Jason L Port (NPI# 1114033396, PAC ID# 9830181270) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1114033396 |
| PAC ID by PECOS | 9830181270 |
| Professional Enrollment ID | I20050310000654 |
| Full Name | Jason L Port |
| Organization Legal Name | CHELMSFORD MRI PC |
| Address |
3640 Main St Suite 101 Springfield MA 01107-1139 |
| Phone Number | 4137819000 |
| Gender | M |
| Credential | MD |
| Medical School | MOUNT SINAI SCHOOL OF MEDICINE OF CITY UNIVERSITY OF NEW YORK |
| Graduation Year | 1988 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 9537118609 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220077 | BAYSTATE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3640 Main St, Suite 101, Springfield, MA 01107-1139 | 4137819000 | CHELMSFORD MRI PC |
| Organization Legal Name | CHELMSFORD MRI PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paula Touliopoulos | Diagnostic Radiology | Chelmsford Mri PC | 187 Billerica Rd, Chelmsford, MA 01824-3616 |
| Debora L Green | Diagnostic Radiology | Chelmsford Mri PC | 3640 Main St, Suite 101, Springfield, MA 01107-1139 |
| Street Address |
3640 MAIN ST SUITE 101 |
| City | SPRINGFIELD |
| State | MA |
| Zip | 01107-1139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam G Wychowski | Internal Medicine | Valley Medical Associates, PC | 3640 Main St, Suite 207, Springfield, MA 01107-1192 |
| Steven J Covici | Ophthalmology | 3640 Main St, Suite 203, Springfield, MA 01107-1139 | |
| Ronald J Gailun | Ophthalmology | New England Retina Consultants, PC | 3640 Main St, Suite 201, Springfield, MA 01107-1139 |
| Patricia A Clark | Optometry | Springfield Eye Associates Inc | 3640 Main St, Suite 205, Springfield, MA 01107-1139 |
| David Agahigian | Ophthalmology | New England Retina Consultants, PC | 3640 Main St, Suite 201, Springfield, MA 01107-1139 |
| Jennifer M Wallace | Nurse Practitioner | K Francis Lee Md PC | 3640 Main St, Suite 302, Springfield, MA 01107-1145 |
| Karen L Krustapentus | Nurse Practitioner | Valley Medical Associates, PC | 3640 Main St, Suite 207, Springfield, MA 01107-1192 |
| Debora L Green | Diagnostic Radiology | Chelmsford Mri PC | 3640 Main St, Suite 101, Springfield, MA 01107-1139 |
| Viktoria Madden | Physician Assistant | Valley Medical Associates, PC | 3640 Main St, Suite 207, Springfield, MA 01107-1192 |
| Philip Moraitis | Ophthalmology | Springfield Eye Associates Inc | 3640 Main St, Suite 205, Springfield, MA 01107-1139 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Burritt Haag | General Surgery | Pioneer Valley Surgical Associates, P.C. | 2 Medical Ctr Dr, Suite 404, Springfield, MA 01107 |
| Dawn M Plouffe | Certified Registered Nurse Anesthetist (crna) | Pioneer Sedation Pllc | 3550 Main St, Suite 103, Springfield, MA 01107-1077 |
| Joel M Nevejans | Certified Registered Nurse Anesthetist (crna) | Pioneer Sedation Pllc | 3550 Main St, Suite 103, Springfield, MA 01107-1077 |
| Jennifer E Wells | Certified Registered Nurse Anesthetist (crna) | Pioneer Sedation Pllc | 3550 Main St, Suite 103, Springfield, MA 01107-1077 |
| Douglas V Cameron | Certified Registered Nurse Anesthetist (crna) | Pioneer Sedation Pllc | 3550 Main St, Suite 103, Springfield, MA 01107-1077 |
| Kathleen L Monahan | Certified Registered Nurse Anesthetist (crna) | Springfield Anesthesia Service Inc | 3550 Main St, Suite 103, Springfield, MA 01107-1077 |
| Cynthia Deangelis | Certified Registered Nurse Anesthetist (crna) | Pioneer Sedation Pllc | 3550 Main St, Suite 103, Springfield, MA 01107-1077 |
| Tammy Ann Kane | Certified Registered Nurse Anesthetist (crna) | Pioneer Sedation Pllc | 3550 Main St, Suite 103, Springfield, MA 01107-1077 |
| Laura L Decandio | Certified Registered Nurse Anesthetist (crna) | Springfield Anesthesia Service Inc | 3550 Main St, Suite 103, Springfield, MA 01107-1077 |
| Sanjeev J. Goswami | Anesthesiology | Pioneer Sedation Pllc | 3550 Main St, Suite 103, Springfield, MA 01107-1077 |
| Find all physicians in zip 01107 | |||
| City | SPRINGFIELD |
| Zip Code | 01107 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | SPRINGFIELD + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Jason L Port.
| 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.