HENRY HEYWOOD MEMORIAL HOSPITAL (NPI# 1013529502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013529502 |
| Entity Type | Organization |
| Organization Name | HENRY HEYWOOD MEMORIAL HOSPITAL |
| Other Organization Name | HEYWOOD EMERGENCY ROOM PHYSICIANS |
| Practice Address |
242 Green St Gardner MA 01440-1336 |
| Mailing Address |
242 Green St Gardner MA 01440-1373 |
| Practice Telephone | 9786306944 |
| Mailing Telephone | 9786306944 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | MICHAEL ABBATIELLO (CFO, VP OF FINANCE) |
| Authorized Official Telephone | 9786306157 |
| Is Organization Subpart | Y |
| Parent Organization Name | HENRY HEYWOOD MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Heywood Emergency Room Physicians | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802782 | Henry Heywood Memorial Hospital | Family Medicine | 55 Hospital Dr, Winchendon, MA 01475-1899 | 2020-08-21 |
| 1205448701 | Henry Heywood Memorial Hospital | Hospitalist | 242 Green St, Gardner, MA 01440-1336 | 2020-08-18 |
| 1457685299 | Henry Heywood Memorial Hospital | Psychiatry & Neurology | 242 Green St, Gardner, MA 01440-1336 | 2009-09-28 |
| 1568413540 | Henry Heywood Memorial Hospital | Skilled Nursing Facility | 242 Green St, Gardner, MA 01440-1336 | 2006-05-13 |
| 1205823879 | Henry Heywood Memorial Hospital | Emergency Medicine | 242 Green St, Gardner, MA 01440-1336 | 2005-09-29 |
| Street Address |
242 GREEN ST |
| City | GARDNER |
| State | MA |
| Zip Code | 01440-1336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470837 | Elizabeth Ew Temple | Physician Assistant | 242 Green St, Gardner, MA 01440-1336 | 2005-07-12 |
| 1205448701 | Henry Heywood Memorial Hospital | Hospitalist | 242 Green St, Gardner, MA 01440-1336 | 2020-08-18 |
| 1932748480 | Tiffany Osborne | Nurse Practitioner | 242 Green St, Gardner, MA 01440-1336 | 2020-01-02 |
| 1912546615 | Zachariah C Logiodice | Pharmacist | 242 Green St, Gardner, MA 01440-1373 | 2019-12-27 |
| 1003470493 | Jane Allard | Registered Nurse | 242 Green St, Gardner, MA 01440-1336 | 2019-05-01 |
| 1700348380 | Meghan Schmidt | Registered Nurse | 242 Green St, Gardner, MA 01440-1336 | 2019-04-03 |
| 1902367204 | Imaging Consultants Inc | Clinic/Center | 242 Green St, Gardner, MA 01440-1336 | 2019-03-28 |
| 1427541069 | Lauren B Gibbons | Internal Medicine | 242 Green St, Gardner, MA 01440-1336 | 2018-06-08 |
| 1467964288 | Jessica Polana | Nurse Practitioner | 242 Green St, Gardner, MA 01440-1336 | 2017-11-02 |
| 1730601303 | Crystal Lake Pathology PC | Pathology | 242 Green St, Gardner, MA 01440 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104433804 | Charles C Anderson | Counselor | 171 Graham St., Gardner, MA 01440 | 2020-09-26 |
| 1528563392 | Seth Adam Wytrwal | Chiropractor | 31 Lake St Ste 151, Gardner, MA 01440 | 2018-03-26 |
| 1184141632 | Diane M. Wilson | Counselor | 205 School St. #202, Gardner, MA 01440 | 2017-08-25 |
| 1346778511 | Bonnie Jean Wallace | Counselor | 205 School St., # 202, Gardner, MA 01440 | 2017-05-31 |
| 1598212144 | Simon Hawes | Social Worker | 6 Lake Street, Gardner, MA 01440 | 2016-09-01 |
| 1932555349 | Trinity Home Healthcare LLC | Home Health | 62 Parker Street. Suite 11, Gardner, MA 01440 | 2016-05-05 |
| 1811247208 | Laurie Anne Richard | Licensed Practical Nurse | 17 Tobey Street, Gardner, MA 01440 | 2012-09-13 |
| 1568739829 | Gaamha, Inc | Non-emergency Medical Transport (VAN) | 208 Coleman St. Ext., Gardner, MA 01440 | 2011-11-30 |
| 1275821522 | Marie Edith Woodard | Speech-Language Pathologist | 31 Lake St. Suite 180, Wachusett Criterion Early Intervention, Gardner, MA 01440 | 2011-07-20 |
| 1962725747 | Antonina Salvatrice Klauzinski | Nurse Practitioner | 32 Hospital Hill Rd., Gardner, MA 01440 | 2010-03-08 |
| Find all providers in zip 01440 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194715292 | Robert L. Spangler | Emergency Medicine | 84 Pinewood Dr, Unit 3-b, Gardner, MA 01440 | 2005-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952768558 | Westfield Medical Corp | Emergency Medicine | 24 North Westfield St, Ste 1, Feeding Hills, MA 01030 | 2016-01-27 |
| 1689006322 | Westfield Medical Corporation | Emergency Medicine | 57 Union St, Ste 101, Westfield, MA 01085-2658 | 2013-08-05 |
| 1023215696 | Howard Theodore Hermann | Emergency Medicine | 34 Prospect Park, Newtonville, MA 02460-2309 | 2007-06-28 |
| 1770694556 | Iqubal S. Dhaliwal | Emergency Medicine | 24 Common St, Suite 3, Wrentham, MA 02093-1399 | 2006-08-31 |
| 1295849198 | Yong Hwa Lee | Emergency Medicine | 280 Highland Ave, Somerville, MA 02143-1324 | 2006-08-18 |
| 1730103268 | James Phillip Varner | Emergency Medicine | 2324 Washington St, Suite 1, Canton, MA 02021-1159 | 2006-07-27 |
| 1730136425 | Anita Karcz | Emergency Medicine | 89 Bailey Rd, East Watertown, MA 02472-4925 | 2006-05-28 |
| 1750334371 | Kimberly Schoen | Emergency Medicine | 370 Providence Hwy, Dedham, MA 02026-1875 | 2006-05-17 |
| 1588622070 | David J Doyle | Emergency Medicine | 1515 Allen Street, Springfield, MA 01118 | 2006-05-03 |
| 1104280189 | Keiran Warner | Emergency Medicine | 785 Albany St, Boston, MA 02118-2521 | 2016-04-06 |
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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.