KOUTA ITO (NPI# 1295905115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295905115 |
| Entity Type | Individual |
| Full Name | KOUTA ITO |
| Credential | M.D., M.S. |
| Practice Address |
119 Belmont St Worcester MA 01605-2903 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 5083346251 |
| Practice Fax Number | 5083346906 |
| Mailing Telephone | 8002258885 |
| Mailing Fax Number | 5083341977 |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2020-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
266750 | MA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 378 Plantation St, Worcester, MA 016052324 | 5087557300 | |
| 559 Plantation St, Worcester, MA 016052350 | 5088523011 | |
| 40 Julio Dr, Shrewsbury, MA 015453010 | 5088456786 |
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164993291 | Worcester Physicians and Nurses Services LLC | Internal Medicine | 100 Grove St Ste 210, Worcester, MA 01605-2627 | 2018-12-16 |
| 1376038257 | Lenka Maria Drahoradova | Internal Medicine | 119 Belmont St, Worcester, MA 01605-2903 | 2018-06-25 |
| 1639466592 | Shirley Pak So | Internal Medicine | 119 Belmont St, Worcester, MA 01605-2903 | 2011-06-29 |
| 1629238951 | Tinevimbo Jaravaza | Internal Medicine | 277 E Mountain St, Worcester, MA 01606-1207 | 2008-06-10 |
| 1689871899 | Adnan Haider | Internal Medicine | 630 Plantation St, Worcester, MA 01605-2038 | 2007-06-29 |
| 1477633600 | Joel S Bauman | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2006-10-16 |
| 1679517510 | David A Wilner | Internal Medicine | 277 E Mountain St, Worcester, MA 01606-1207 | 2006-06-14 |
| 1952377079 | Candace Kim | Internal Medicine | 55 Lake Ave N, Worcester, MA 01655-0002 | 2006-02-28 |
| 1699749309 | Jeffrey B Burl | Internal Medicine | 630 Plantation St, Worcester, MA 01605 | 2006-02-17 |
| 1285616888 | Vijay K Kajla | Internal Medicine | 630 Plantation St, Worcester, MA 01605 | 2005-11-18 |
| 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.