DR. SHIRLEY PAK SO


Address: 119 Belmont St, Worcester, MA 01605-2903
Phone: 5083346251

DR. SHIRLEY PAK SO (NPI# 1639466592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639466592
Entity Type Individual
Full Name DR. SHIRLEY PAK SO
Credential M.D.
Practice Address 119 Belmont St
Worcester
MA 01605-2903
Mailing Address Po Box 415348
Boston
MA 02241-5348
Practice Telephone 5083346251
Practice Fax Number 5083346906
Mailing Telephone 8002258885
Mailing Fax Number 5083348105
Enumeration Date 2011-06-29
Last Update Date 2020-10-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
249041 MA Allopathic & Osteopathic Physicians

Other Providers SHIRLEY SO

NPI Name Taxonomy Address Enumeration
1649659301 Shirley So Pharmacist 315 Mlk. Jr Way, Tacoma, WA 98405-9997 2015-05-27

Office Location

Street Address 119 BELMONT ST
City WORCESTER
State MA
Zip Code 01605-2903

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992791339 Trista A Brown Physical Medicine & Rehabilitation 119 Belmont St, Dept of Orthopedics, Worcester, MA 01605-2903 2005-09-21
1730788779 Jaclyn Rose Mello Registered Nurse 119 Belmont St, Worcester, MA 01605-2903 2020-10-21
1881222362 Rachel Catherine Taylor Student in an Organized Health Care Education/Training Program 119 Belmont St, Worcester, MA 01605-2903 2020-03-30
1255969937 Aashna Saini Student in an Organized Health Care Education/Training Program 119 Belmont St, Worcester, MA 01605-2903 2020-03-30
1952939696 Camille Dana Campion Student in an Organized Health Care Education/Training Program 119 Belmont St, Worcester, MA 01605-2903 2020-03-30
1215564356 Briana L Jones Student in an Organized Health Care Education/Training Program 119 Belmont St, Worcester, MA 01605-2903 2020-03-26
1740817782 Ciarra Louise Nickerson Student in an Organized Health Care Education/Training Program 119 Belmont St, Worcester, MA 01605-2903 2020-03-26
1619518461 Pia Clive Pharmacist 119 Belmont St, Worcester, MA 01605-2903 2019-10-02
1144873894 Heather Dubrule Dietitian, Registered 119 Belmont St, Worcester, MA 01605-2982 2019-07-22
1023661360 Jennifer Parker Dietitian, Registered 119 Belmont St, Worcester, MA 01605-2903 2019-07-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083228340 Francisca A Bediako Registered Nurse Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 2020-09-03
1922660646 Jenna Patricia Mullarkey Counselor Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 2019-07-02
1295219293 Valerie Ann Wedge Social Worker 382 Plantation Street, Worcester, MA 01605 2018-09-17
1154800290 Keri Innis-grant Counselor 108 Grove Street, Ste Ll11, Worcester, MA 01605 2018-08-09
1184119463 Madiinah Namutebi Registered Nurse 56 Olga Ave, Worcester, MA 01605 2018-06-28
1841789310 Ashley Murray Psychologist 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 2018-05-09
1184126419 Nadia Saforo Nurse Practitioner 509 Plantation St Apt 221, Worcester, MA 01605 2018-03-02
1548779044 Arnold Kamau Thuku Behavioral Analyst 55 Erie Ave, Worcester, MA 01605 2017-09-27
1417466483 Sabine Erica Charles-arbouet Registered Nurse 25 Oriol Drive, Worcester, MA 01605 2017-09-21
1548787864 Alyssa Lynn Champagne Behavioral Analyst 19 Judson Rd, Worcester, MA 01605 2017-08-28
Find all providers in zip 01605

Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164993291 Worcester Physicians and Nurses Services LLC Internal Medicine 100 Grove St Ste 210, Worcester, MA 01605-2627 2018-12-16
1376038257 Lenka Maria Drahoradova Internal Medicine 119 Belmont St, Worcester, MA 01605-2903 2018-06-25
1629238951 Tinevimbo Jaravaza Internal Medicine 277 E Mountain St, Worcester, MA 01606-1207 2008-06-10
1295905115 Kouta Ito Internal Medicine 119 Belmont St, Worcester, MA 01605-2903 2008-03-06
1689871899 Adnan Haider Internal Medicine 630 Plantation St, Worcester, MA 01605-2038 2007-06-29
1477633600 Joel S Bauman Internal Medicine 55 Lake Ave N, Worcester, MA 01655-0002 2006-10-16
1679517510 David A Wilner Internal Medicine 277 E Mountain St, Worcester, MA 01606-1207 2006-06-14
1952377079 Candace Kim Internal Medicine 55 Lake Ave N, Worcester, MA 01655-0002 2006-02-28
1699749309 Jeffrey B Burl Internal Medicine 630 Plantation St, Worcester, MA 01605 2006-02-17
1285616888 Vijay K Kajla Internal Medicine 630 Plantation St, Worcester, MA 01605 2005-11-18
Find all providers in WORCESTER

Competitor

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City WORCESTER
Zip Code 01605

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Dataset Information

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.

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