RELIANT MEDICAL GROUP, INC (NPI# 1780729293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780729293 |
| Entity Type | Organization |
| Organization Name | RELIANT MEDICAL GROUP, INC |
| Practice Address |
5 Neponset St Worcester MA 01606-2714 |
| Practice Telephone | 5088569599 |
| Practice Fax Number | 5088544998 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | TAREK ELSAWY (PRESIDENT & CEO) |
| Authorized Official Telephone | 5088520600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437794716 | Reliant Medical Group, Inc | Optometrist | 24 Newton St, Southborough, MA 01772-1215 | 2019-11-11 |
| 1063765600 | Reliant Medical Group, Inc | Optometrist | 385 Southbridge St, Auburn, MA 01501-2498 | 2012-10-19 |
| 1184812620 | Reliant Medical Group, Inc | Audiologist | 123 Summer Street, Worcester, MA 01608-1216 | 2007-10-10 |
| 1811103195 | Reliant Medical Group, Inc | Occupational Therapist | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2007-05-15 |
| 1437365715 | Reliant Medical Group, Inc | Speech-Language Pathologist | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2007-05-15 |
| 1003951260 | Reliant Medical Group, Inc | Nutritionist | 630 Plantation St, Worcester, MA 01605-2038 | 2007-02-21 |
| 1851436778 | Reliant Medical Group, Inc | Radiology | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2007-02-20 |
| 1295827962 | Reliant Medical Group, Inc | Physical Therapist | 5 Neponset St, Worcester, MA 01606-2714 | 2006-09-29 |
| 1720017528 | Reliant Medical Group, Inc | Internal Medicine | 5 Neponset St, Worcester, MA 01606-2714 | 2006-07-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RELIANT MEDICAL GROUP, INC. | 5 Neponset St, Worcester, MA 01606-2714 |
| Massachusetts Corporations | RELIANT MEDICAL GROUP, INC. | 100 Front St., Worcester, MA 01608 |
| Street Address |
5 NEPONSET ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01606-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203856 | Thomas Lee Rosenfeld | Dermatology | 5 Neponset St, Worcester, MA 01606-2714 | 2005-05-24 |
| 1831708841 | Lucy Kirakous | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2020-07-26 |
| 1174157259 | Krystal Leblanc | Social Worker | 5 Neponset St, Worcester, MA 01606-2714 | 2020-02-27 |
| 1124664313 | Kedeshia Malin | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2019-11-21 |
| 1730627472 | Jessica E. Valletta | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2017-02-02 |
| 1447700182 | Margaret Tu-anh Nguyen | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2016-10-06 |
| 1922551746 | Danielle N. Lawrence | Nurse Practitioner | 5 Neponset St, Worcester, MA 01606-2714 | 2016-07-28 |
| 1679929004 | Samuel Schieffelin Nordberg | Psychologist | 5 Neponset St, Worcester, MA 01606-2714 | 2016-05-04 |
| 1225496938 | Quynh V. Tu | Dietitian, Registered | 5 Neponset St, Worcester, MA 01606-2714 | 2016-02-09 |
| 1295105476 | Justin Hall | Physician Assistant | 5 Neponset St, Worcester, MA 01606-2714 | 2015-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548742612 | Aishea Irine Henry | Counselor | 29 E. Mountian St., Worccester, MA 01606 | 2018-09-05 |
| 1932689874 | Donna Kesler Pearce | Social Worker | Department of Children and Families, 151 West Boylston Drive, Worcester, MA 01606 | 2018-08-20 |
| 1689169914 | Ashley Kalel | Social Worker | 151 W Boylston Dr, Worcester, MA 01606 | 2018-06-28 |
| 1588189039 | Michael Joseph Peters Sr. | Counselor | 56 Malden St, Worcester, MA 01606 | 2017-08-06 |
| 1811418528 | Shan Rai | Social Worker | 29 East Mountain Street, Worcester, MA 01606 | 2017-07-03 |
| 1639608045 | Kim Marie Ceccarini | Case Manager/Care Coordinator | 11 Delaval Rd, Worcester, MA 01606 | 2017-06-08 |
| 1669806139 | Lauren Giuliano | Counselor | 392 Burncoat St, Worcester, MA 01606 | 2013-09-02 |
| 1508132911 | Joshua D Zierler-broudo | Social Worker | 29 East Mountain St, Worcester, MA 01606 | 2012-03-29 |
| 1609096098 | Alternatives Unlimited Inc | Day Training, Developmentally Disabled Services | 367 Burncoat Street, Worcester, MA 01606 | 2007-04-26 |
| 1407908213 | Class One Orthodontic Asso LLC | Dentist | 365 Burncoat St, Worcester, MA 01606 | 2007-01-18 |
| Find all providers in zip 01606 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487212346 | Tony Tran | Optometrist | 39 Oread St, Worcester, MA 01608-2194 | 2019-06-04 |
| 1346793205 | Kathryn Surdovel | Optometrist | 377 Plantation St # 4, Worcester, MA 01605 | 2016-07-27 |
| 1982957031 | Reliant Medical Group | Optometrist | 123 Summer St Ste 155, Worcester, MA 01608-1216 | 2012-10-25 |
| 1073779948 | Linh Thuy Thi Trang | Optometrist | 1 Tobias Boland Way, Worcester, MA 01607-2533 | 2008-07-31 |
| 1134322456 | Lawrence William Baitch | Optometrist | 10 Lincoln Sq Rm 210-i, Worcester, MA 01608-1135 | 2007-06-06 |
| 1639294267 | Mark Francis Scott | Optometrist | 120 Stafford Street, Worcester, MA 01603-1422 | 2007-03-20 |
| 1891841987 | Shabnum K Parti | Optometrist | 160 Fremont St, Unit 406, Worcester, MA 01603-2371 | 2007-01-25 |
| 1972664977 | Vincent Domenic Giovannucci | Optometrist | 348 Shrewsbury St, Worcester, MA 01604-4616 | 2006-12-13 |
| 1073674446 | Family Eye Care, Inc. | Optometrist | 335 Park Ave, Worcester, MA 01610-1000 | 2006-12-12 |
| 1689773434 | Firas Peter Kassira | Optometrist | 1099 Pleasant St Ste B, Worcester, MA 01602 | 2006-09-21 |
| 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.