Gina E D Ottavio (NPI# 1114902038, PAC ID# 4587823026) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114902038 |
| PAC ID by PECOS | 4587823026 |
| Professional Enrollment ID | I20120302000085 |
| Full Name | Gina E D Ottavio |
| Organization Legal Name | EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC |
| Address |
19 Tacoma St Worcester MA 01605-3516 |
| Phone Number | 5088521805 |
| Gender | F |
| Medical School | UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3476512740 |
| Number of Group Practice Members | 49 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220090 | MILFORD REGIONAL MEDICAL CENTER |
| 220163 | UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 42 Cape Rd, Milford, MA 01757-3292 | 8008532288 | EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC |
| 19 Tacoma St, Worcester, MA 01605-3516 | 5088521805 | EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC |
| Organization Legal Name | EDWARD M KENNEDY COMMUNITY HEALTH CENTER INC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Dobles | Family Medicine | Edward M Kennedy Community Health Center Inc | 585 Lincoln St, 2nd Floor, Worcester, MA 01605-1906 |
| Joseph V Papandrea | Optometry | Edward M Kennedy Community Health Center Inc | 631 Lincoln St, Worcester, MA 01605-2010 |
| Sandra L Marwill | Internal Medicine | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Edith N/a Claros | Nurse Practitioner | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Abigail Mathews | Nurse Practitioner | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Bronwyn Alfred | Nurse Practitioner | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Jennifer Tran | Family Medicine | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Emily M Wu | Emergency Medicine | Edward M Kennedy Community Health Center Inc | 354 Waverly St, Framingham, MA 01702-7079 |
| Diana Gurske | Nurse Practitioner | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Lisetta D Shah | Family Medicine | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Street Address |
19 TACOMA ST |
| City | WORCESTER |
| State | MA |
| Zip | 01605-3516 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra L Marwill | Internal Medicine | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Edith N/a Claros | Nurse Practitioner | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Abigail Mathews | Nurse Practitioner | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Bronwyn Alfred | Nurse Practitioner | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Jennifer Tran | Family Medicine | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Diana Gurske | Nurse Practitioner | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Lisetta D Shah | Family Medicine | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Suzanne Noury Holden | Registered Dietitian Or Nutrition Professional | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Jayasree Seshadri | Optometry | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Jamie Catherine Kerr | Nurse Practitioner | Edward M Kennedy Community Health Center Inc | 19 Tacoma St, Worcester, MA 01605-3516 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael A Cirillo | Psychologist, Clinical | Cornerstone Behavioral Health Inc. | 397 Grove St, Worcester, MA 01605-1223 |
| Peter W Moran | Psychologist, Clinical | Cornerstone Behavioral Health Inc. | 397 Grove St, Worcester, MA 01605-1223 |
| Theresa G Boothby | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Kathryn A Mcgrath | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Lea C Murphy | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Leena S Shah | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Daylin A. Chaplin | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Lauren E Gray | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Lisa A Mcniff | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Eric M Severi | Nurse Practitioner | Minuteclinic Diagnostic of Massachusetts, LLC | 44 W Boylston St, Worcester, MA 01605-1261 |
| Find all physicians in zip 01605 | |||
| City | WORCESTER |
| Zip Code | 01605 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WORCESTER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gina E D Ottavio.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.