UMASS MEMORIAL MEDICAL GROUP, INC. (NPI# 1013227768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013227768 |
| Entity Type | Organization |
| Organization Name | UMASS MEMORIAL MEDICAL GROUP, INC. |
| Practice Address |
61 Boyden Rd Holden MA 01520-2542 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5088299944 |
| Practice Fax Number | 5088292100 |
| Mailing Telephone | 8002258885 |
| Mailing Fax Number | 5083341977 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |
| Authorized Official Name | MICHELE STREETER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5083340311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 24170 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861038754 | Umass Memorial Medical Group, Inc. | Clinic/Center | 33 Kendall Street, Levine 2, Worcester, MA 01605-2726 | 2019-11-26 |
| 1760445373 | Umass Memorial Medical Group, Inc. | Psychologist | 55 Lake Ave N, Umass Memorial Medical Center, Worcester, MA 01655-0002 | 2006-04-07 |
| Street Address |
61 BOYDEN RD |
| City | HOLDEN |
| State | MA |
| Zip Code | 01520-2542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467435404 | Amrik Singh Pabley | Ophthalmology | 61 Boyden Rd, Holden, MA 01520-2542 | 2005-11-23 |
| 1528121324 | Emily Frances Paharik | Counselor | 61 Boyden Rd, Holden, MA 01520-2542 | 2006-12-19 |
| 1275618233 | Joseph John Dolak | Chiropractor | 61 Boyden Rd, Suite 203, Holden, MA 01520-2542 | 2006-10-26 |
| 1730295874 | Mark Paharik | Counselor | 61 Boyden Rd, Holden, MA 01520-2542 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740607365 | Erin E Burns | Audiologist | 52 Boyden Rd Suite 204, Hearing and Balance Centers of New England, Holden, MA 01520 | 2014-03-20 |
| 1497009476 | Kristen R Crossen | Social Worker | 49 Cedar Road, Holden, MA 01520 | 2012-10-30 |
| 1962784629 | John J. Giordano Dmd LLC | Dentist | 336 Quinapoxet Street, Holden, MA 01520 | 2011-09-19 |
| 1609925254 | Heidi Berube | Internal Medicine | Holden Christian Academy, C-o Heide Berub, M.d. 279 Reservoir St., Holden, MA 01520 | 2007-01-10 |
| 1306911623 | Barbara Milazzo Coveney | Social Worker | Charis Lighthouse Counseling, 61 Boyden Road, Holden, MA 01520 | 2006-11-21 |
| 1154495364 | Thomas J Allen Jr. | Dentist | 1010 Main Street, Suite 6, Holden, MA 01520 | 2006-11-20 |
| 1053485672 | Peter J Russo | Dentist | 567 Southbridge, Auburn, MA 01520 | 2006-11-17 |
| 1245303411 | Audiologic Hearing Services Inc | Audiologist | 52 Boyden Road, Suite 204, Holden, MA 01520 | 2006-11-16 |
| 1710066774 | Wachusett Family Practice Associates | Family Medicine | 52 Boyden Rd Suite 209, Holden, MA 01520 | 2006-11-02 |
| 1104929595 | Edward J Michalowski | Dentist | 1072 Main Street, Holden, MA 01520 | 2006-09-07 |
| Find all providers in zip 01520 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467435404 | Amrik Singh Pabley | Ophthalmology | 61 Boyden Rd, Holden, MA 01520-2542 | 2005-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450903 | Barsam Vision Care LLC | Ophthalmology | 135 Beaver St Ste 309, Waltham, MA 02452-8412 | 2020-09-02 |
| 1629622188 | Nsea Whaipa LLC | Ophthalmology | 669 Main Street, Wakefield, MA 01880-5221 | 2019-08-01 |
| 1346894896 | Nsea Macipa LLC | Ophthalmology | 135 Beaver Street Ste 309, Waltham, MA 02452 | 2019-08-01 |
| 1083170047 | Gilbertlahey LLC | Ophthalmology | 101 Main St Ste 208, Medford, MA 02155-4530 | 2019-02-14 |
| 1467968149 | D'ambrosio Eye Care, Inc. | Ophthalmology | 255 Park Ave Ste 606, Worcester, MA 01609-1930 | 2017-12-18 |
| 1114436151 | Mohammad-hossein Mohammad-shahi | Ophthalmology | 330 Brookline Ave # Cc522, Boston, MA 02215-5400 | 2017-09-21 |
| 1366961120 | Boston Eye Care Center, LLC | Ophthalmology | 2464 Massachusetts Ave Ste 200, Cambridge, MA 02140 | 2017-09-13 |
| 1306360912 | Mary-magdalene Dodd | Ophthalmology | 300 Longwood Ave # 4, Boston, MA 02115-5724 | 2017-07-26 |
| 1861925703 | Medical Eye Care Associates, P.C. | Ophthalmology | 95 Chapel St Ste 1a, Norwood, MA 02062-3161 | 2017-04-07 |
| 1548619851 | Si-liang Peng | Ophthalmology | 1101 Beacon St Ste 6, Brookline, MA 02446-5585 | 2016-06-07 |
| 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.