ST. ELIZABETH MEDICAL CENTER (NPI# 1003161589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003161589 |
| Entity Type | Organization |
| Organization Name | ST. ELIZABETH MEDICAL CENTER |
| Practice Address |
172 Summer St Apt 8 Waltham MA 02452-5647 |
| Practice Telephone | 6175953797 |
| Mailing Telephone | 6175953797 |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |
| Authorized Official Name | VINCENZA GELARDI (SUGICAL EDUCATION COORDINATOR) |
| Authorized Official Telephone | 6177892990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
253000 | CT | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003935859 | St. Elizabeth Medical Center | Nursing Care | 401 E 20th St, Covington, KY 41014-1583 | 2007-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ST. ELIZABETH MEDICAL CENTER | 2209 Genesee St, Utica, NY 13501-5999 |
| New York State Corporations | ST. ELIZABETH MEDICAL CENTER | 2209 Genesee Street, Utica, New York 13501 |
| Street Address |
172 SUMMER ST APT 8 |
| City | WALTHAM |
| State | MA |
| Zip Code | 02452-5647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1750879383 | Rosemary Klein | Psychologist | Waltham Court Clinic, 38 Linden St., Waltham, MA 02452 | 2018-04-30 |
| 1497256374 | Chithra Susan Kuriakose | Nurse Practitioner | Waltham Medical Group, 6 Lexington St., 2nd Floor, Waltham, MA 02452 | 2018-02-26 |
| 1861883001 | Melanie H Deveikas | Physical Therapist | 425 Waverley Oaks Rd, Waltham, MA 02452 | 2015-02-10 |
| 1770992059 | Hope Elisabeth Forbes | Psychologist | 175 Forest St., Bentley University Counseling Center, Waltham, MA 02452 | 2014-08-12 |
| 1326462557 | Ann M Fletcher | Social Worker | 100 Church St., Waltham, MA 02452 | 2014-02-07 |
| 1801239397 | Rainbow Adhc of Waltham | Clinic/Center | 411 Waverly Oak Rd # 2, Suite 214, Waltham, MA 02452 | 2013-04-15 |
| 1356689335 | Jessica M Liberty | Physical Therapist | 425 Waverley Oaks Rd., Waltham, MA 02452 | 2013-01-25 |
| 1386946960 | Janyce M Gately | Dietitian, Registered | 425 Waverley Oaks Rd Ste 200, Waltham, MA 02452 | 2010-12-02 |
| 1265618839 | Anita Lynn Hurd | Registered Nurse | 411 Waverely Oaks Road, Building #3, Suite 305, Waltham, MA 02452 | 2008-01-14 |
| Find all providers in zip 02452 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558726356 | Beth Israel Deaconess Medical Center | General Acute Care Hospital | 330 Brookline Ave Shapiro 9, Beth Israel Deaconess Medical Center, Boston, MA 02215 | 2015-12-21 |
| 1780934075 | Massachusetts General Hospital | General Acute Care Hospital | 236 Thurber Ave, Attleboro, MA 02703-6270 | 2012-09-13 |
| 1952406555 | Baystate Medical Surgical Inc | General Acute Care Hospital | 123 Albion Rd, Wellesley, MA 02481 | 2006-09-14 |
| 1184094872 | Umass Memorial Group | General Acute Care Hospital | 55 Lake Ave North, Worcester, MA 01655 | 2015-10-07 |
| 1013338581 | Martha's Vineyard Hospital | General Acute Care Hospital | One Hospital Road, Oak Bluffs, MA 02557-1477 | 2013-12-30 |
| 1225479033 | Brigham and Women's Hospital | General Acute Care Hospital | 75 Francis St, Boston, MA 02115-6110 | 2013-07-09 |
| 1932547155 | Beth Israel Deaconess Hospital | General Acute Care Hospital | 330 Brookline Ave, Boston, MA 02215-5400 | 2013-06-10 |
| 1710229372 | Nwas | General Acute Care Hospital | 2014 Washington St, Newton, MA 02462-1607 | 2013-03-21 |
| 1316190002 | Julie A Kamin | General Acute Care Hospital | 75 Francis St, Boston, MA 02115-6110 | 2008-10-28 |
| 1982866919 | Cambridge Health Alliance | General Acute Care Hospital | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2008-07-01 |
| Find all providers with the same taxonomy | ||||
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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.