UMASS MEMORIAL GROUP (NPI# 1184094872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184094872 |
| Entity Type | Organization |
| Organization Name | UMASS MEMORIAL GROUP |
| Practice Address |
55 Lake Ave North Worcester MA 01655 |
| Practice Telephone | 7744437552 |
| Mailing Telephone | 7744437552 |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |
| Authorized Official Name | MICHELE STREETER (MANAGER) |
| Authorized Official Telephone | 5083340311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
178349 | MA | Hospitals |
| Street Address |
55 LAKE AVE NORTH |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407894777 | David A Phillips | Radiology | 55 Lake Ave North, Umass Memorial/radiology, Worcester, MA 01655 | 2006-06-02 |
| 1104134402 | Mary Ann Badon | Orthopaedic Surgery | 55 Lake Ave North, Worcester, MA 01655 | 2010-09-21 |
| 1235347808 | Krishna V Shroff | Pharmacist | 55 Lake Ave North, University of Massachusetts Memorial Medical Center, Worcester, MA 01655 | 2007-05-18 |
| 1679791339 | Umass Memorial Medical Center | Clinic/Center | 55 Lake Ave North, Worcester, MA 01655 | 2007-04-20 |
| 1396895603 | Susan N Bol | Dietitian, Registered | 55 Lake Ave North, Ummhc, Worcester, MA 01655 | 2007-01-11 |
| 1255488383 | David L. Polan | Emergency Medicine | 55 Lake Ave North, Department of Emergency Medicine, Worcester, MA 01655 | 2007-01-04 |
| 1881767416 | John Albert Beauchesne | Physician Assistant | 55 Lake Ave North, Umass Memorial Health Care Dept of Adolescent Medicine, Worcester, MA 01605 | 2006-11-15 |
| 1801977640 | Jay G. Fong | Pediatrics | 55 Lake Ave North, Worcester, MA 01655 | 2006-10-18 |
| 1164511648 | Corey D Harrison | Emergency Medicine | 55 Lake Ave North, Department of Emergency Medicine, Worcester, MA 01655-0000 | 2006-10-12 |
| 1548375207 | Sheyda Namazie-kummer | Pediatrics | 55 Lake Ave North, U Mass Memorial Medical Ctr, Pediatric Hospitalist Grp, Worcester, MA 01655 | 2006-08-20 |
| 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 | 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 |
| 1003161589 | St. Elizabeth Medical Center | General Acute Care Hospital | 172 Summer St Apt 8, Waltham, MA 02452-5647 | 2012-07-19 |
| 1952406555 | Baystate Medical Surgical Inc | General Acute Care Hospital | 123 Albion Rd, Wellesley, MA 02481 | 2006-09-14 |
| 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 |
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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.