JARED VONA


Address: 55 Lake Ave N, Worcester, MA 01655-0002
Phone: 5084211400

JARED VONA (NPI# 1457853301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457853301
Entity Type Individual
Full Name JARED VONA
Practice Address 55 Lake Ave N
Worcester
MA 01655-0002
Mailing Address Po Box 415348
Boston
MA 02241-5348
Practice Telephone 5084211400
Practice Fax Number 5084211490
Enumeration Date 2018-03-07
Last Update Date 2020-04-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207P00000X Emergency Medicine PA6493 MA Allopathic & Osteopathic Physicians
Y 363A00000X Physician Assistant PA6493 MA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA MA STATE LICENSE PA6493 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
60 Hospital Rd, Leominster, MA 014532205 5084211400

Office Location

Street Address 55 LAKE AVE N
City WORCESTER
State MA
Zip Code 01655-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477556587 James E Liebmann Internal Medicine 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 2005-05-23
1518568732 Justin Bullard Psychologist 55 Lake Ave N, Worcester, MA 01655-0002 2020-11-04
1346849825 Meghan Moore Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2020-10-26
1174122899 Jessica Goncalves Ferreira Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2020-10-23
1235746686 Desiree Mytych Student in an Organized Health Care Education/Training Program 55 Lake Ave N, Worcester, MA 01655-0002 2020-09-29
1659986248 Rebecca Lynn Harris Student in an Organized Health Care Education/Training Program 55 Lake Ave N, Worcester, MA 01655-0002 2020-09-10
1639781487 Gabriella Kathleen Holland Student in an Organized Health Care Education/Training Program 55 Lake Ave N, Worcester, MA 01655-0002 2020-08-21
1730791898 Kerry Anne Benedict Speech-Language Pathologist 55 Lake Ave N, Worcester, MA 01655-0002 2020-08-20
1902418999 Natasha R. Turner Genetic Counselor, MS 55 Lake Ave N, Worcester, MA 01655-0002 2020-08-20
1144830712 Abbey Corsini Nurse Practitioner 55 Lake Ave N, Worcester, MA 01655-0002 2020-08-07
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922610633 Maria Zammarelli Physician Assistant 48 Vincent Cir, Worcester, MA 01604-3462 2020-08-24
1861001901 Dajia Angell Physician Assistant 13 Greendale Ave Apt 2, Worcester, MA 01606-3261 2020-07-24
1194353219 Jessica Noga Physician Assistant 322 Lovell St Apt 2, Worcester, MA 01602-4375 2020-04-01
1821658840 Jonathan Sachariah Physician Assistant 327 Plantation St Apt 315, Worcester, MA 01604-1774 2019-06-20
1295394906 Morgan Talbot Mitchell Physician Assistant 27 Wachusett St Apt 46, Worcester, MA 01609-4602 2019-06-07
1730642299 Mary Howard Physician Assistant 600 Main St Apt 1004, Worcester, MA 01608-2064 2019-04-11
1861965790 Priscilla Yeon Physician Assistant 8 Grafton St Apt 710, Worcester, MA 01604-4951 2019-01-03
1891263323 Janet Elaine Greenslade Physician Assistant 100 Mlk Jr Blvd Ste 2, Worcester, MA 01608-1209 2018-11-02
1629577887 Emily Elizabeth Lemay Physician Assistant 11 Cutting Ave, Worcester, MA 01606-2207 2018-02-02
1851752794 Edward Chester Mcinerny Physician Assistant 123 Summer St Ste 695, Worcester, MA 01608-1216 2016-03-18
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Competitor

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City WORCESTER
Zip Code 01655

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Dataset Information

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.

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