DR. ANNE MARIE SOPHIA FORTH (NPI# 1952374720) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952374720 |
| Entity Type | Individual |
| Full Name | DR. ANNE MARIE SOPHIA FORTH |
| Credential | MD |
| Practice Address |
26 Queen St Worcester MA 01610-2473 |
| Practice Telephone | 5088607700 |
| Practice Fax Number | 5088607929 |
| Mailing Telephone | 5088607700 |
| Mailing Fax Number | 5088607929 |
| Enumeration Date | 2006-02-10 |
| Last Update Date | 2012-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
214456 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 1303546 | 05 |
| Street Address |
26 QUEEN ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01610-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460051 | Philip Joseph Bolduc | Family Medicine | 26 Queen St, Family Practice 3, Worcester, MA 01610-2473 | 2005-10-10 |
| 1013517341 | Erich Berantuo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2020-10-27 |
| 1366070419 | Stephany Giraldo Eierle | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-04-01 |
| 1225666969 | Henry J Louis | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-30 |
| 1497383467 | Katherine Elizabeth Price | Student in an Organized Health Care Education/Training Program | 26 Queen St, Worcester, MA 01610-2473 | 2020-03-27 |
| 1295377802 | Esther N Miwanda | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-15 |
| 1598306417 | David James Goodrich II | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-10-02 |
| 1972151496 | Kathryn Jean Devinney | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2473 | 2019-08-28 |
| 1104478288 | David Dinh | Nurse Practitioner | 26 Queen St, Worcester, MA 01610-2478 | 2019-07-10 |
| 1831741917 | Lisa Figueiredo | Registered Nurse | 26 Queen St, Worcester, MA 01610-2473 | 2019-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881189355 | Amber Hall | Counselor | 26 Queen St, 6th Floor, Worcester, MA 01610 | 2018-06-27 |
| 1417401951 | Kelsey Moran | Counselor | 1 College Street, Box D, Worcester, MA 01610 | 2016-08-13 |
| 1245685809 | Walter Trisdale | Specialist/Technologist | One College St., College of The Holy Cross, Worcester, MA 01610 | 2016-05-02 |
| 1669866430 | Shannon Smith | Student in an Organized Health Care Education/Training Program | 26 Queen St, Ground Floor, Ambulatory Psychiatry Service, Ummmc, Worcester, MA 01610 | 2015-03-19 |
| 1063815348 | Terri Boettcher | Social Worker | 72 Jacques Street, Worcester, MA 01610 | 2014-10-01 |
| 1700222866 | Kalynn Lucashensky | Occupational Therapist | 105 Woodland St. Apt. A, Worcester, MA 01610 | 2013-05-16 |
| 1093053993 | Chrissy Marie Ryan | Registered Nurse | 26 Queen St 6th Floor, Flow Pact, Worcester, MA 01610 | 2013-01-28 |
| 1851681324 | Renaissance Adult Day Care, LLC | Clinic/Center | 1040 Southbridge Street, Worcester, MA 01610 | 2011-04-18 |
| 1912203217 | Goddard/homestead | Custodial Care Facility | 10 Homestead Avenue, Worcester, MA 01610 | 2011-02-03 |
| 1912173196 | Rahman Ullah | Dentist | Park Ave Dental Center, 456 Park Avenue, Worchester, MA 01610 | 2008-05-07 |
| Find all providers in zip 01610 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972677680 | Thomas Kevin Hicks | Family Medicine | 309 Belmont Street, Worcester Recovery Center and Hopsital, Worcester, MA 01604 | 2006-11-17 |
| 1063646552 | Anthony Distefano, Jr Md | Family Medicine | 562 Lincoln St, Worcester, MA 01605-1916 | 2009-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093359499 | Melissa Lemayian | Family Medicine | 26 Ames St, Lowell, MA 01852-2604 | 2019-10-30 |
| 1679819031 | Joan F Tryzelaar | Family Medicine | 500 Cummings Ctr Ste 1800, Beverly, MA 01915 | 2012-12-12 |
| 1083785000 | Edward Robert Harned | Family Medicine | 49 Echo Lane, North Chatham, MA 02650 | 2006-11-13 |
| 1912095589 | Robert Geer Insley | Family Medicine | 78 Crowell Rd, Chatham, MA 02633-1966 | 2006-10-10 |
| 1609976448 | Margaret Shelly | Family Medicine | 1755 Commonwealth Ave, Brighton, MA 02135-4040 | 2006-09-22 |
| 1194735449 | Bodkhe & Dickey Associates, LLC | Family Medicine | 51 Sanderson St Ste 10, Greenfield, MA 01301-2739 | 2006-08-09 |
| 1255356705 | Stephen Oliver Chastain | Family Medicine | 33 Lawrence St, Methuen, MA 01844-4445 | 2006-07-13 |
| 1568438513 | Anne Marie Treadup | Family Medicine | 500 Faunce Corner Rd Ste 160, North Dartmouth, MA 02747-1277 | 2006-02-28 |
| 1790779908 | Martin Lesser | Family Medicine | 1236 Main St, Suite 201, Holyoke, MA 01040-5370 | 2005-09-01 |
| 1982202073 | Stella Macharia | Family Medicine | 100 Harvard Rd, Shirley, MA 01464 | 2020-10-12 |
| Find all providers with the same taxonomy | ||||
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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.