Organization Active NPI

TVCG Um PLLC

  • Vascular Surgery Physician
  • Worcester, MA
National Provider Identifier
1265196711
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
TVCG UM PLLC
Practice address
21 Eastern Ave FL 3
Worcester, MA 01605-3094
Phone
(508) 556-0223
NPI assigned
Oct 29, 2021
Last updated
Oct 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Gorin, MDNPI 1457328304
Title
Physician
Phone
(508) 775-1984

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

21 Eastern Ave FL 3
Worcester, MA 01605-3094

Mailing address

21 Eastern Ave
FL 3
Worcester, MA 01605-3094
Phone (508) 556-0223

National Provider Directory

National Provider Directory

Locations

21 Eastern Ave
Ste 3
Worcester, MA 01605
Phone (508) 556-0223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635465600000",
    "number": "1265196711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 EASTERN AVE",
            "address_2": "FL 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053094",
            "telephone_number": "508-556-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 EASTERN AVE FL 3",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053094",
            "telephone_number": "508-556-0223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TVCG UM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A",
        "authorized_official_last_name": "GORIN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "508-775-1984",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.