CHILD HEART ASSOCIATES LLC NPI 1700876380

NPI Information

NPI: 1700876380
Provider Name: CHILD HEART ASSOCIATES, LLC
Classification: Pediatrics - 2080P0202X
Entity Type: Organization

Specialization: Pediatric Cardiology

Address:
33 OAK AVE
WORCESTER, MA
ZIP 01605
Phone: (508) 757-7300
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CHILD HEART ASSOCIATES, LLC is a pediatric cardiology pediatrics in Worcester, MA. The provider is a pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. CHILD HEART ASSOCIATES, LLC NPI is 1700876380. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

33 OAK AVE
WORCESTER, MA
ZIP 01605-752
Phone: (508) 757-7300
Fax: (800) 757-0803

The provider's authorized official is Lars Erickson .
The authorized official title is Managing Member and has the following contact phone number (508) 757-7300.

The enumeration date for this NPI number is 10/25/2005 and was last updated on 7/21/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0202X	Pediatrics	Pediatric Cardiology		MASSACHUSETTS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9748661	MEDICAID	MASSACHUSETTS

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

NPI Synchronization or Removal

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