Thea Nolan (NPI# 1417213448, PAC ID# 9830352434) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1417213448 |
| PAC ID by PECOS | 9830352434 |
| Professional Enrollment ID | I20120517000598 |
| Full Name | Thea Nolan |
| Organization Legal Name | UMASS MEMORIAL RADIOLOGY PHYS SERV |
| Address |
119 Belmont St Worcester MA 01605-2903 |
| Phone Number | 5083346133 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6800868779 |
| Number of Group Practice Members | 93 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220163 | UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS |
| Address | Phone | Organization |
|---|---|---|
| 119 Belmont St, Worcester, MA 01605-2903 | 5083346133 | UMASS MEMORIAL RADIOLOGY PHYS SERV |
| 55 Lake Ave N, Worcester, MA 01655-0002 | 5088565381 | UMASS MEMORIAL RADIOLOGY PHYS SERV |
| Organization Legal Name | UMASS MEMORIAL RADIOLOGY PHYS SERV |
| Physicians | 84 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vincent Prendergast | Nurse Practitioner | Umass Memorial Radiology Phys Serv | 367 Plantation St, Worcester, MA 01605-2323 |
| Walter J Zawacki | Nurse Practitioner | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Alan J Goldstein | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Jasmeet Singh | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Suma C Kannabiran | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Khashayar Rafatzand | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Douglas Fellows | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Monique M Tyminski | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Patricia Cross | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Amin S Chaoui | Diagnostic Radiology | Umass Memorial Radiology Phys Serv | 55 Lake Ave N, Worcester, MA 01655-0002 |
| Street Address |
119 BELMONT ST |
| City | WORCESTER |
| State | MA |
| Zip | 01605-2903 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Layla Fakhrzadeh | Anesthesiology | Umass Memorial Medical Group Inc | 119 Belmont St, Worcester, MA 01605-2903 |
| Daniel J Zinkus | Physician Assistant | Umass Memorial Medical Group Inc | 119 Belmont St, Worcester, MA 01605-2903 |
| Benjamin D Hamar | Obstetrics/gynecology | Umass Memorial Medical Group Inc | 119 Belmont St, Worcester, MA 01605-2903 |
| David R Cave | Gastroenterology | Umass Memorial Medical Group Inc | 119 Belmont St, Worcester, MA 01605-2903 |
| Kerri A Ellis | Nurse Practitioner | Umass Memorial Medical Group Inc | 119 Belmont St, Worcester, MA 01605-2903 |
| Andrea L Poisson Irani | Internal Medicine | Umass Memorial Medical Group Inc | 119 Belmont St, Worcester, MA 01605-2903 |
| Wayne Wayfu Chan | Orthopedic Surgery | Umass Memorial Medical Group Inc | 119 Belmont St, Worcester, MA 01605-2903 |
| Jennifer Lynn Gustafson | Nurse Practitioner | Umass Memorial Medical Group Inc | 119 Belmont St, Worcester, MA 01605-2903 |
| Matthew J Trainor | Nephrology | Umass Memorial Medical Group Inc | 119 Belmont St, Worcester, MA 01605-2903 |
| Mary R Hawthorne | Internal Medicine | Umass Memorial Medical Group Inc | 119 Belmont St, Worcester, MA 01605-2903 |
| 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 | PHYSICIAN ASSISTANT |
| City + Specialty | WORCESTER + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Thea Nolan.
| 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.