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SAINT VINCENT PHYSICIAN SERVICES INC. NPI 1013997329


NPI Information

NPI: 1013997329
Provider Name: SAINT VINCENT PHYSICIAN SERVICES, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 22D2166028

Address:
123 SUMMER ST STE 279
WORCESTER, MA
ZIP 01608
Phone: (508) 363-6040
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SAINT VINCENT PHYSICIAN SERVICES, INC. is a family medicine in Worcester, MA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAINT VINCENT PHYSICIAN SERVICES, INC. NPI is 1013997329. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

123 SUMMER ST STE 279
WORCESTER, MA
ZIP 01608-216
Phone: (508) 363-6040
Fax: (508) 636-9268

The provider's authorized official is Brian Rasmus .
The authorized official title is Vp, Cfo Tpr Tenet and has the following contact phone number (469) 893-2532.

The CLIA number assigned to this NPI record is 22D2166028 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2006 and was last updated on 5/30/2023.


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
1207L00000XAnesthesiologyNo
2207R00000XInternal MedicineNo
3207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
4207ZP0101XPathologyAnatomic PathologyNo
5208000000XPediatricsNo
62080P0206XPediatricsPediatric GastroenterologyNo
72084P0800XPsychiatry & NeurologyPsychiatryNo
8208600000XSurgeryNo
9208800000XUrologyNo
10208C00000XColon & Rectal SurgeryNo
11208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
12363A00000XPhysician AssistantNo
13363L00000XNurse PractitionerNo
14367A00000XAdvanced Practice MidwifeNo
15207Q00000XFamily 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
19736701MEDICAIDMASSACHUSETTS

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.