SHEYDA NAMAZIE-KUMMER (NPI# 1548375207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548375207 |
| Entity Type | Individual |
| Full Name | SHEYDA NAMAZIE-KUMMER |
| Credential | M.D. |
| Practice Address |
55 Lake Ave North U Mass Memorial Medical Ctr, Pediatric Hospitalist Grp Worcester MA 01655 |
| Mailing Address |
Po Box 415348 Boston MA 02241-0001 |
| Practice Telephone | 5083347986 |
| Practice Fax Number | 5083347989 |
| Mailing Telephone | 8002258885 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2009-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 230013 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 2129540 | 05 |
| Street Address |
55 LAKE AVE NORTH U MASS MEMORIAL MEDICAL CTR, PEDIATRIC HOSPITALIST GRP |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407894777 | David A Phillips | Radiology | 55 Lake Ave North, Umass Memorial/radiology, Worcester, MA 01655 | 2006-06-02 |
| 1184094872 | Umass Memorial Group | General Acute Care Hospital | 55 Lake Ave North, Worcester, MA 01655 | 2015-10-07 |
| 1104134402 | Mary Ann Badon | Orthopaedic Surgery | 55 Lake Ave North, Worcester, MA 01655 | 2010-09-21 |
| 1235347808 | Krishna V Shroff | Pharmacist | 55 Lake Ave North, University of Massachusetts Memorial Medical Center, Worcester, MA 01655 | 2007-05-18 |
| 1679791339 | Umass Memorial Medical Center | Clinic/Center | 55 Lake Ave North, Worcester, MA 01655 | 2007-04-20 |
| 1396895603 | Susan N Bol | Dietitian, Registered | 55 Lake Ave North, Ummhc, Worcester, MA 01655 | 2007-01-11 |
| 1255488383 | David L. Polan | Emergency Medicine | 55 Lake Ave North, Department of Emergency Medicine, Worcester, MA 01655 | 2007-01-04 |
| 1881767416 | John Albert Beauchesne | Physician Assistant | 55 Lake Ave North, Umass Memorial Health Care Dept of Adolescent Medicine, Worcester, MA 01605 | 2006-11-15 |
| 1801977640 | Jay G. Fong | Pediatrics | 55 Lake Ave North, Worcester, MA 01655 | 2006-10-18 |
| 1164511648 | Corey D Harrison | Emergency Medicine | 55 Lake Ave North, Department of Emergency Medicine, Worcester, MA 01655-0000 | 2006-10-12 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164547014 | John A Riordan | Pediatrics | 117 Coolidge Rd, Worcester, MA 01602-2750 | 2007-03-20 |
| 1811071012 | Sheila M Callahan Butler | Pediatrics | 372 Chandler Street, Worcester, MA 01602 | 2006-10-24 |
| 1467551879 | Christine S. Freemer | Pediatrics | 291 Lincoln St Ste 101, Worcester, MA 01605-3643 | 2006-09-22 |
| 1306941794 | Mariam Lari | Pediatrics | Umass Memorial Children's Med. Ctr., 55 Lake Avenue North, Worcester, MA 01655 | 2006-09-13 |
| 1518991306 | Julie E Meyers | Pediatrics | Umass Medical School, 100 Century Drive, Worcester, MA 01613 | 2006-07-10 |
| 1487601068 | Nicholas Peter Pacella | Pediatrics | 45 Oak Ave, Worcester, MA 01605-2730 | 2006-05-28 |
| 1922098664 | Timothy Wells Watkins | Pediatrics | 650 Lincoln St, Worcester, MA 01605-2060 | 2005-10-25 |
| 1053319905 | Chandler Pediatrics | Pediatrics | 421 Chandler St., Worcester, MA 01602 | 2005-07-13 |
| 1952305997 | Catherine Anne Riordan | Pediatrics | 421 Chandler St, Worcester, MA 01602-2915 | 2005-06-08 |
| 1164950945 | Kamaris M Merritt | Pediatrics | 119 Belmont St, Worcester, MA 01605-2903 | 2017-05-24 |
| Find all providers in WORCESTER | ||||
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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.