MARK S DISTEFANO (NPI# 1831232230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831232230 |
| Entity Type | Individual |
| Full Name | MARK S DISTEFANO |
| Credential | M.D. |
| Practice Address |
Vernon Medical Center 10 Winthrop Street Worcester MA 01604 |
| Practice Telephone | 5087564247 |
| Mailing Telephone | 5087564247 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 47612 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
VERNON MEDICAL CENTER 10 WINTHROP STREET |
| City | WORCESTER |
| State | MA |
| Zip Code | 01604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1285123034 | Sandra Jean Golden | Social Worker | 240 Belmont Street, Worcester, MA 01604 | 2018-05-08 |
| 1669961348 | Cindy Truong Choe | Behavior Technician | 330 Southwest Cutoff Suite 203, Worcester, MA 01604 | 2018-05-08 |
| 1013412915 | Michelle Marie Gaudet | Behavioral Analyst | 330 Southwest Cutoff, Suite 203, Worcester, MA 01604 | 2018-03-24 |
| 1104336593 | Younghwa Kim | Counselor | 2 Granite Street, Worcester, MA 01604 | 2017-10-11 |
| 1134640857 | Desiree Oquendo | Developmental Therapist | 43 Dillon Street, Worcester, MA 01604 | 2017-07-03 |
| 1457803686 | Reliable Home Care Services | Foster Care Agency | 35a Houghton Strret, Worcester, MA 01604 | 2016-11-04 |
| 1639530876 | Emily Capstick | Counselor | 81 Plantation Steet, Worcester, MA 01604 | 2016-03-16 |
| 1144696519 | Christian Caban I | Developmental Therapist | 25 Orient St, Worcester, MA 01604 | 2015-08-19 |
| 1750770160 | Ayanna Ortiz | Developmental Therapist | 16 Bangor St, Worcester, MA 01604 | 2015-01-22 |
| Find all providers in zip 01604 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417508284 | Nuch of Massachusetts, LLC | Emergency Medicine | 81 Gold Star Blvd Ste 1, Worcester, MA 01606-2813 | 2019-09-24 |
| 1477621217 | Kishani Heendeniya Heller | Emergency Medicine | Dept of Emegency Medicine, 20 Worcester Ctr Blvd, Worcester, MA 01608-1320 | 2006-12-01 |
| 1699880658 | Octavio J Diaz | Emergency Medicine | Saint Vincent Hospital, 20 Worcester Ctr Blvd, Worcester, MA 01608 | 2006-08-20 |
| 1801803648 | Thomas Andrew Gould | Emergency Medicine | St. Vincent Hospital-emergency Department, 123 Summer Street, Worcester, MA 01608 | 2006-08-02 |
| 1679556534 | Jonathan S. Grayzel | Emergency Medicine | 72 Pointe Rok Dr, Worcester, MA 01604-1467 | 2005-11-23 |
| 1457853301 | Jared Vona | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2018-03-07 |
| 1417489477 | Marc J. Rigatti | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-03-29 |
| 1578095857 | Powell L. Graham | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-03-28 |
| 1952832479 | Lia R. Garry | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-03-26 |
| 1598296030 | Rebecca J. Packwood | Emergency Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-03-26 |
| 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.