DR. SYED SHUJAAT ALI (NPI# 1508831256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508831256 |
| Entity Type | Individual |
| Full Name | DR. SYED SHUJAAT ALI |
| Credential | MD |
| Practice Address |
10 N Main St Charlton MA 01507-1590 |
| Mailing Address |
Po Box 40 Southbridge MA 01550-0040 |
| Practice Telephone | 5082483015 |
| Practice Fax Number | 5082484734 |
| Mailing Telephone | 5089097799 |
| Mailing Fax Number | 5087642432 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2017-12-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 238145 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110081065A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 35 Millbury St, Station 5 Reliant Medical Group, Auburn, MA 015013203 | 5087211150 | 5088324714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477875482 | Syed Shahid Ali | Pharmacist | 3543 28th St, Long Island City, NY 11106-3201 | 2010-02-17 |
| 1780844233 | Syed Salman Ali | Internal Medicine | 19490 Sandridge Way Ste 240, Lansdowne, VA 20176-3467 | 2008-06-09 |
| 1730368622 | Syed N Ali | Pharmacy Technician | 2001 Bath Ave, Brooklyn, NY 11214-4813 | 2007-10-29 |
| 1942412218 | Syed Monzurul Ali | Dentist | 1197 River Avenue, Bronx, NY 10452-8005 | 2007-05-07 |
| 1447477716 | Syed Ashraf Ali | Physician Assistant | Howard County General Hospital, 5755 Cedar Lane, Columbia, MD 21044-3260 | 2007-04-19 |
| 1275697914 | Syed A Ali | Chiropractor | 1813 N 38th Ave, Stone Park, IL 60165-1013 | 2006-12-20 |
| 1154407203 | Syed Jaffer Ali | Specialist | 12 Columbus St, Bedford, OH 44146-2819 | 2006-10-31 |
| 1225123615 | Syed F Ali | Internal Medicine | 161 S Lincolnway Ste 210, North Aurora, IL 60542-1660 | 2006-10-03 |
| 1831282789 | Syed M Ali | Pharmacist | 5th & Roosevelt Rd., Pharmacy Service, Hines, IL 60414 | 2006-10-02 |
| 1174636435 | Syed Irfan Qasim Ali | Anesthesiology | 2321 Olympia Dr Ste 100, Flower Mound, TX 75028-1856 | 2006-08-17 |
| Street Address |
10 N MAIN ST |
| City | CHARLTON |
| State | MA |
| Zip Code | 01507-1590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356998587 | Cori Bailey | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2019-08-22 |
| 1568029437 | Kelly Ann Diaz | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2019-05-24 |
| 1568922334 | Randy Wnuk | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2019-03-20 |
| 1962914143 | Harpreet Kaur | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2017-10-28 |
| 1558883314 | Hillary Rae Fazio | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2017-07-13 |
| 1679934335 | Traci Ann Mercier | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2016-03-09 |
| 1093119216 | Rebecca Louise Russo | Nurse Practitioner | 10 N Main St, Charlton, MA 01507-1590 | 2014-10-17 |
| 1285060616 | Zareen Lakhani Barry | Registered Nurse | 10 N Main St, Charlton, MA 01507-1590 | 2013-09-17 |
| 1861838997 | Zachary O Waldon | Physician Assistant | 10 N Main St, Charlton, MA 01507 | 2013-05-15 |
| 1528316544 | Heather C. Sienel | Physician Assistant | 10 N Main St, Charlton, MA 01507-1590 | 2012-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477179653 | Lissette Hernandez | Counselor | 159 C Worcester Road, Charlton, MA 01507 | 2020-06-23 |
| 1841657426 | Renee M Gomez-chlebica Od LLC | Optometrist | 109-6 Masonic Home Rd., Charlton, MA 01507 | 2016-01-27 |
| 1467728725 | Rebecca Bullock | Occupational Therapist | 11 Sunset Drive, Charlton, MA 01507 | 2012-03-30 |
| 1326347139 | Michelle Beshire | Pharmacist | 188 Center Depot Rd, Charlton, MA 01507 | 2011-03-18 |
| 1063710762 | Daniel R Tetreault | Specialist/Technologist | 70 Hanson Road, Charlton, MA 01507 | 2011-03-03 |
| 1508901828 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 142 Worcester Rd, Charlton, MA 01507 | 2007-02-21 |
| 1780727743 | Peter Maly | Technician/Technologist | 109-6 Masonic Home Road, Charlton, MA 01507 | 2007-02-15 |
| 1083680128 | Mary-elise Smith | Emergency Medicine | 10 North Main Street, Charlton, MA 01507 | 2006-02-28 |
| 1932183241 | Steven V Vachula II | Optometrist | 20 Southbridge Rd, Charlton, MA 01507 | 2005-11-30 |
| 1154304228 | Teddi Bachawaty | Obstetrics & Gynecology | 9 Trolley Crossing Rd, Charlton, MA 01507 | 2005-11-22 |
| Find all providers in zip 01507 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295372787 | Julie A Gil | Family Medicine | 114b Lelandville Rd, Charlton, MA 01507-6714 | 2019-12-04 |
| 1447321385 | Charlton Family Practice | Family Medicine | 246 Southbridge Road, Charlton, MA 01507-5237 | 2006-11-13 |
| 1386663003 | Kristen Hedger Martin | Family Medicine | 286 Stage Rd, Charlton, NY 12019-2619 | 2006-07-19 |
| 1134180425 | Martin Devine | Family Medicine | 61 N Main St, Charlton, MA 01507-1315 | 2006-03-28 |
| 1598046203 | Community Care Physicians, PC | Family Medicine | 286 Stage Rd, Charlton, NY 12019 | 2011-09-08 |
| 1780895433 | Carleen Anne Mcquaid | Family Medicine | 246 Southbridge Rd, Charlton Family Practice, Charlton, MA 01507 | 2007-05-24 |
| 1972671758 | Paul D Harrington | Family Medicine | 246 Southbridge Road, Charlton, MA 01507-5237 | 2006-12-01 |
| 1417020090 | Holly Wasniewski | Family Medicine | 286 Stage Rd, Charlton, NY 12019-2618 | 2006-11-15 |
| 1306945092 | Brenda J Geddis-comrie | Family Medicine | 10 N Main St, Charlton, MA 01507-1590 | 2006-09-21 |
| 1033138755 | Philip Raymond Hunter | Family Medicine | 286 Stage Rd, Charlton, NY 12019 | 2006-07-19 |
| Find all providers in CHARLTON | ||||
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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.