ELIZABETH W. BRADY (NPI# 1861493132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861493132 |
| Entity Type | Individual |
| Full Name | ELIZABETH W. BRADY |
| Credential | MD |
| Practice Address |
100 Wason Avenue Springfield MA 01107-1179 |
| Mailing Address |
280 Chestnut Street 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137945265 |
| Practice Fax Number | 4137941794 |
| Mailing Telephone | 4137945700 |
| Mailing Fax Number | 4137941629 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2018-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
270355 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICARE | 026129-0403 | 01 |
| MA | MASSHEALTH | 3163547 | 01 |
| CT | AETNA | 782084 | 01 |
| CT | OXFORD | P825539 | 01 |
| CT | PIONEER | 06-1406459 | 01 |
| CT | NORTHEAST HEALTH DIRECT CHN PPO | 061200871 | 01 |
| CT | HEALTH NEW ENGLAND | 10790 | 01 |
| CT | MULTIPLAN PHCS | 061200871 | 01 |
| CT | CORVEL | 061200871 | 01 |
| CT | ANTHEM BCBS | 010026129CT03 | 01 |
| CT | HEALTH NET | 0S2066 | 01 |
| CT | CIGNA | 0003031 001 | 01 |
| CT | 001261296 | 05 | |
| CT | GREAT WEST HEALTHCARE | 061200871 | 01 |
| CT | COVENTRY/FIRST HEALTH | 061200871 | 01 |
| CT | COLONIAL COOPERATIVE CARE | 06-1406459 | 01 |
| CT | UNITED HEALTHCARE | 061200871 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538552161 | Elizabeth Brady | Speech-Language Pathologist | 9104 Fernhill Ave, Parma, OH 44129-2028 | 2015-03-06 |
| 1104242627 | Elizabeth Brady | Behavioral Analyst | 11905 Bowman Dr Ste 507, Fredericksburg, VA 22408-7344 | 2014-03-07 |
| 1396941761 | Elizabeth May Brady | Counselor | 85 Felt Rd, Suite 603, South Windsor, CT 06074-3870 | 2007-06-22 |
| 1013470517 | Elizabeth Brady | Social Worker | 2110 Washington Blvd, Arlington, VA 22204-5719 | 2019-04-11 |
| 1275038796 | Elizabeth Jane Brady | Occupational Therapy Assistant | 125 Alma Blvd, Merritt Island, FL 32953-4345 | 2018-03-27 |
| 1134229990 | Elizabeth Hubbard Brady | Social Worker | 1619 Dayton Ave, Suite 110, Saint Paul, MN 55104-6206 | 2006-09-22 |
| 1114022415 | Elizabeth Ann Brady | Nurse Anesthetist, Certified Registered | 909 Sumner St, Stoughton, MA 02072-3396 | 2006-09-13 |
| 1447368303 | Elizabeth Brady | Nurse Practitioner | 2051 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2006-08-29 |
| Street Address |
100 WASON AVENUE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699339119 | Megan Marie Elterman | Nurse Practitioner | 100 Wason Avenue, Springfield, MA 01107-1179 | 2019-04-30 |
| 1568917854 | Angela Costanzi | Audiologist | 100 Wason Avenue, Suite 100, Springfield, MA 01107 | 2016-08-17 |
| 1639557267 | Jordan Elizabeth Mclevedge | Physician Assistant | 100 Wason Avenue, Suite 100, Springfield, MA 01107 | 2015-05-14 |
| 1407248735 | Bridget Theresa Davis | Audiologist | 100 Wason Avenue, Suite 100, Springfield, MA 01107 | 2015-02-24 |
| 1073913000 | Tricia A. Porter | Nurse Practitioner | 100 Wason Avenue, Suite 230, Springfield, MA 01107-1179 | 2014-08-27 |
| 1922393669 | Danielle M Lipoff | Surgery | 100 Wason Avenue, Springfield, MA 01107-1179 | 2011-06-10 |
| 1902039936 | Greater Springfield Surgery Center, LLC | Clinic/Center | 100 Wason Avenue, Springfield, MA 01107 | 2009-08-25 |
| 1144452939 | Ila Karen Shebar | Nurse Practitioner | 100 Wason Avenue, Suite 120, Springfield, MA 01107-1119 | 2009-08-13 |
| 1437388527 | Victoria K Pepper | Surgery | 100 Wason Avenue, Springfield, MA 01107-1381 | 2009-07-09 |
| 1295987808 | Catherine A. Moretti | Physician Assistant | 100 Wason Avenue, Suite 230, Springfield, MA 01107 | 2008-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861834608 | Jesse T Casaubon | Surgery | 100 Wason Ave Ste 340, Springfield, MA 01107-1179 | 2013-07-22 |
| 1225237704 | Roger Hoon Kim | Surgery | 315 W Carpenter St Fl C2, Springfield, IL 62702-4901 | 2007-07-13 |
| 1922393669 | Danielle M Lipoff | Surgery | 100 Wason Avenue, Springfield, MA 01107-1179 | 2011-06-10 |
| 1184816829 | Shuja Ahmed | Surgery | 301 N 8th St, Springfield, IL 62701-1041 | 2007-08-16 |
| 1780695320 | Susan Cash | Surgery | 3350 Main Street, Springfield, MA 01199 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265990261 | Eduardo Alberto Vega Pizarro | Surgery | 127 Bay State Rd Apt 4, Boston, MA 02215-1711 | 2019-03-08 |
| 1487910709 | Monica Gabriela Valero Camacho | Surgery | 330 Brookline Ave Rm 507b, Boston, MA 02215-5491 | 2012-04-11 |
| 1053509539 | Diana Laura Caragacianu | Surgery | 14 Prospect St Fl 4, Milford, MA 01757-3003 | 2007-10-09 |
| 1265540975 | Michael D Wertheimer | Surgery | Umass Memorial Health Care, 119 Belmont Street, Worcester, MA 01605 | 2006-08-25 |
| 1316053192 | Cristina R Ferrone | Surgery | 24 Hancock St, Apt. 5, Boston, MA 02114-4161 | 2006-08-22 |
| 1467410845 | John T Mullen | Surgery | Beth Israel Deaconess, 330 Brookline Ave St 912, Boston, MA 02215 | 2006-05-03 |
| 1619947793 | Katherina Zabicki Calvillo | Surgery | 44 Binney St., Mayer 1b34, Bwh/dfci Breast Oncology Center, Boston, MA 02115 | 2006-01-23 |
| 1154764421 | Meghan Elizabeth Garstka | Surgery | 55 Fruit St, Boston, MA 02114-2621 | 2013-04-16 |
| 1003129693 | Nicole J Look-hong | Surgery | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2010-07-23 |
| 1366754921 | Alessandra Mele | Surgery | 330 Brookline Ave, Boston, MA 02215-5400 | 2010-07-11 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.