Douglas Fellows (NPI# 1063467827, PAC ID# 7618942970) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1063467827 |
| PAC ID by PECOS | 7618942970 |
| Professional Enrollment ID | I20040831000053 |
| Full Name | Douglas Fellows |
| Organization Legal Name | UMASS MEMORIAL RADIOLOGY PHYS SERV |
| Address |
55 Lake Ave N Worcester MA 01655-0002 |
| Phone Number | 5088565381 |
| Gender | M |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 6800868779 |
| Number of Group Practice Members | 93 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220163 | UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS |
| 220001 | HEALTHALLIANCE HOSPITALS, INC |
| Address | Phone | Organization |
|---|---|---|
| 55 Lake Ave N, Worcester, MA 01655-0002 | 5088565381 | UMASS MEMORIAL RADIOLOGY PHYS SERV |
| Organization Legal Name | UMASS MEMORIAL RADIOLOGY PHYS SERV |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent Prendergast | Nurse Practitioner | Umass Memorial Radiology Phys Serv | 367 Plantation St, Worcester, MA 01605-2323 |
| Walter J Zawacki | Nurse Practitioner | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Alan J Goldstein | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Jasmeet Singh | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Suma C Kannabiran | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Khashayar Rafatzand | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Monique M Tyminski | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Patricia Cross | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Amin S Chaoui | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Kimberly Lyn Marsh | Nurse Practitioner | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Street Address |
55 LAKE AVE N |
| City | WORCESTER |
| State | MA |
| Zip | 01655-0002 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hillary R Irons | Emergency Medicine | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Ewa Hryniszyn | Certified Registered Nurse Anesthetist (crna) | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Adepeju G Champion | Internal Medicine | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Sowmya Korapati | Hematology/oncology | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Erin M Bednarek | Nurse Practitioner | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| John M Levey | Gastroenterology | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Stephen J Krinzman | Pulmonary Disease | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Walter J Zawacki | Nurse Practitioner | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Theodore J Patsos | General Surgery | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Alan J Goldstein | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen E Nordstrom | Clinical Nurse Specialist | Umass Memorial Medical Center, Inc. | 55 Lake Ave N, Worcester, MA 01655-0001 |
| Sharon M Stein | Nurse Practitioner | Umass Memorial Medical Center, Inc. | 55 Lake Ave N, Worcester, MA 01655-0001 |
| William G Ferrarone | Clinical Psychologist | Umass Memorial Medical Center, Inc. | 55 Lake Ave N, Worcester, MA 01655-0001 |
| Leslie S Murphy | Clinical Social Worker | Umass Memorial Medical Center, Inc. | 55 Lake Ave N, Worcester, MA 01655-0001 |
| Jyoti D Nagarkar | Internal Medicine | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Penny M Feldman | Endocrinology | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Marilee Lorraine Edwards | Certified Registered Nurse Anesthetist (crna) | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Carolann Monopoli | Nurse Practitioner | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Elizabeth A Murphy | Internal Medicine | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Geri Fuhrmann | Psychologist, Clinical | Umass Memorial Medical Group Inc | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Find all physicians in zip 01655 | |||
| City | WORCESTER |
| Zip Code | 01655 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WORCESTER + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Douglas Fellows.
| 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.