UMASS MEMORIAL MEDICAL GROUP, INC. (NPI# 1861038754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861038754 |
| Entity Type | Organization |
| Organization Name | UMASS MEMORIAL MEDICAL GROUP, INC. |
| Practice Address |
33 Kendall Street Levine 2 Worcester MA 01605-2726 |
| Mailing Address |
281 Lincoln Street Provider Enrollment Worcester MA 01605-2138 |
| Practice Telephone | 5083346910 |
| Mailing Telephone | 5083348890 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | DEBRA M WOOLDRIDGE (SUPERVISOR, PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 5083348890 |
| Is Organization Subpart | Y |
| Parent Organization Name | UMASS MEMORIAL MEDICAL GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA0006X |
Clinic/Center Specialization: Ambulatory Fertility Facility |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| UMss Memorial IVF Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013227768 | Umass Memorial Medical Group, Inc. | Ophthalmology | 61 Boyden Rd, Holden, MA 01520-2542 | 2010-10-15 |
| 1760445373 | Umass Memorial Medical Group, Inc. | Psychologist | 55 Lake Ave N, Umass Memorial Medical Center, Worcester, MA 01655-0002 | 2006-04-07 |
| Street Address |
33 KENDALL STREET LEVINE 2 |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821071077 | Vijay K Kasturi | Internal Medicine | 33 Kendall Street, Umass Memorial Campus, Worcester, MA 01605 | 2005-11-22 |
| 1861551707 | Amy B Sharron | Nurse Practitioner | 33 Kendall Street, Surgical Oncology, Worcester, MA 01605 | 2006-12-06 |
| 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 | 261QA0006X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Fertility Facility |
| A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295356301 | Fcne Pho, LLC | Clinic/Center | 20 Pondmeadow Dr Ste 101, Reading, MA 01867-3222 | 2020-04-29 |
| 1982238192 | Boston Reproductive Medicine Physician Group Pplc | Clinic/Center | 300 Boylston St Ste 300, Chestnut Hill, MA 02467-1976 | 2020-02-26 |
| 1871045815 | Boston Reproductive Medicine Physician Group Pplc | Clinic/Center | 300 Boylston St Ste 300, Chestnut Hill, MA 02467-1976 | 2016-10-25 |
| 1184922841 | Fertility Solutions, P.C. | Clinic/Center | 45 Stergis Way, Dedham, MA 02026-2637 | 2011-03-04 |
| 1104139948 | Fertility Solutions | Clinic/Center | 45 Stergis Way, Dedham, MA 02026-2637 | 2010-07-22 |
| 1326231929 | Fertility Centers of New England, LLC | Clinic/Center | 20 Pondmeadow Dr, Suite 101, Reading, MA 01867-3218 | 2007-08-27 |
| 1497831523 | Boston Ivf, Inc. | Clinic/Center | 130 2nd Ave, The Surgery Center of Waltham, Waltham, MA 02451-1100 | 2006-10-31 |
| 1467546283 | New England Clinics of Reproductive Medicine, LLC | Clinic/Center | 20 Pondmeadow Dr, Suite 101, Reading, MA 01867-3218 | 2006-10-03 |
| 1235221896 | Fertility Centers of New England, LLC | Clinic/Center | 20 Pondmeadow Dr, Suite 101, Reading, MA 01867-3218 | 2006-09-29 |
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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.