MARC A. LEVIN (NPI# 1164818175) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164818175 |
| Entity Type | Individual |
| Full Name | MARC A. LEVIN |
| Credential | M.D. |
| Practice Address |
55 Lake Ave N Worcester MA 01655-0002 |
| Practice Telephone | 5083341000 |
| Mailing Telephone | 5083341000 |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 264638 | MA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811123441 | Marc H Levin | Ophthalmology | 795 El Camino Real, Palo Alto, CA 94301-2302 | 2009-06-10 |
| 1902814999 | Marc A Levin | Dentist | 1601 Walnut St, #1414, Phila, PA 19102 | 2006-08-04 |
| 1861423378 | Marc Stephen Levin | Internal Medicine | 4921 Parkview Pl, 8th Floor Suite C, Saint Louis, MO 63110-1032 | 2006-07-05 |
| 1417991621 | Marc R Levin | Ophthalmology | 9933 Lawler Ave, Suite 430, Skokie, IL 60077-3703 | 2006-06-16 |
| 1619952470 | Marc A Levin | Neurological Surgery | 801 Macarthur Blvd, Ste 405, Munster, IN 46321-2919 | 2005-12-14 |
| 1174510150 | Marc W Levin | Dermatology | 1259 S Cedar Crest Blvd, Suite 100, Allentown, PA 18103-6206 | 2005-10-04 |
| 1235131749 | Marc Levin | Family Medicine | 16 E 16th St, New York, NY 10003-3105 | 2005-08-15 |
| Street Address |
55 LAKE AVE N |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235273921 | Edward L Amaral | Surgery | Fallon Clinic At Worcester Medical Ctr., 20 Worcester Ctr. Blvd., Worcester, MA 01608 | 2007-02-16 |
| 1568524940 | Mohan K Korgankar | Surgery | 295 Lincoln Street, Suite #107, Worcester, MA 01605 | 2006-12-14 |
| 1235234618 | Patricia A Pisanelli | Surgery | Distefano Medical Group, 10 Winthrop Street, Worcester, MA 01655 | 2006-09-13 |
| 1215466131 | Ovninder Singh Johal | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2017-06-05 |
| 1669854808 | Dustin Powell | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-06-24 |
| 1356722623 | Jonson Yee | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-06-12 |
| 1053799726 | Jennifer Fantasia | Surgery | 33 Kendall St, Worcester, MA 01605-2726 | 2015-05-13 |
| 1518353663 | Robert J Mcloughlin | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-04-15 |
| 1578959037 | Ryan J. Hendrix | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-04-11 |
| 1447646492 | Parth D. Sheth | Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-04-07 |
| 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.