DR. ELIAS H SALLOUM (NPI# 1023458635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023458635 |
| Entity Type | Individual |
| Full Name | DR. ELIAS H SALLOUM |
| Credential | M.D. |
| Practice Address |
123 Summer St Worcester MA 01608-1216 |
| Mailing Address |
55 Fruit St Boston MA 02114-2621 |
| Practice Telephone | 5083636177 |
| Mailing Telephone | 6177262000 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2018-03-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
273352 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356698120 | Elias Salloum | Internal Medicine | 301 W Homer St, Michigan City, IN 46360-4358 | 2012-08-10 |
| Street Address |
123 SUMMER ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434229 | Thom A. Tarquinio | Orthopaedic Surgery | 123 Summer St, Suite 320, Worcester, MA 01608-1216 | 2005-06-02 |
| 1396352092 | Arushi Sharma | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-09-26 |
| 1134733280 | Freda Agyemang | Nurse Practitioner | 123 Summer St, Worcester, MA 01608-1216 | 2020-09-06 |
| 1316559305 | Bijay Khanal | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-20 |
| 1497367395 | Hajrah Ahsan | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-20 |
| 1205448487 | Sajjadh Mohamed Jawahar Ali | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-19 |
| 1639781909 | Kamal Pokhrel | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-18 |
| 1366054637 | Regina Devi Shrestha | Student in an Organized Health Care Education/Training Program | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-18 |
| 1912519489 | Mithun George Jacob | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-17 |
| 1194336800 | Anil Phuyal | Internal Medicine | 123 Summer St, Worcester, MA 01608-1216 | 2020-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043508617 | Kathryn R Wagner | Radiology | 10 Belvidere Ave, Worcester, MA 01605 | 2011-07-18 |
| 1922164755 | Brian T Brochu | Radiology | U-mass Memorial Medical Center, 55 Lake Avenue North, Worcester, MA 01655 | 2006-12-28 |
| 1932291184 | Nicholas Constantine Mazanitis | Radiology | 20 Westwood Drive, Worcester, MA 01609 | 2006-09-28 |
| 1053359935 | David M Rogovitz | Radiology | 55 Lake Av North, Umass Memorial Medical Center, Worcester, MA 01655 | 2006-06-03 |
| 1407894777 | David A Phillips | Radiology | 55 Lake Ave North, Umass Memorial/radiology, Worcester, MA 01655 | 2006-06-02 |
| 1134175441 | Abigail M Childs | Radiology | 100 Grove St, Worcester, MA 01605-2627 | 2006-05-26 |
| 1790743177 | Patricia H Sutman | Radiology | 55 Lake Ave N., Umass Memorial, Worcester, MA 01605 | 2006-05-03 |
| 1477520930 | Jorge M Medina | Radiology | 55 Lake Ave N # S2-824, Worcester, MA 01655-0002 | 2006-03-03 |
| 1578554044 | Christine L Petersen | Radiology | 135 Gold Star Blvd, Worcester, MA 01606-2738 | 2005-11-02 |
| 1689197196 | Nazanin Hajarol Asvadi | Radiology | 123 Summer St, Worcester, MA 01608 | 2017-07-18 |
| Find all providers in WORCESTER | ||||
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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.