LUDLOW PEDIATRICS, INC. (NPI# 1932245131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932245131 |
| Entity Type | Organization |
| Organization Name | LUDLOW PEDIATRICS, INC. |
| Practice Address |
77 Winsor St Suite 104 Ludlow MA 01056-3469 |
| Practice Telephone | 4135899494 |
| Practice Fax Number | 4135890774 |
| Mailing Telephone | 4135899494 |
| Mailing Fax Number | 4135890774 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ROBERT J WILLIS (OWNER) |
| Authorized Official Telephone | 4135899494 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9728171 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | LUDLOW PEDIATRICS, INC. | 77 Winsor St., Ludlow, MA 01056 |
| Street Address |
77 WINSOR ST SUITE 104 |
| City | LUDLOW |
| State | MA |
| Zip Code | 01056-3469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922094762 | Mohammad U Qayyum | Psychiatry & Neurology | 77 Winsor St, Ste 101, Ludlow, MA 01056 | 2005-09-27 |
| 1902948359 | Paul R. Blomerth, D.c. | Chiropractor | 77 Winsor St, Suite 203, Ludlow, MA 01056-3469 | 2007-02-13 |
| 1538212352 | Hampden Podiatry Associates | Podiatrist | 77 Winsor St, Suite 204, Ludlow, MA 01056-3469 | 2007-01-18 |
| 1871641902 | John Joseph Vomero | Podiatrist | 77 Winsor St, 204, Ludlow, MA 01056-3469 | 2007-01-08 |
| 1437236734 | Satish R. Rao | Dentist | 77 Winsor St, Suite 102, Ludlow, MA 01056-3469 | 2006-11-01 |
| 1437233384 | Hampden Podiatry Associates | Podiatrist | 77 Winsor St, Suite 204, Ludlow, MA 01056-3469 | 2006-10-25 |
| 1164506184 | Robert J Willis | Pediatrics | 77 Winsor St, Suite # 104, Ludlow, MA 01056-3469 | 2006-10-25 |
| 1396828489 | William Anthony Axton | Podiatrist | 77 Winsor St, Suite 204, Ludlow, MA 01056-3469 | 2006-10-23 |
| 1598770984 | Psych Care Assoc PC | Psychiatry & Neurology | 77 Winsor St, Suite 101, Ludlow, MA 01056-3469 | 2006-07-31 |
| 1184604555 | Paul Richard Blomerth | Chiropractor | 77 Winsor St, Suite 203, Ludlow, MA 01056-3469 | 2006-01-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992207997 | Shannon Kurzeski | Nurse Practitioner | 77 Winsor Street - Ludlow Pediatrics, Ludlow, MA 01056 | 2018-03-06 |
| 1811412653 | Melany Ann Picard | Behavior Technician | 87 Ridgeview Circle, Ludlow, MA 01056 | 2017-08-12 |
| 1588981617 | Lindsay Beth Milligan | Physician Assistant | 627 Randall Road, Hampden County Correctional Center, Health Services, Ludlow, MA 01056 | 2010-04-29 |
| 1285874271 | Steve J. Mcdaniel D.d.s. PC | Dentist | 534 Center Street, Ludlow, MA 01056 | 2009-03-03 |
| 1710138813 | Margaret Ann Denby | Nurse Practitioner | 627 Randall Rd., Ludlow, MA 01056 | 2008-10-07 |
| 1285739276 | Pathology Diagnostic Services P.C. | Pathology | 377 Woodland Circle, Ludlow, MA 01056 | 2006-09-14 |
| 1295759876 | Joseph F Wegiel | Dentist | 257 Kendall St, Ludlow, MA 01056 | 2006-07-27 |
| 1972580306 | Lois C Albury | Internal Medicine | 14 Chestnut Place, Ludlow, MA 01056 | 2005-12-28 |
| 1720064983 | Ann Maria Labar Elder | Internal Medicine | 222 State St, Ludlow, MA 01056 | 2005-12-20 |
| 1891281564 | Kira Isenberg | Physician Assistant | 200 Center Street, Ludlow, MA 01056 | 2018-07-06 |
| Find all providers in zip 01056 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033359898 | Bharati Reejhsinghani Md | Pediatrics | 754 Chestnut St, Springfield, MA 01107-1614 | 2009-03-05 |
| 1437301900 | Vaibhav Goyal | Pediatrics | 874 Purchase Street, Greater New Bedford Community Health, New Bedford, MA 02740 | 2008-10-16 |
| 1649455973 | Robert J. Giordano Md PC | Pediatrics | 100 South St Ste 205, Southbridge, MA 01550-4051 | 2008-01-06 |
| 1407979560 | Bharati Nandlal Reejhsinghani | Pediatrics | 754 Chestnut Street, Springfield, MA 01107 | 2007-04-06 |
| 1609903582 | Harris C Faigel | Pediatrics | 55 Kensington Cir, Chestnut Hill, MA 02467-2675 | 2007-02-27 |
| 1871667303 | Brian J. Dempsey Md | Pediatrics | 758 East St, Pittsfield, MA 01201-5326 | 2006-11-17 |
| 1295757268 | Mark Vonnegut | Pediatrics | 21 Totman Street #2, Quincy, MA 02169 | 2006-07-25 |
| 1356390215 | Richard John Kerbel | Pediatrics | 548 Mount Auburn St, Watertown, MA 02472-4122 | 2006-05-09 |
| 1487602884 | Paula K Braverman | Pediatrics | 50 Wason Avenue, Springfield, MA 01107-1274 | 2006-05-05 |
| 1619930559 | Marianne Sarah Koenig | Pediatrics | 449 Route 130, Sandwich, MA 02563-2339 | 2006-04-11 |
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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.