Provider Type Icon

UMASS MEMORIAL RADIOLOGY PHYS SERV NPI 1639122096


NPI Information

NPI: 1639122096
Provider Name: UMASS MEMORIAL RADIOLOGY PHYS SERV

Other Name: UMASS MEMORIAL PHYSICIANS SERVICE FUND

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
55 LAKE AVE N # S2-824
RADIOLOGY DEPARTMENT ADMINISTRATION
WORCESTER, MA
ZIP 01655
Phone: (508) 334-7755
Get Directions

UMASS MEMORIAL RADIOLOGY PHYS SERV is a diagnostic radiology radiology in Worcester, MA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. UMASS MEMORIAL RADIOLOGY PHYS SERV NPI is 1639122096. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Umass Memorial Physicians Service Fund.

The provider's business location address is:

55 LAKE AVE N # S2-824
RADIOLOGY DEPARTMENT ADMINISTRATION
WORCESTER, MA
ZIP 01655-002
Phone: (508) 334-7755
Fax: (508) 856-4910

The provider's authorized official is Michele Streeter .
The authorized official title is Vice President, Finance and has the following contact phone number (508) 334-0311.

The enumeration date for this NPI number is 5/18/2006 and was last updated on 4/27/2015.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
19724061MEDICAIDMASSACHUSETTS
2M21472MEDICARE PINMASSACHUSETTS

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: 5/5/2024

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.