ELITE UPPER EXTREMITY AND PLASTIC SURGERY, PLLC (NPI# 1811595440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811595440 |
| Entity Type | Organization |
| Organization Name | ELITE UPPER EXTREMITY AND PLASTIC SURGERY, PLLC |
| Practice Address |
123 Summer St Ste 550 Worcester MA 01608-1216 |
| Practice Telephone | 5083636868 |
| Practice Fax Number | 5083636866 |
| Mailing Telephone | 5083636868 |
| Mailing Fax Number | 5083636866 |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | DR. BRADLEY KIRK SCHAFFER (PRESIDENT) |
| Authorized Official Telephone | 5083972334 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | TAXONOMY | 174400000X | 01 |
| Street Address |
123 SUMMER ST STE 550 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01608-1216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033721733 | Rebecca Smith Morgan | Physical Therapist | Easter Seals Massachusetts, 484 Main St, Worcester, MA 01608 | 2020-08-24 |
| 1083244057 | Marc Labb | Counselor | 25 Union St 3rd Floor, Worcester, MA 01608 | 2020-01-18 |
| 1154974145 | Shanil Shah | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, Department of Internal Medicine, 123 Summer Street, Worcester, MA 01608 | 2019-07-19 |
| 1194377069 | Varun Kommalapati | Student in an Organized Health Care Education/Training Program | St Vincent Hospital, 123 Summer Street, Worcester, MA 01608 | 2019-07-11 |
| 1992361182 | Jenna Recko | Physical Therapy Assistant | Easter Seals of Massachusetts, 484 Main St, Worcester, MA 01608 | 2019-05-14 |
| 1619452646 | Kara Thompson | Registered Nurse | 100 Martin Luther King Jr Blvd, Worcester, MA 01608 | 2018-09-25 |
| 1427555325 | Baran Umut Vardar | Student in an Organized Health Care Education/Training Program | 123 Summer Street, Saint Vincent Hospital Radiology Dep, Worcester, MA 01608 | 2018-04-09 |
| 1609380765 | Mary Elizabeth O'donnell | Occupational Therapist | Easter Seals Ma, 484 Main Street, Worcester, MA 01608 | 2017-11-28 |
| 1093227316 | Oasis Home Care, LLC | Home Health | 340 Main St Ste 803, Worcester, MA 01608 | 2017-10-26 |
| 1912437500 | Peter A Rondon | Social Worker | 11 Sycamore Street, Worcester, MA 01608 | 2017-06-15 |
| Find all providers in zip 01608 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831631415 | Stephanie Rivero | Specialist | 97 Oakwood Ln, Worcester, MA 01604-2653 | 2016-11-14 |
| 1760889844 | Worcester Center for Expressive Therapies | Specialist | 255 Park Ave Ste 304, Worcester, MA 01609-1991 | 2014-12-04 |
| 1437496437 | Nha Hong Tran | Specialist | 231 Plantation St, Worcester, MA 01604-1840 | 2013-01-10 |
| 1316209224 | Michele A Wright | Specialist | 9 Elm St., Worcester, NY 12197-0366 | 2012-06-15 |
| 1821377763 | Rhonda Leann Barker | Specialist | 190 Whitmarsh Ave, Worcester, MA 01606-2243 | 2011-08-10 |
| 1417272444 | Faina Dulfan | Specialist | 65 Milton St, Worcester, MA 01606-2819 | 2010-04-01 |
| 1710214853 | Emaya Health Inc. | Specialist | 1077 W Boylston St, Worcester, MA 01606-1144 | 2009-11-10 |
| 1477792836 | Sandra P Holloway | Specialist | 440 Grove St, Worcester, MA 01605-1268 | 2009-02-09 |
| 1639365935 | Noreen Dillon | Specialist | 57 Rich St, Worcester, MA 01602-1201 | 2007-09-20 |
| 1033323928 | Ruth Elaine Berman | Specialist | 487 Burncoat Street, Worcester, MA 01605 | 2007-05-09 |
| Find all providers in WORCESTER | ||||
Please comment or provide details below to improve the information on ELITE UPPER EXTREMITY AND PLASTIC SURGERY, PLLC.
| 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.