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
Phone: (508) 755-9573
Fax:
Website:
Authorized official contact:
Name: Ketchum, Jonathan F. Doctor of Podiatric Medicine (DPM)
Phone: (508) 755-9573
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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