MR. JOHN ALBERT BEAUCHESNE (NPI# 1881767416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881767416 |
| Entity Type | Individual |
| Full Name | MR. JOHN ALBERT BEAUCHESNE |
| Credential | PAC |
| Practice Address |
55 Lake Ave North Umass Memorial Health Care Dept of Adolescent Medicine Worcester MA 01605 |
| Mailing Address |
30 Olin Dr Fitchburg MA 01420-7020 |
| Practice Telephone | 5088565624 |
| Mailing Telephone | 9783436544 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 352 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
55 LAKE AVE NORTH UMASS MEMORIAL HEALTH CARE DEPT OF ADOLESCENT MEDICINE |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407894777 | David A Phillips | Radiology | 55 Lake Ave North, Umass Memorial/radiology, Worcester, MA 01655 | 2006-06-02 |
| 1184094872 | Umass Memorial Group | General Acute Care Hospital | 55 Lake Ave North, Worcester, MA 01655 | 2015-10-07 |
| 1104134402 | Mary Ann Badon | Orthopaedic Surgery | 55 Lake Ave North, Worcester, MA 01655 | 2010-09-21 |
| 1235347808 | Krishna V Shroff | Pharmacist | 55 Lake Ave North, University of Massachusetts Memorial Medical Center, Worcester, MA 01655 | 2007-05-18 |
| 1679791339 | Umass Memorial Medical Center | Clinic/Center | 55 Lake Ave North, Worcester, MA 01655 | 2007-04-20 |
| 1396895603 | Susan N Bol | Dietitian, Registered | 55 Lake Ave North, Ummhc, Worcester, MA 01655 | 2007-01-11 |
| 1255488383 | David L. Polan | Emergency Medicine | 55 Lake Ave North, Department of Emergency Medicine, Worcester, MA 01655 | 2007-01-04 |
| 1801977640 | Jay G. Fong | Pediatrics | 55 Lake Ave North, Worcester, MA 01655 | 2006-10-18 |
| 1164511648 | Corey D Harrison | Emergency Medicine | 55 Lake Ave North, Department of Emergency Medicine, Worcester, MA 01655-0000 | 2006-10-12 |
| 1548375207 | Sheyda Namazie-kummer | Pediatrics | 55 Lake Ave North, U Mass Memorial Medical Ctr, Pediatric Hospitalist Grp, Worcester, MA 01655 | 2006-08-20 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610633 | Maria Zammarelli | Physician Assistant | 48 Vincent Cir, Worcester, MA 01604-3462 | 2020-08-24 |
| 1861001901 | Dajia Angell | Physician Assistant | 13 Greendale Ave Apt 2, Worcester, MA 01606-3261 | 2020-07-24 |
| 1194353219 | Jessica Noga | Physician Assistant | 322 Lovell St Apt 2, Worcester, MA 01602-4375 | 2020-04-01 |
| 1821658840 | Jonathan Sachariah | Physician Assistant | 327 Plantation St Apt 315, Worcester, MA 01604-1774 | 2019-06-20 |
| 1295394906 | Morgan Talbot Mitchell | Physician Assistant | 27 Wachusett St Apt 46, Worcester, MA 01609-4602 | 2019-06-07 |
| 1730642299 | Mary Howard | Physician Assistant | 600 Main St Apt 1004, Worcester, MA 01608-2064 | 2019-04-11 |
| 1861965790 | Priscilla Yeon | Physician Assistant | 8 Grafton St Apt 710, Worcester, MA 01604-4951 | 2019-01-03 |
| 1891263323 | Janet Elaine Greenslade | Physician Assistant | 100 Mlk Jr Blvd Ste 2, Worcester, MA 01608-1209 | 2018-11-02 |
| 1629577887 | Emily Elizabeth Lemay | Physician Assistant | 11 Cutting Ave, Worcester, MA 01606-2207 | 2018-02-02 |
| 1851752794 | Edward Chester Mcinerny | Physician Assistant | 123 Summer St Ste 695, Worcester, MA 01608-1216 | 2016-03-18 |
| Find all providers in WORCESTER | ||||
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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.