MANUCHER FARDI (NPI# 1578552022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578552022 |
| Entity Type | Individual |
| Full Name | MANUCHER FARDI |
| Credential | MD |
| Practice Address |
105 Erdman Way Leominster MA 01453-1805 |
| Mailing Address |
58 Edgelawn Ave Unit #12 North Andover MA 01845-4479 |
| Practice Telephone | 9784667800 |
| Practice Fax Number | 9784669333 |
| Mailing Telephone | 9789440981 |
| Mailing Fax Number | 9784669333 |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2015-12-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
78320 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TUFTS | 078320 | 01 |
| MA | 3159531 | 05 | |
| MA | HPHC | AA8479 | 01 |
| MA | BCBS | J17221 | 01 |
| Street Address |
105 ERDMAN WAY |
| City | LEOMINSTER |
| State | MA |
| Zip Code | 01453-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730695172 | Center for Digestive Wellness PC | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2017-12-21 |
| 1346679867 | Center for Digestive Wellness PC | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2013-11-05 |
| 1811230410 | Elliot J Feinberg Md | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2013-04-02 |
| 1801137492 | North Worcester Gastroenterology PC | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2013-03-07 |
| 1225378383 | Elliot J Feinberg Md | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2013-02-26 |
| 1982961066 | Athanasios Desalermos | Internal Medicine | 105 Erdman Way, Leominster, MA 01453 | 2012-04-13 |
| 1245567049 | North Worcester Gastroenterology, P.C. | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2009-11-16 |
| 1861626392 | Wankin J Yu Md | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2009-05-12 |
| 1053575340 | Min Soo Song | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2008-07-15 |
| 1720247653 | Maria Lonshteyn | Internal Medicine | 105 Erdman Way, Leominster, MA 01453-1805 | 2008-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871100230 | Karen Elizabeth Sullivan | Social Worker | 19n Meadowpond Drive, Leominster, MA 01453 | 2020-09-29 |
| 1538705553 | Zazrak, Incorporated | Behavior Technician | 435 Leominster Street Suite 335, Leominster, MA 01453 | 2019-11-25 |
| 1003473547 | Ana Gabriela Rosa | Massage Therapist | 301 6th Sreet, Leominster, MA 01453 | 2019-05-21 |
| 1962973719 | Sandra Trippi-leroux | Social Worker | 122 Granite Street Leominster High School, Leominster, MA 01453 | 2018-12-05 |
| 1134623887 | A&r Home Care LLC | Home Health | 40 Albert Drive, Unit A1, Leominster, MA 01453 | 2018-03-19 |
| 1619326048 | Icon Medical Solutions Corp | Durable Medical Equipment & Medical Supplies | 40 Spruce St Ste 202, Leominster, MA 01453 | 2016-06-07 |
| 1194113837 | Amy Tansey | Pharmacist | 927 Merriam Ave, Leominster, MA 01453 | 2015-01-05 |
| 1730506429 | Mitchel Pyles | Social Worker | Community Healthlink, Inc., 40 Spruce Street, Leominster, MA 01453 | 2014-03-20 |
| 1013341585 | Denise R Tufts | Counselor | 142 Richard Rd, Leominster, MA 01453 | 2013-09-02 |
| 1699010421 | Wendy Ann Leblanc | Homeopath | 1123 Central S, Leominster, MA 01453 | 2012-12-05 |
| Find all providers in zip 01453 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316322852 | Marie-christine Guilbert | Pathology | 259 Beacon St, Apt 62, Boston, MA 02116-1209 | 2015-07-27 |
| 1326432667 | Israa Laklouk | Pathology | 5 Fruit St, Boston, MA 02114-2621 | 2015-03-25 |
| 1740570787 | Hatice Deniz Gur | Pathology | 108 Peterborough St, 4h, Boston, MA 02215-4785 | 2011-04-11 |
| 1427299601 | Marie Y. Lithgow | Pathology | 1400 Vfw Pkwy # 1b-120, Boston, MA 02132 | 2009-03-17 |
| 1831349869 | George J Busch | Pathology | 43 Glenridge Dr, Bedford, MA 01730-2009 | 2008-09-26 |
| 1376736587 | Joseph M Edelstein | Pathology | 1008 Massachusetts Ave, Apt 510, Cambridge, MA 02138-5358 | 2007-08-21 |
| 1902098023 | Francoise Truong | Pathology | Three Biotech One Innovation Drive, Department of Anatomic Pathology, Worcester, MA 01605 | 2007-08-13 |
| 1831380831 | Edmond J Yunis | Pathology | 44 Binney St Rm Lhrrb203, Dana-farber Cancer Inst, Boston, MA 02115 | 2007-08-05 |
| 1619098779 | Michael A Gimbrone | Pathology | Brigham & Women Hospital, 75 Francis Street, Boston, MA 02115 | 2007-04-03 |
| 1447379698 | Farid J Louis | Pathology | Quest Diagnostic Inc, 415 Massachusetts Avenue, Cambridge, MA 02139 | 2007-03-28 |
| Find all providers with the same taxonomy | ||||
| City | LEOMINSTER |
| Zip Code | 01453 |
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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.