UMASS MEMORIAL MEDICAL CENTER (NPI# 1356670293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356670293 |
| Entity Type | Organization |
| Organization Name | UMASS MEMORIAL MEDICAL CENTER |
| Other Organization Name | NEW ENGLAND HEMOPHILIA CENTER AT UMASS MEMORIAL |
| Practice Address |
119 Belmont St New England Hemophilia Center At Umass Memorial Worcester MA 01605-2903 |
| Mailing Address |
119 Belmont St Att Terri Russo, South 1 Administration Worcester MA 01605-2903 |
| Practice Telephone | 5083346047 |
| Practice Fax Number | 5083346920 |
| Mailing Telephone | 5083346843 |
| Mailing Fax Number | 5083345049 |
| Enumeration Date | 2009-12-23 |
| Last Update Date | 2010-01-05 |
| Authorized Official Name | DR. DOREEN B BRETTLER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5083346093 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UMASS MEMORIAL HEALTHCARE, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| New England Hemophilia Center at UMass Memorial | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649334269 | Umass Memorial Medical Center | General Acute Care Hospital | 37 Amherst St, Apt #3, Worcester, MA 01602-2009 | 2006-12-20 |
| 1346626553 | Umass Memorial Medical Center | General Acute Care Hospital | 119 Belmont St, Worcester, MA 01605-2903 | 2015-08-11 |
| 1306238449 | Umass Memorial Medical Center | Clinic/Center | 55 Lake Ave N, Worcester, MA 01655-0002 | 2015-02-26 |
| 1891115861 | Umass Memorial Medical Center | General Acute Care Hospital | 55 Lake Ave N, Worcester, MA 01655-0002 | 2014-04-17 |
| 1679791339 | Umass Memorial Medical Center | Clinic/Center | 55 Lake Ave North, Worcester, MA 01655 | 2007-04-20 |
| 1679574933 | Umass Memorial Medical Center | Pharmacy | 55 Lake Ave N, Worcester, MA 01655-0002 | 2005-08-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | UMASS MEMORIAL MEDICAL CENTER, INC. | One Biotech, 365 Plantation Street, Worcester, MA 01605 |
| Street Address |
119 BELMONT ST NEW ENGLAND HEMOPHILIA CENTER AT UMASS MEMORIAL |
| 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 | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1811120066 | Frank P. Fechner | Clinic/Center | 428 Shrewsbury St, Worcester, MA 01604-1661 | 2009-09-03 |
| 1518155860 | Rice Ophthalmology Assoc., P.C. | Clinic/Center | 591 Lincoln St, Worcester, MA 01605-1901 | 2007-10-11 |
| 1366650301 | Brinkman Chiropractic Clinic P.C. | Clinic/Center | 372 Chandler St, Suite 201, Worcester, MA 01602-3300 | 2007-05-21 |
| 1467498493 | Tele-physicians PC | Clinic/Center | 55 Lake Ave N, Worcester, MA 01655-0002 | 2006-06-20 |
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| 1578034641 | Zuhayr Hemady Md Bi PC | Clinic/Center | 1261 Furnace Brook Pkwy Ste 33, Quincy, MA 02169-4762 | 2018-12-16 |
| 1528448693 | Dr. Susan Rodgin | Clinic/Center | 39 W Plain St, Wayland, MA 01778-4409 | 2015-06-04 |
| 1205215373 | Mass Medical Group, LLC | Clinic/Center | 200 Central St, Suite #2, Lowell, MA 01852-2201 | 2015-05-22 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1053740241 | Aesthetic Plastic Surgery of North Shore PC | Clinic/Center | 900 Cummings Ctr Ste 301u, Beverly, MA 01915-6181 | 2013-11-07 |
| 1518217694 | Sarah M Barnett Md Pllc | Clinic/Center | 119 Drum Hill Rd # 128, Chelmsford, MA 01824-1505 | 2012-09-14 |
| 1255687166 | James V Kowalski M.d. P.C. | Clinic/Center | 795 W Main St, Hyannis, MA 02601-3424 | 2012-07-29 |
| 1548564073 | Mind Body Healthlink | Clinic/Center | 26 Castle Rd, Northborough, MA 01532-1249 | 2010-12-23 |
| 1316184005 | Simon Faynzilbergmd PC | Clinic/Center | 157 Winthrop Rd Unit 2, Brookline, MA 02445-4642 | 2009-01-16 |
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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.