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UMASS MEMORIAL MEDICAL GROUP INC. NPI 1760445373


NPI Information

NPI: 1760445373
Provider Name: UMASS MEMORIAL MEDICAL GROUP, INC.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
55 LAKE AVE N
UMASS MEMORIAL MEDICAL CENTER
WORCESTER, MA
ZIP 01655
Phone: (508) 331-1000
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UMASS MEMORIAL MEDICAL GROUP, INC. is an internal medicine in Worcester, MA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. UMASS MEMORIAL MEDICAL GROUP, INC. NPI is 1760445373. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

55 LAKE AVE N
UMASS MEMORIAL MEDICAL CENTER
WORCESTER, MA
ZIP 01655-002
Phone: (508) 331-1000

The provider's authorized official is Geraldine Vaughan .
The authorized official title is Svp/coo and has the following contact phone number (508) 334-0311.

The enumeration date for this NPI number is 4/7/2006 and was last updated on 8/22/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinicalNo
2104100000XSocial WorkerNo
3204F00000XTransplant SurgeryNo
4207L00000XAnesthesiologyNo
5207P00000XEmergency MedicineNo
6207Q00000XFamily MedicineNo
7207V00000XObstetrics & GynecologyNo
8207X00000XOrthopaedic SurgeryNo
9207Y00000XOtolaryngologyNo
10208000000XPediatricsNo
112084P0800XPsychiatry & NeurologyPsychiatryNo
12208600000XSurgeryNo
13363A00000XPhysician AssistantNo
14363L00000XNurse PractitionerNo
15207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110000045AMEDICAIDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.