Active NPI
Elaine G Hom, D.O.
- Family Medicine Physician
- Worcester, MA
National Provider Identifier
1285669242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 204209
- Practice address
- Mass Rehab Commission
22 Front Street
Worcester, MA 01608 - Phone
- (800) 551-5532
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 204209 | MA | Primary |
Addresses
Primary practice location
Mass Rehab Commission
22 Front Street
Worcester, MA 01608
Mailing address
12 Lakeshore Dr
Hopkinton, MA 01748-2712
Phone (800) 551-5532
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204209 | MA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285669242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 LAKESHORE DR",
"city": "HOPKINTON",
"state": "MA",
"postal_code": "017482712",
"telephone_number": "800-551-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MASS REHAB COMMISSION",
"address_2": "22 FRONT STREET",
"city": "WORCESTER",
"state": "MA",
"postal_code": "01608",
"telephone_number": "800-551-5532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOM",
"first_name": "ELAINE",
"middle_name": "G",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "204209",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.