CENTRAL EAR NOSE & THROAT ASSOC PC (NPI# 1689668915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689668915 |
Entity Type | Organization |
Organization Name | CENTRAL EAR NOSE & THROAT ASSOC PC |
Other Organization Name | CENTRAL ENT ASSOCIATES |
Practice Address |
295 Lincoln St Suite 101 Worcester MA 01605-3639 |
Practice Telephone | 5087553161 |
Mailing Telephone | 5087553161 |
Enumeration Date | 2005-09-01 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. JEFFREY R FINE (PRESIDENT / CO-OWNER) |
Authorized Official Telephone | 5087553161 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
MA35665 | MA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 2626263 | 05 |
Other Name | Type Code |
---|---|
Central ENT Associates | Former Legal Business Name - Organization |
Street Address |
295 LINCOLN ST SUITE 101 |
City | WORCESTER |
State | MA |
Zip Code | 01605-3639 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548392855 | Kathleen J Collins | Psychologist | 295 Lincoln St, Worcester, MA 01605-3639 | 2007-03-12 |
1457415168 | Lynda M Martin | Audiologist | 295 Lincoln St, Ste 105, Worcester, MA 01605 | 2006-12-20 |
1780758805 | Anita M Solomon | Audiologist | 295 Lincoln St, Suite 105, Worcester, MA 01605-3639 | 2006-11-20 |
1902883499 | Dennis M Dimitri | Family Medicine | 295 Lincoln St, Suite 204, Worcester, MA 01605-3639 | 2005-12-27 |
1871575845 | Laurie A Daley | Audiologist | 295 Lincoln St, Worcester, MA 01605-3639 | 2005-11-16 |
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 Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285666719 | Frank P Fechner | Otolaryngology | 428 Shrewsbury St, Worcester, MA 01604-1661 | 2006-07-07 |
1760594469 | Stuart H. Bentkover, Md PC | Otolaryngology | 123 Summer St, Suit 675, Worcester, MA 01608-1216 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316006869 | Min S. Ahn, Md PC | Otolaryngology | 2 Connector Rd, Westborough, MA 01581-3969 | 2006-12-08 |
1689611295 | Ramsey Alsarraf | Otolaryngology | 69 Newbury St, The Newbury Center, Boston, MA 02116-3063 | 2006-06-01 |
1922076421 | Roger Allen Allcroft | Otolaryngology | 163 Conz St, Northampton, MA 01060-3848 | 2006-03-09 |
1134526429 | North Shore Ear, Nose & Throat | Otolaryngology | 104 Endicott St, Suire 100, Danvers, MA 01923-3623 | 2014-12-02 |
1750790663 | Nathan Jowett | Otolaryngology | 243 Charles St, Boston, MA 02114-3002 | 2014-08-05 |
1356682033 | Ent Surgery Associates, LLC | Otolaryngology | 725 Concord Ave, 2300, Cambridge, MA 02138-1040 | 2013-03-06 |
1376888255 | Bethany J. King, Md, LLC | Otolaryngology | 61 Locust St, Ste. 2, Northampton, MA 01060-2546 | 2012-12-04 |
1659608180 | Bentkover Facial Plastic Surgery & Laser Center | Otolaryngology | 92 Montvale Ave., Suite 3000, Stoneham, MA 02180 | 2009-11-04 |
1487717310 | Usama Sami Hamdan | Otolaryngology | 28 Martingale Ln, Westwood, MA 02090-2900 | 2006-12-19 |
1649345711 | Northeast Ent | Otolaryngology | 299 Faunce Corner Rd, N. Dartmouth, MA 02747 | 2006-11-22 |
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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.