Medical Center West Podiatry Associates, Inc.

LBN: Medical Center West Podiatry Associates, Inc.
Medical Center West Podiatry Associates, Inc. is an health care organization with primary practice located at 488 Pleasant St , Worcester MA 01609-1857. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as the primary health care specialty. Medical Center West Podiatry Associates, Inc. can be contacted via phone (508) 755-9573, or through Ketchum, Jonathan F. via phone (508) 755-9573.

Contact Information

Primary practice address
488 Pleasant St Worcester MA 01609-1857
Fax:
Website:
Authorized official contact:
Name: Ketchum, Jonathan F. Doctor of Podiatric Medicine (DPM)

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 2087 Massachusetts

Profile Details

NPI number 1821185455
LBN Legal business name Medical Center West Podiatry Associates, Inc.
DBA Doing business as
Authorized official Ketchum, Jonathan F. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 6th, 2006
Last updated Mar 25th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821185455 NPPES
Massachusetts Other 719907 TUFTS HEALTH PLAN
Massachusetts Other W201440 TUFTS HEALTH PLAN
Massachusetts Other Y77039 TUFTS HEALTH PLAN
Massachusetts MEDICAID 9719067 TUFTS HEALTH PLAN

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