Kenneth M Sicard (NPI# 1093965436, PAC ID# 1052538360) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1093965436 |
| PAC ID by PECOS | 1052538360 |
| Professional Enrollment ID | I20150608000335 |
| Full Name | Kenneth M Sicard |
| Organization Legal Name | HENRY HEYWOOD MEMORIAL HOSPITAL |
| Address |
242 Green St Gardner MA 01440-1336 |
| Phone Number | 9786323420 |
| Gender | M |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1658262605 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220095 | HEYWOOD HOSPITAL - |
| 221303 | ATHOL MEMORIAL HOSPITAL |
| 220001 | HEALTHALLIANCE HOSPITALS, INC |
| 220163 | UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 242 Green St, Gardner, MA 01440-1336 | 9786323420 | HENRY HEYWOOD MEMORIAL HOSPITAL |
| 242 Green St, Gardner, MA 01440-1373 | 9786306235 | WACHUSETT RADIOLOGY INC |
| Organization Legal Name | HENRY HEYWOOD MEMORIAL HOSPITAL |
| Physicians | 51 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M. Bogdasarian | Physician Assistant | Henry Heywood Memorial Hospital | 69 Pearson Blvd, Gardner, MA 01440-3368 |
| Abby Brockelbank | Nurse Practitioner | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Shawn Anthony Berkowitz | Family Medicine | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Margo B Wood | Nurse Practitioner | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Marc V Bisceglia | Physician Assistant | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Jessica A Darnobid | Anesthesiology | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Efran Candelaria | Certified Registered Nurse Anesthetist (crna) | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Cory Michael Nohl | Psychiatry | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Sarah E Gilbert | Emergency Medicine | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Alison G Willnow | Certified Registered Nurse Anesthetist (crna) | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Street Address |
242 GREEN ST |
| City | GARDNER |
| State | MA |
| Zip | 01440-1336 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard A Haas | Endocrinology | Umass Memorial Medical Group Inc | 242 Green St, Gardner, MA 01440-1336 |
| Mustafa M Syed | Psychiatry | 242 Green St, Gardner, MA 01440-1336 | |
| Abby Brockelbank | Nurse Practitioner | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Shawn Anthony Berkowitz | Family Medicine | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Margo B Wood | Nurse Practitioner | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Marc V Bisceglia | Physician Assistant | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Jessica A Darnobid | Anesthesiology | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Efran Candelaria | Certified Registered Nurse Anesthetist (crna) | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Cory Michael Nohl | Psychiatry | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Sarah E Gilbert | Emergency Medicine | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victor Zota | Pathology | Crystal Lake Pathology PC | 242 Green St, Gardner, MA 01440-1336 |
| Alison G Willnow | Certified Registered Nurse Anesthetist (crna) | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Saleem A Khanani | Hematology/oncology | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Heather L Archambeault | Certified Registered Nurse Anesthetist (crna) | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Jeffrey M Vandall | Certified Registered Nurse Anesthetist (crna) | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Mark A Navin | Physician Assistant | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Charles D Allison | Diagnostic Radiology | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| David H Gill | Psychiatry | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Benjamin D Prentiss | Internal Medicine | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Daryl R Parker | Diagnostic Radiology | Henry Heywood Memorial Hospital | 242 Green St, Gardner, MA 01440-1336 |
| Find all physicians in zip 01440 | |||
| City | GARDNER |
| Zip Code | 01440 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | GARDNER + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Kenneth M Sicard.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.