DR. BENJAMIN GLICK (NPI# 1457322307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457322307 |
| Entity Type | Individual |
| Full Name | DR. BENJAMIN GLICK |
| Credential | MD |
| Practice Address |
71 Hospital Ave North Adams Regional Hospital Laboratory North Adams MA 01247 |
| Mailing Address |
Po Box 206 Williamstown MA 01267 |
| Practice Telephone | 4136645589 |
| Practice Fax Number | 4136645698 |
| Mailing Telephone | 4134588400 |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2007-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
34627 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2031276 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063431237 | Benjamin H Glick | Dentist | Us Highway 191 Hospital Road, Chinle, AZ 86503 | 2006-07-19 |
| Street Address |
71 HOSPITAL AVE NORTH ADAMS REGIONAL HOSPITAL LABORATORY |
| City | NORTH ADAMS |
| State | MA |
| Zip Code | 01247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811974876 | Michael K. Wilson | Internal Medicine | 71 Hospital Ave, North Adams, MA 01247-2504 | 2005-12-29 |
| 1568088946 | Shoshana L Sanders | Advanced Practice Midwife | 71 Hospital Ave, North Adams, MA 01247-2504 | 2020-06-22 |
| 1902451685 | Michelle Juneau | Dietitian, Registered | 71 Hospital Ave, North Adams, MA 01247-2504 | 2019-08-08 |
| 1639737042 | Fairview Hospital | Clinic/Center | 71 Hospital Ave, North Adams, MA 01247-2504 | 2019-05-31 |
| 1184287757 | Berkshire Orthopaedic Associates, Inc. | Orthopaedic Surgery | 71 Hospital Ave, North Adams, MA 01247-2504 | 2019-04-18 |
| 1871026351 | Berkshire Community Pharmacy of North Adams | Pharmacy | 71 Hospital Ave, North Adams, MA 01247-2504 | 2017-04-11 |
| 1235670316 | Berkshire Medical Center, Inc | Clinic/Center | 71 Hospital Ave, North Adams, MA 01247-2504 | 2017-03-09 |
| 1932649753 | Berkshire Community Pharmacy of North Adams | Pharmacy | 71 Hospital Ave, North Adams, MA 01247-2504 | 2017-02-27 |
| 1164838710 | Sarah A Turner | Internal Medicine | 71 Hospital Ave, North Adams, MA 01247 | 2014-07-03 |
| 1831510791 | Melissa Davis | Dietitian, Registered | 71 Hospital Ave, Food and Nutrition Services, North Adams, MA 01247-2504 | 2013-12-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679125173 | Collaborative Counseling, LLC | Community/Behavioral Health | 131 Mass Moca Way, North Adams, MA 01247 | 2019-07-15 |
| 1669959466 | Ellen Baer | Social Worker | 210 State St Ccb, North Adams, MA 01247 | 2018-07-24 |
| 1477044592 | Heidi A Riello | Social Worker | Mcla Counseling Services, 375 Church Street, North Adams, MA 01247 | 2018-05-24 |
| 1801306949 | Eva Tracy-raeder | Social Worker | 508 State Road, Greylock Works Studio A5, North Adams, MA 01247 | 2017-10-03 |
| 1174993893 | Jordan Rennell | Specialist/Technologist | 132 Barth Street, North Adams, MA 01247 | 2015-10-07 |
| 1376958454 | Allyson Rennell | Specialist/Technologist | 342 Eagle Street, North Adams, MA 01247 | 2014-06-26 |
| 1669747952 | Latasha Marie Turner | Physician Assistant | 71 Hospital Ave Fl 2, North Adams, MA 01247 | 2012-03-20 |
| 1912033432 | Northern Berkshire Voc School | Local Education Agency (LEA) | 70 Hodges Cross Road, North Adams, MA 01247 | 2007-02-26 |
| 1215004213 | Peter D May | Chiropractor | 73 Church Street, North Adams, MA 01247 | 2006-11-29 |
| 1750479176 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | Veterans Memorial Drive Big Y Sc, North Adams, MA 01247 | 2006-10-11 |
| Find all providers in zip 01247 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972577401 | Thomas J Joseph | Pathology | 71 Hospital Ave., North Adams, MA 01247 | 2006-02-13 |
| 1518283449 | Greylock Pathology Partners, LLP | Pathology | 71 Hospital Ave, North Adams, MA 01247-2504 | 2010-04-16 |
| 1518933670 | Honghui Qiu | Pathology | 71 Hospital Ave, North Adams, MA 01247 | 2006-02-27 |
| 1265403786 | Greylock Pathology Associates | Pathology | 71 Hospital Ave, North Adams, MA 01247 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194219261 | Alicia Gabrielle Dessain | Pathology | Tufts Medical Center - Pathology Department, 800 Washington St, Boston, MA 02111 | 2018-06-21 |
| 1043748395 | Hanqiao Zheng | Pathology | 670 Albany St Ste 4, Boston, MA 02118 | 2017-05-31 |
| 1245688977 | Seyed Amin Hojat | Pathology | 800 Washington St., Box 115, Boston, MA 02111 | 2016-06-03 |
| 1942601570 | Quantum Pathology, LLC | Pathology | 318 Bear Hill Rd, Waltham, MA 02451-1095 | 2014-09-15 |
| 1578976817 | Madhu Ouseph | Pathology | 75 Francis St # 360h, Boston, MA 02115 | 2014-06-04 |
| 1578975124 | Saja Asakrah | Pathology | 330 Brookline Ave Fl 2, Boston, MA 02215-5400 | 2014-05-29 |
| 1194061457 | Carol J Chirolas | Pathology | 199 Concord St, Newton, MA 02462-1325 | 2012-12-13 |
| 1598028409 | Austin G Turner | Pathology | 800 Washington St # 836, Boston, MA 02111-1552 | 2012-06-18 |
| 1104115559 | Anita Deshpande | Pathology | 1 Boston Medical Ctr Pl # Place3, Boston, MA 02118-2908 | 2011-04-06 |
| 1780986430 | Christa Lyn Cassalman | Pathology | 85 Prospect St Unit 1, Somerville, MA 02143-4127 | 2010-12-01 |
| Find all providers with the same taxonomy | ||||
| City | NORTH ADAMS |
| Zip Code | 01247 |
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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.