DOUGLAS JAMES GAZARIAN (NPI# 1487149423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487149423 |
| Entity Type | Individual |
| Full Name | DOUGLAS JAMES GAZARIAN |
| Practice Address |
26 Queen Street Ummmc, Ambulatory Psychiatry Service Worcester MA 01610 |
| Practice Telephone | 5083342537 |
| Practice Fax Number | 5083344320 |
| Mailing Telephone | 5083342537 |
| Mailing Fax Number | 5083344320 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
26 QUEEN STREET UMMMC, AMBULATORY PSYCHIATRY SERVICE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558393330 | Penelope Jane Dillon | Family Medicine | 26 Queen Street, Worcester, MA 01610-2473 | 2006-07-06 |
| 1720600448 | Cameron Alyssa Delforge | Registered Nurse | 26 Queen Street, Worcester, MA 01610-2473 | 2020-05-15 |
| 1043832496 | Elisa Rose Tedeschi | Nurse Practitioner | 26 Queen Street, Worcester, MA 01610-2473 | 2020-05-08 |
| 1003437666 | Natalia Alexandrovna Kottler | Nurse Practitioner | 26 Queen Street, Worcester, MA 01610-2473 | 2020-05-05 |
| 1922650001 | Abigail Elise Rosenstein | Nurse Practitioner | 26 Queen Street, Worcester, MA 01610 | 2019-07-10 |
| 1407348303 | Barbara Dannielle Phelps | Nurse Practitioner | 26 Queen Street, Worcester, MA 01610-2473 | 2018-06-06 |
| 1417454109 | Anna Bui | Student in an Organized Health Care Education/Training Program | 26 Queen Street, Family Medicine, Worcester, MA 01610 | 2018-04-09 |
| 1669997615 | Brianna Susan Hayes | Nurse Practitioner | 26 Queen Street, Worcester, MA 01610-2473 | 2017-08-11 |
| 1164946182 | Nguyen Thao Thi Nguyen | Dentist | 26 Queen Street, Worcester, MA 01610 | 2017-08-01 |
| 1962924720 | Madeline Levitt | Student in an Organized Health Care Education/Training Program | 26 Queen Street, Ummmc, Ambulatory Psychiatry Service, Worcester, MA 01605 | 2017-07-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326661927 | Ekaterina V Pimental | Student in an Organized Health Care Education/Training Program | 72 Salisbury St Apt 5, Worcester, MA 01609-3134 | 2020-05-19 |
| 1841810900 | Charles Purcell | Student in an Organized Health Care Education/Training Program | 80 Carter Rd, Worcester, MA 01609-1038 | 2020-04-19 |
| 1942839832 | Nicole Elizabeth Lewandrowski | Student in an Organized Health Care Education/Training Program | Pathology-1 Innovation Drive, Biotech 3, Worcester, MA 01604 | 2020-04-03 |
| 1982232336 | Min Zhang | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr. Biotech 3, Worcester, MA 01605-4306 | 2020-03-31 |
| 1336777952 | Zhenwei Zhang | Student in an Organized Health Care Education/Training Program | 1 Innovation Dr Ste 2, Worcester, MA 01605-4306 | 2020-03-30 |
| 1932736634 | Gregory Stephen Kazarian | Student in an Organized Health Care Education/Training Program | 2 Marissa Cir, Worcester, MA 01604-2674 | 2020-03-24 |
| 1376178590 | Seungju Oh | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N # S4-740, Worcester, MA 01655-0002 | 2020-03-09 |
| 1962032946 | Samuel James Casey | Student in an Organized Health Care Education/Training Program | 4 Normal St Apt 2, Worcester, MA 01605-3496 | 2020-01-18 |
| 1265072169 | Klajdi Kosovrasti | Student in an Organized Health Care Education/Training Program | 46 Fox Meadow Dr, Worcester, MA 01602-2242 | 2020-01-09 |
| 1669012449 | Jacob Moninghoff | Student in an Organized Health Care Education/Training Program | 16 Norton St Apt 1, Worcester, MA 01605-3780 | 2020-01-09 |
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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.