JEFFREY C ALLARD (NPI# 1902825862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902825862 |
| Entity Type | Individual |
| Full Name | JEFFREY C ALLARD |
| Credential | MD |
| Practice Address |
40 Wright St Wing Memorial Hospital Palmer MA 01064-1138 |
| Practice Telephone | 4132845241 |
| Mailing Telephone | 4132837651 |
| Mailing Fax Number | 4132845117 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2010-02-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
42902 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CONNECTICARE | 710690 | 01 | |
| TUFTS COMMUNITY HEALTH PL | 042902 | 01 | |
| MA | 2069415 | 05 | |
| HEALTHSOURCE CMHC | 3547842 | 01 | |
| CIGNA | 6639010009 | 01 | |
| BLUE CROSS BLUE SHIELD | L15123 | 01 | |
| NETWORK HEALTH | 2069415 | 01 | |
| HARVARD PILGRIM | 243418 | 01 | |
| RAILROAD MEDICARE | 300127953 | 01 |
| Street Address |
40 WRIGHT ST WING MEMORIAL HOSPITAL |
| City | PALMER |
| State | MA |
| Zip Code | 01064-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031354 | Jonathan H Marsh | Internal Medicine | 40 Wright St, Palmer, MA 01069-1138 | 2005-05-23 |
| 1285146498 | Mary Charlotte Guertin | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2017-10-27 |
| 1891204475 | Lea A Grippin | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2017-09-26 |
| 1497272397 | Grace A Lavalley | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2017-08-23 |
| 1093247918 | Zachary C. Demma | Emergency Medicine | 40 Wright St, Palmer, MA 01069-1138 | 2017-03-30 |
| 1750838579 | Kyrsten Belini | Student in an Organized Health Care Education/Training Program | 40 Wright St, Palmer, MA 01069-1138 | 2016-09-09 |
| 1487101507 | Meghan Krasnow | Student in an Organized Health Care Education/Training Program | 40 Wright St, Palmer, MA 01069-1138 | 2016-09-07 |
| 1932552858 | Michael Joseph Fine | Nurse Practitioner | 40 Wright St, Palmer, MA 01069-1138 | 2016-07-15 |
| 1295183614 | Gil Shay | Internal Medicine | 40 Wright St, Palmer, MA 01069-1138 | 2016-05-26 |
| 1861856833 | Alexandra Pessolano | Counselor | 40 Wright St, Palmer, MA 01069-1138 | 2016-04-06 |
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| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316328263 | Telerad Account Management of Alaska LLC | Radiology | 3868 N Forestwood Dr, Palmer, AK 99645-9669 | 2015-06-17 |
| 1659500866 | William W. Resinger | Radiology | 17330 East Huntley Rd., Palmer, AK 99645-0839 | 2009-07-09 |
| 1891763124 | Scott Robert Naspinsky | Radiology | 2280 S Woodworth Loop, Palmer, AK 99645-7412 | 2006-03-11 |
| 1811395064 | Manomednet Inc. | Radiology | 40 Wright St, Wing Baystate Radiology, Palmer, MA 01069-1138 | 2014-12-19 |
| 1992923155 | Kelly Powers | Radiology | 2280 S Woodworth Loop, Palmer, AK 99645-7412 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821604570 | Yarab Mubarak Habib Al Bulushi | Radiology | 330 Brookline Ave Dept of Radiology, Boston, MA 02215-5400 | 2020-09-18 |
| 1619595105 | Natasha Larocque | Radiology | 330 Brookline Avenue, Sherman 231, Beth Israel Deacones, Radiology Education Office, Boston, MA 02215 | 2020-07-10 |
| 1417507740 | Daniel Andres Vargas Zapata | Radiology | 330 Brookline Ave # Es-215, Boston, MA 02215-5491 | 2019-09-18 |
| 1386129468 | Keri Susan Bouthiller | Radiology | 9 Stevens St, Stoneham, MA 02180-1806 | 2018-09-25 |
| 1851870992 | Robert Kevin Moreland | Radiology | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02120 | 2018-08-09 |
| 1790270239 | Rahul Gujrathi | Radiology | 450 Brookline Ave Dana-farber Cancer Institute, Department of Imaging Dl-198, Boston, MA 02215 | 2018-06-27 |
| 1083104434 | Edgar Leonardo Martinez-salazar | Radiology | 20 Michigan Ave, Somerville, MA 02145-2228 | 2018-05-11 |
| 1548758790 | Hudson Valley Radiologists, PC | Radiology | 18 West Rd, Great Barrington, MA 01230-1947 | 2018-04-24 |
| 1700381282 | Casey Keith Bishop | Radiology | 820 Harrison Ave Dept Of, Boston, MA 02118-2905 | 2018-03-27 |
| 1922517713 | Arwa Alzaghal | Radiology | Department of Radiology, Brigham & Women's Hospital, 75 Francis Street, Boston, MA 02115 | 2017-09-25 |
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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.