DR. GOPALA DWARAKANATH (NPI# 1609862630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609862630 |
Entity Type | Individual |
Full Name | DR. GOPALA DWARAKANATH |
Credential | M.D. |
Practice Address |
2 Hospital Dr Lowell MA 01852-1311 |
Mailing Address |
290 Broadway 104 Methuen MA 01844-6827 |
Practice Telephone | 9786185550 |
Practice Fax Number | 9789376842 |
Mailing Telephone | 9786835115 |
Mailing Fax Number | 9786837337 |
Enumeration Date | 2005-09-26 |
Last Update Date | 2015-10-23 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | 9652 | NH | Allopathic & Osteopathic Physicians |
N | 207L00000X | Anesthesiology | 50393 | MA | Allopathic & Osteopathic Physicians |
N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
9652 | NH | Allopathic & Osteopathic Physicians |
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
50393 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BCBSMA | J05943 | 01 |
NH | ANTHEM | 0108621Y0MA01 | 01 |
MA | 3011330 | 05 | |
MA | THP | 705679 | 01 |
MA | NHP | 0003232 | 01 |
MA | FCHP | 26794 | 01 |
MA | CIGNA | 8984154-001 | 01 |
MA | UHC | 20-00178 | 01 |
MA | AETNA | 4451978 | 01 |
MA | EVERCARE | 20-01286 | 01 |
MA | HPHC | 275207 | 01 |
NH | 30005579 | 05 |
Street Address |
2 HOSPITAL DR |
City | LOWELL |
State | MA |
Zip Code | 01852-1311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366819435 | Tamra Lee Brennan | Nurse Practitioner | 2 Hospital Dr, Pain Management Center, Lowell, MA 01852-1311 | 2015-08-25 |
1669630083 | Benjamin Osborn Henkle | Physical Medicine & Rehabilitation | 2 Hospital Dr, 2nd Floor, Lowell, MA 01852-1311 | 2008-06-02 |
1225004211 | Lowell Hematology and Oncology PC | Internal Medicine | 2 Hospital Dr, Lowell, MA 01852-1311 | 2006-02-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
Find all providers in zip 01852 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386102614 | Premier Pain Management Pllc | Anesthesiology | 33 Electric Ave Ste 102, Fitchburg, MA 01420-7954 | 2019-03-05 |
1295969103 | Karen Munkacy | Anesthesiology | 116 Chestnut Hill Rd, Chestnut Hill, MA 02467-1310 | 2009-05-06 |
1073756441 | Prashant Kumar | Anesthesiology | 102 Shore Drive, Ste 502, Worcester, MA 01605-3154 | 2009-04-14 |
1568657120 | Han L Chiu | Anesthesiology | 80 Waltham Street, D-22, Norwell, MA 02061 | 2007-09-07 |
1366576191 | New England Pain Associates, P.C. | Anesthesiology | 48 Elm Street, Worcester, MA 01609-2541 | 2007-03-15 |
1619003092 | Sarah Louise Blake | Anesthesiology | 3 Woodland Rd Ste 318, Stoneham, MA 02180-1713 | 2007-02-27 |
1063579076 | William Emerson Dworet | Anesthesiology | 21 Brewster Cross Rd Unit C, Orleans, MA 02653-3339 | 2007-01-02 |
1235297250 | Bijan Nasseri Niaki | Anesthesiology | 91 Washington Street, 3rd Floor Ste 303, Taunton, MA 02780 | 2006-12-04 |
1073681508 | Galina Davidyuk | Anesthesiology | 75 Francis Str, Bwh Anesthesia Department, Boston, MA 02115 | 2006-12-01 |
1932133691 | Hariharan V Sundram | Anesthesiology | 205 Homer St, Newton, MA 02459-1420 | 2006-07-10 |
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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.