FREDERIK A PENNINGS (NPI# 1215126479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215126479 |
| Entity Type | Individual |
| Full Name | FREDERIK A PENNINGS |
| Credential | M.D., PHD |
| Practice Address |
119 Belmont St Worcester MA 01605-2903 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5083341886 |
| Practice Fax Number | 5083349769 |
| Mailing Telephone | 8002258885 |
| Mailing Fax Number | 5083341977 |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2016-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 234128 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110078576A | 05 | |
| MA | 2148056 | 05 |
| Street Address |
119 BELMONT ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791339 | Trista A Brown | Physical Medicine & Rehabilitation | 119 Belmont St, Dept of Orthopedics, Worcester, MA 01605-2903 | 2005-09-21 |
| 1730788779 | Jaclyn Rose Mello | Registered Nurse | 119 Belmont St, Worcester, MA 01605-2903 | 2020-10-21 |
| 1881222362 | Rachel Catherine Taylor | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-30 |
| 1255969937 | Aashna Saini | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-30 |
| 1952939696 | Camille Dana Campion | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-30 |
| 1215564356 | Briana L Jones | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-26 |
| 1740817782 | Ciarra Louise Nickerson | Student in an Organized Health Care Education/Training Program | 119 Belmont St, Worcester, MA 01605-2903 | 2020-03-26 |
| 1619518461 | Pia Clive | Pharmacist | 119 Belmont St, Worcester, MA 01605-2903 | 2019-10-02 |
| 1144873894 | Heather Dubrule | Dietitian, Registered | 119 Belmont St, Worcester, MA 01605-2982 | 2019-07-22 |
| 1023661360 | Jennifer Parker | Dietitian, Registered | 119 Belmont St, Worcester, MA 01605-2903 | 2019-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| 1255699963 | Celina Crisman | Neurological Surgery | 55 Lake Avenue North, Department of Neurological Surgery, Worcester, MA 01655-0002 | 2012-05-01 |
| 1831483825 | John E Berry-candelario | Neurological Surgery | Umass Memorial Medical Center, 55 Lake Avenue North, Worcester, MA 01655-0002 | 2011-06-07 |
| 1700178589 | Ziev Ben Moses | Neurological Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2011-05-11 |
| 1437393741 | Farid Hamzei-sichani | Neurological Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2009-04-30 |
| 1790944668 | Justin A Slavin | Neurological Surgery | 55 Lake Avenue North, Department of Neurosurgery, Worcester, MA 01655-0002 | 2008-06-05 |
| 1912190083 | Sabareesh Kumar Natarajan | Neurological Surgery | 55 Lake Ave N, Worcester, MA 01655 | 2007-08-22 |
| 1578501797 | Mark D Johnson | Neurological Surgery | 55 Lake Ave N, Worcester, MA 01655-0002 | 2006-06-02 |
| 1225086457 | Richard P Moser | Neurological Surgery | 55 Lake Ave N, Department of Surgery, Worcester, MA 01655-0002 | 2006-05-04 |
| 1932165891 | Gerald T. Mcgillicuddy | Neurological Surgery | 67 Belmont St, Worcester, MA 01605-2657 | 2006-04-20 |
| 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.