JUSTIN A SLAVIN (NPI# 1790944668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790944668 |
| Entity Type | Individual |
| Full Name | JUSTIN A SLAVIN |
| Credential | MD |
| Practice Address |
55 Lake Avenue North Department of Neurosurgery Worcester MA 01655-0002 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5083340605 |
| Practice Fax Number | 5088565074 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2020-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 263012 | MA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | D0081418 | MD | Allopathic & Osteopathic Physicians |
| Street Address |
55 LAKE AVENUE NORTH DEPARTMENT OF NEUROSURGERY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891779054 | Mercedes Elvira Menendez | Psychiatry & Neurology | 55 Lake Avenue North, Umass Memorial Medical Center, Adult Mental Health Unit, Worcester, MA 01655-0002 | 2005-12-01 |
| 1750907358 | Kiara Ortiz | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Umass Memorial Medical Center, Worcester, MA 01655 | 2020-06-19 |
| 1326668849 | Jeremy Ezra Springer | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2020-04-24 |
| 1851911457 | Akanksha Gulati | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2020-04-23 |
| 1093344467 | Katherine Hendren Rose | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2020-04-07 |
| 1801424007 | Stephen Anders | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2020-04-01 |
| 1316575590 | Alexandria Capozza | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655-0002 | 2020-04-01 |
| 1013545706 | Pooja Prakash Kumar | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2020-03-30 |
| 1598393373 | Lila Kaminsky | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Worcester, MA 01655 | 2020-03-29 |
| 1386285831 | Alyssa Richard-figueroa | Social Worker | 55 Lake Avenue North, Emergency Mental Health Service, Worcester, MA 01655 | 2019-10-07 |
| 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 | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| 1255699963 | Celina Crisman | Neurological Surgery | 55 Lake Avenue North, Department of Neurological Surgery, Worcester, MA 01655-0002 | 2012-05-01 |
| 1831483825 | John E Berry-candelario | Neurological Surgery | Umass Memorial Medical Center, 55 Lake Avenue North, Worcester, MA 01655-0002 | 2011-06-07 |
| 1700178589 | Ziev Ben Moses | Neurological Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2011-05-11 |
| 1437393741 | Farid Hamzei-sichani | Neurological Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2009-04-30 |
| 1215126479 | Frederik A Pennings | Neurological Surgery | 119 Belmont St, Worcester, MA 01605-2903 | 2007-10-23 |
| 1912190083 | Sabareesh Kumar Natarajan | Neurological Surgery | 55 Lake Ave N, Worcester, MA 01655 | 2007-08-22 |
| 1578501797 | Mark D Johnson | Neurological Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2006-06-02 |
| 1225086457 | Richard P Moser | Neurological Surgery | 55 Lake Ave N, Department of Surgery, Worcester, MA 01655-0002 | 2006-05-04 |
| 1932165891 | Gerald T. Mcgillicuddy | Neurological Surgery | 67 Belmont St, Worcester, MA 01605-2657 | 2006-04-20 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on JUSTIN A SLAVIN.
| 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.