LEON G JOSEPHS (NPI# 1962471003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962471003 |
| Entity Type | Individual |
| Full Name | LEON G JOSEPHS |
| Credential | MD |
| Practice Address |
123 Summer St Ste 210 Worcester MA 01608-1216 |
| Mailing Address |
630 Plantation St Worcester MA 01605-2038 |
| Practice Telephone | 5083683190 |
| Practice Fax Number | 5083683193 |
| Mailing Telephone | (508) 368-3190 |
| Mailing Fax Number | 5083683193 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2017-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
56820 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CIGNA HEALTH PLAN | 5068965 | 01 | |
| MEDICARE B | J06987 | 01 | |
| ONE HEALTH PLAN | 042472266 | 01 | |
| FIRST HEALTH | 2044702 | 01 | |
| HEALTHCARE VALUE MGMT | 042472266 | 01 | |
| MEDICAID WELFARE | 3030351 | 01 | |
| FALLON COMMUNITY HEALTH P | 33794 | 01 | |
| BLUE SHIELD INDEMNITY | J06987 | 01 | |
| HEALTHY START | 3030351 | 01 | |
| MVP HEALTH CARE | 784032 | 01 | |
| BLUE CARE ELECT | J06987 | 01 | |
| PRIVATE HEALTHCARE SYSTEM | 042472266 | 01 | |
| MA | 3030351 | 05 | |
| EVERCARE | 2900343 | 01 | |
| MVP HEALTH CARE | 784033 | 01 | |
| HARVARD PILGRIM HEALTHCAR | AA5965 | 01 | |
| BLUE SHIELD HMO BLUE | J06987 | 01 | |
| AETNA US HEALTCARE | 5060175 | 01 |
| Street Address |
123 SUMMER ST STE 210 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083014955 | Jessica Nicholas Day | Nurse Practitioner | 123 Summer St Ste 210, Worcester, MA 01608-1216 | 2014-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356736839 | Tammy T. Nguyen | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-04-01 |
| 1093134090 | Eric Bluemn | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2014-04-08 |
| 1992068274 | Dejah R. Judelson | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2012-06-21 |
| 1982999199 | Edward Arous | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2011-06-15 |
| 1700012598 | Milan Bajmoczi | Surgery | 281 Lincoln St, Medical Staff Svcs, Worcester, MA 01605-2138 | 2009-06-08 |
| 1528205978 | Francesco A Aiello | Surgery | 55 Lake Ave N, Division of Vascular Surgery, Worcester, MA 01655-0002 | 2009-01-07 |
| 1043471212 | Charanjit S Rao Md PC | Surgery | 10 Winthrop St, Worcester, MA 01604-4435 | 2008-06-20 |
| 1528129715 | Robert Clark Steppacher Jr. | Surgery | 55 Lake Ave N, Department of Vascular Surgery, Worcester, MA 01655-0002 | 2006-12-12 |
| 1356432603 | Subhash C. Gulati, Md, Facs Inc | Surgery | 291 Lincoln St, Suite 204, Worcester, MA 01605-3643 | 2006-09-28 |
| 1518976877 | Louis M. Messina | Surgery | 55 Lake Ave N, Department of Surgery/vascular Surgery, Worcester, MA 01655-0002 | 2006-08-05 |
| 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.