114902038 | Gina E. D'ottavio | Family Medicine | 19 Tacoma St, Worcester, MA 01605-3516 | 2005-12-14 |
| 1952909319 | Michelle Elicier | Licensed Practical Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-10-16 |
| 1396342275 | Christine Anne Tuohy | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-10-05 |
| 1437756335 | Madeline Fennon Lane | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-10-04 |
| 1962016584 | Julie Fraher | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-09-01 |
| 1598377699 | Victor O Boadu | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-08-19 |
| 1053922963 | Shanoska Vasquez Garcia | Counselor | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-08-13 |
| 1588289300 | Jeffrey P Chhim | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-06-09 |
| 1629692470 | Diana Portillo | Registered Nurse | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-06-07 |
| 1467076810 | Stacie Robbins | Pharmacist | 19 Tacoma St, Worcester, MA 01605-3516 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164547014 | John A Riordan | Pediatrics | 117 Coolidge Rd, Worcester, MA 01602-2750 | 2007-03-20 |
| 1811071012 | Sheila M Callahan Butler | Pediatrics | 372 Chandler Street, Worcester, MA 01602 | 2006-10-24 |
| 1467551879 | Christine S. Freemer | Pediatrics | 291 Lincoln St Ste 101, Worcester, MA 01605-3643 | 2006-09-22 |
| 1306941794 | Mariam Lari | Pediatrics | Umass Memorial Children's Med. Ctr., 55 Lake Avenue North, Worcester, MA 01655 | 2006-09-13 |
| 1518991306 | Julie E Meyers | Pediatrics | Umass Medical School, 100 Century Drive, Worcester, MA 01613 | 2006-07-10 |
| 1487601068 | Nicholas Peter Pacella | Pediatrics | 45 Oak Ave, Worcester, MA 01605-2730 | 2006-05-28 |
| 1922098664 | Timothy Wells Watkins | Pediatrics | 650 Lincoln St, Worcester, MA 01605-2060 | 2005-10-25 |
| 1053319905 | Chandler Pediatrics | Pediatrics | 421 Chandler St., Worcester, MA 01602 | 2005-07-13 |
| 1952305997 | Catherine Anne Riordan | Pediatrics | 421 Chandler St, Worcester, MA 01602-2915 | 2005-06-08 |
| 1164950945 | Kamaris M Merritt | Pediatrics | 119 Belmont St, Worcester, MA 01605-2903 | 2017-05-24 |
| 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.