WACHUSETT EMERGENCY PHYSICIANS, PC (NPI# 1508164583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508164583 |
| Entity Type | Organization |
| Organization Name | WACHUSETT EMERGENCY PHYSICIANS, PC |
| Practice Address |
275 Nichols Rd Burbank Urgent Care Center Fitchburg MA 01420-1919 |
| Mailing Address |
60 Hospital Rd Leominster MA 01453-2205 |
| Practice Telephone | 9783435074 |
| Practice Fax Number | 9783435418 |
| Mailing Telephone | 9784662994 |
| Mailing Fax Number | 9784662993 |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |
| Authorized Official Name | DR. BONNIE RYAN (PRESIDENT) |
| Authorized Official Telephone | 9784662428 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | WACHUSETT EMERGENCY PHYSICIANS, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9749144 | 05 | |
| MA | TUFTS | 703641 | 01 |
| MA | HPHC | 601212 | 01 |
| MA | BLUE CROSS | M14339 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376553693 | Wachusett Emergency Physicians, PC | Emergency Medicine | 60 Hospital Rd, Leominster, MA 01453-2205 | 2006-08-09 |
| Street Address |
275 NICHOLS RD BURBANK URGENT CARE CENTER |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581308 | Bruce A Bornstein | Radiology | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2005-07-08 |
| 1932747102 | Alyssa Aguiar | Registered Nurse | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2019-12-18 |
| 1972161735 | Molly Kate Vita | Dietitian, Registered | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2019-06-05 |
| 1265918718 | Katrina M Parkhurst | Nurse Practitioner | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2018-07-18 |
| 1366805707 | Jeannette L Ryan Alkasab | Family Medicine | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2016-04-02 |
| 1508228545 | Cailin Mcdeed | Student in an Organized Health Care Education/Training Program | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2016-03-28 |
| 1619336732 | Mary Ellen Tull | Registered Nurse | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2016-02-17 |
| 1902276991 | Ashley Jackson I | Counselor | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2015-10-02 |
| 1922494756 | Aimee Lynn Ferrante | Nurse Practitioner | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2015-04-08 |
| 1508252362 | Elizabeth Zephir | Physician Assistant | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699121962 | Carewell Urgent Care Centers of Ma, PC | Clinic/Center | 380 John Fitch Hwy, Fitchburg, MA 01420-4502 | 2016-05-05 |
| 1053842849 | Urgent Care Centers of Central Massachusetts, LLC | Clinic/Center | 380 John Fitch Hwy, Fitchburg, MA 01420-4502 | 2017-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879651 | Convenientmd LLC | Clinic/Center | 983 Boston-providence Turnpike, Dedham, MA 02026 | 2020-10-21 |
| 1811596216 | Convenientmd LLC | Clinic/Center | 181 Cambridge St, Burlington, MA 01803-2922 | 2020-10-19 |
| 1326669151 | Partners Urgent Care LLC | Clinic/Center | 480 Lynnfield St Ste 1a, Lynn, MA 01904-1419 | 2020-05-04 |
| 1164060778 | Bid-milton Physician Associates Inc | Clinic/Center | 100 Walter J. Hannon Pkwy, Quincy, MA 02169 | 2019-12-13 |
| 1992342075 | Lynn Urgent Care LLC | Clinic/Center | 776 Western Ave, Lynn, MA 01905-2408 | 2019-12-08 |
| 1457902892 | Convenientmd LLC | Clinic/Center | 296 Old Oak Street, Pembroke, MA 02359 | 2019-09-26 |
| 1487203246 | South Shore Health Express, Inc | Clinic/Center | 310 Grove St, Braintree, MA 02184-7224 | 2019-09-05 |
| 1124676598 | Convenientmd LLC | Clinic/Center | 236 Cochituate Rd, Framingham, MA 01701-4627 | 2019-08-29 |
| 1144782467 | Partners Urgent Care, LLC | Clinic/Center | 90 Brigham Way, Westwood, MA 02090 | 2019-04-04 |
| 1942761564 | Convenientmd LLC | Clinic/Center | 245 Hartford Ave, Bellingham, MA 02019-3007 | 2019-03-27 |
| Find all providers with the same taxonomy | ||||
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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.