DR. NICOLA A DEANGELIS (NPI# 1801887120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801887120 |
| Entity Type | Individual |
| Full Name | DR. NICOLA A DEANGELIS |
| Credential | M.D. |
| Practice Address |
281 Lincoln St Department of Orthopedic Surgery Worcester MA 01605-2138 |
| Mailing Address |
Po Box 4154348 Boston MA 02241-0001 |
| Practice Telephone | 5083346606 |
| Practice Fax Number | 5083345156 |
| Mailing Telephone | 8002258885 |
| Mailing Fax Number | 5083341977 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 216394 | MA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
216394 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 110033679A | 05 |
| Street Address |
281 LINCOLN ST DEPARTMENT OF ORTHOPEDIC SURGERY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477624 | David Miguel Hinkle | Ophthalmology | 281 Lincoln St, Worcester, MA 01605-2138 | 2005-09-16 |
| 1124589726 | Devyn Mcrae | Physical Therapy Assistant | 281 Lincoln St, Worcester, MA 01605-2138 | 2019-03-27 |
| 1821552845 | Edgar Urbina | Physical Therapist | 281 Lincoln St, Worcester, MA 01605-2192 | 2019-01-23 |
| 1437620317 | Elizabeth Anne Gingras | Physician Assistant | 281 Lincoln St, Worcester, MA 01605-2138 | 2018-12-17 |
| 1407332216 | Moira Quinn | Nurse Practitioner | 281 Lincoln St, Worcester, MA 01605-2138 | 2018-07-15 |
| 1669966693 | Ana P Bonaldi | Optometrist | 281 Lincoln St, Worcester, MA 01605-2138 | 2018-06-22 |
| 1992292130 | Soraiya Thura | Student in an Organized Health Care Education/Training Program | 281 Lincoln St, Worcester, MA 01605 | 2018-04-13 |
| 1689179111 | Suhas Sreeharshan | Student in an Organized Health Care Education/Training Program | 281 Lincoln St, Worcester, MA 01605-2138 | 2018-03-27 |
| 1386149276 | Apoorva Trivedi | Student in an Organized Health Care Education/Training Program | 281 Lincoln St, Worcester, MA 01605-2138 | 2018-03-24 |
| 1912401886 | Keely Elizabeth Moore | Speech-Language Pathologist | 281 Lincoln St, Worcester, MA 01605-2138 | 2018-03-23 |
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| 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 | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679189112 | Tara Baxter | Orthopaedic Surgery | Boston Children's Hospital - Sports Medicine Division, 319 Longwood Avenue, Boston, MA 02115 | 2020-09-21 |
| 1154805281 | Jonathan Vandale | Orthopaedic Surgery | 60 Fenwood Rd Fl 2, Boston, MA 02115-6128 | 2018-09-25 |
| 1073023339 | Lauren Elizabeth Bruno | Orthopaedic Surgery | 200 Providence Hwy Ste 200, Dedham, MA 02026-1881 | 2017-10-02 |
| 1386022218 | Mark Pohlman | Orthopaedic Surgery | 165 Converse St, Unit #9, Longmeadow, MA 01106-1711 | 2015-05-12 |
| 1851710487 | Evan Alexander O'donnell | Orthopaedic Surgery | 55 Fruit Street, Yaw3-3561, Boston, MA 02114 | 2014-04-10 |
| 1588869168 | Matthew J Salzler | Orthopaedic Surgery | 800 Washington St # 306, Boston, MA 02111-1552 | 2007-06-15 |
| 1497891030 | Laurie M Katz | Orthopaedic Surgery | 2000 Washington St, #341, Newton Wellesley Orthopedic Assoc., Inc, Newton, MA 02462-1602 | 2007-01-30 |
| 1386691087 | Richard R Renaud | Orthopaedic Surgery | 54 Mary Lou Ct, Raynham, MA 02767-5253 | 2006-05-28 |
| 1194791186 | William A Mitchell Jr. | Orthopaedic Surgery | 65 Walnut St Ste 440, Wellesley, MA 02481-2196 | 2006-02-28 |
| 1457339491 | Thomas J. Gill Iv | Orthopaedic Surgery | 40 Allied Dr, Dedham, MA 02026-6146 | 2006-01-09 |
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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.