RELIANT MEDICAL GROUP (NPI# 1982957031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982957031 |
| Entity Type | Organization |
| Organization Name | RELIANT MEDICAL GROUP |
| Practice Address |
123 Summer St Ste 155 Worcester MA 01608-1216 |
| Mailing Address |
5 Neponset St Worcester MA 01606-2714 |
| Practice Telephone | 5088569599 |
| Practice Fax Number | 5083683178 |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2019-11-11 |
| Authorized Official Name | TAREK ELSAWY (PRESIDENT & CEO) |
| Authorized Official Telephone | 5088520600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | RELIANT MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871846428 | Reliant Medical Group | Optometrist | 64 Boyden Rd, Holden, MA 01520-2570 | 2012-10-19 |
| 1609129253 | Reliant Medical Group | Optometrist | 344 Thompson Rd, Webster, MA 01570-1509 | 2012-10-19 |
| 1326391962 | Reliant Medical Group | Optometrist | 370 Lunenburg St, Fitchburg, MA 01420-4541 | 2012-10-19 |
| 1700139334 | Reliant Medical Group | Optometrist | 110 Charlton Rd, Sturbridge, MA 01566-1538 | 2012-10-19 |
| 1114270857 | Reliant Medical Group | Optometrist | 900 Union St, Westborough, MA 01581-5408 | 2012-10-18 |
| 1831442581 | Reliant Medical Group | Optometrist | 115 Cedar St, North Bldg, Milford, MA 01757-5118 | 2012-10-18 |
| 1134337116 | Reliant Medical Group | Rehabilitation Practitioner | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2007-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | RELIANT MEDICAL GROUP, INC. | 5 Neponset St, Worcester, MA 01606-2714 |
| Street Address |
123 SUMMER ST STE 155 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1216 |
| 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 | 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 |
| 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 |
| 1447208715 | Richard Alan Grossman | Optometrist | 488 Pleasant St, Worcester, MA 01609-1857 | 2006-05-05 |
| 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.