CHILD HEART ASSOCIATES, LLC (NPI# 1700876380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700876380 |
| Entity Type | Organization |
| Organization Name | CHILD HEART ASSOCIATES, LLC |
| Practice Address |
33 Oak Ave Worcester MA 01605-2752 |
| Practice Telephone | 5087577300 |
| Practice Fax Number | 8007570803 |
| Mailing Telephone | 5087577300 |
| Mailing Fax Number | 8007570803 |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | LARS ERICKSON III (MANAGING MEMBER) |
| Authorized Official Telephone | 5087577300 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
========= | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9748661 | 05 |
| Street Address |
33 OAK AVE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003452640 | Johnastasia Lillian Henderson | Counselor | 33 Oak Ave, Worcester, MA 01605-2752 | 2019-11-19 |
| 1326236175 | Defis, Inc. | Clinic/Center | 33 Oak Ave, Worcester, MA 01605-2752 | 2007-10-05 |
| 1760545016 | Stephen J Nault | Chiropractor | 33 Oak Ave, Worcester, MA 01605-2752 | 2006-12-18 |
| 1790861748 | Lorraine Marasco Schratz | Pediatrics | 33 Oak Ave, Worcester, MA 01605-2752 | 2006-10-31 |
| 1952417347 | Defis, Inc. | Orthopaedic Surgery | 33 Oak Ave, Worcester, MA 01605-2752 | 2006-08-21 |
| 1215041827 | Kirk H. Johnson, Md, PC | Orthopaedic Surgery | 33 Oak Ave, Worcester, MA 01605-2752 | 2006-08-19 |
| 1780798595 | Nault Chiropractic PC | Chiropractor | 33 Oak Ave, Worcester, MA 01605-2752 | 2006-08-18 |
| 1518957190 | Lars Erickson | Pediatrics | 33 Oak Ave, Worcester, MA 01605-2752 | 2005-10-25 |
| 1871583450 | Phyllis Pollack | Pediatrics | 33 Oak Ave, Worcester, MA 01605-2752 | 2005-10-25 |
| 1679563258 | Maria Victoria T Tantengco | Pediatrics | 33 Oak Ave, Worcester, MA 01605-2752 | 2005-10-25 |
| Find all providers in the same location | ||||
| 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 | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255536082 | Michael C. Fahey | Pediatrics | 55 Lake Ave N, Department of Pediatrics, Worcester, MA 01655-0002 | 2007-06-20 |
| 1790861748 | Lorraine Marasco Schratz | Pediatrics | 33 Oak Ave, Worcester, MA 01605-2752 | 2006-10-31 |
| 1356394472 | Darshak M Sanghavi | Pediatrics | 55 Lake Ave N, Department of Pediatric Cardiology, Worcester, MA 01655-0002 | 2006-05-18 |
| 1518957190 | Lars Erickson | Pediatrics | 33 Oak Ave, Worcester, MA 01605-2752 | 2005-10-25 |
| 1871583450 | Phyllis Pollack | Pediatrics | 33 Oak Ave, Worcester, MA 01605-2752 | 2005-10-25 |
| 1679563258 | Maria Victoria T Tantengco | Pediatrics | 33 Oak Ave, Worcester, MA 01605-2752 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467933309 | Chavisa Rassameehirun | Pediatrics | 300 Longwood Ave Unit, Boston, MA 02115-5724 | 2018-08-28 |
| 1407300858 | Carolina Escudero | Pediatrics | 240 Heath St, Ph 16, Boston, MA 02130-1149 | 2016-08-14 |
| 1629358767 | The Children's Heart Center of Western Massachusetts, LLC | Pediatrics | 1754 Northampton St, Holyoke, MA 01040-1947 | 2011-08-21 |
| 1518087790 | Michael E. Willers | Pediatrics | 1754 Northampton Street, Holyoke, MA 01040 | 2007-03-30 |
| 1356495428 | Herbert E Cohn | Pediatrics | 35 Wharf Path Apt D, Marblehead, MA 01945-4653 | 2007-01-23 |
| 1396368460 | Lauren Sell | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2020-05-25 |
| 1356998645 | Ciara Mcmanus | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2019-08-21 |
| 1699297374 | Katie Maree Moynihan | Pediatrics | 300 Longwood Ave, Boston, MA 02115-5724 | 2017-07-13 |
| 1609328988 | Luciana De Franco Marcondes Gomes | Pediatrics | 300 Longwood Ave, Boston Children's Hospital Cardiology Department, Boston, MA 02115-5724 | 2016-11-02 |
| 1598211203 | Hanita Shai | Pediatrics | 300 Longwood Avenue, Boston, MA 02115 | 2016-09-01 |
| Find all providers with the same taxonomy | ||||
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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.