Wachusett Emergency Physicians, PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

WACHUSETT EMERGENCY PHYSICIANS, PC

Practice address

275 Nichols Rd
Burbank Urgent Care Center
Fitchburg, MA 01420-1919

Phone

(978) 343-5074

Fax

(978) 343-5418

NPI assigned

Mar 1, 2011

Organization subpart

Yes

Parent organization

WACHUSETT EMERGENCY PHYSICIANS, PCAs reported in NPPES

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

Authorized official

Name

Dr. Bonnie Ryan, M.D.

Title

President

Phone

(978) 466-2428

Specialties & licenses 1

Addresses

Other identifiers 4

Part of

Wachusett Emerg Phys

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Wachusett Emergency Physicians, PC

  • Emergency Medicine Physician
  • Leominster, MA
  • NPI 1376553693
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen J Kent, M.D.

  • Emergency Medicine Physician
  • Cincinnati, OH
  • NPI 1396770210
  NPD (past)

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1508164583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 HOSPITAL RD",
            "city": "LEOMINSTER",
            "state": "MA",
            "postal_code": "014532205",
            "telephone_number": "978-466-2994",
            "fax_number": "978-466-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 NICHOLS RD",
            "address_2": "BURBANK URGENT CARE CENTER",
            "city": "FITCHBURG",
            "state": "MA",
            "postal_code": "014201919",
            "telephone_number": "978-343-5074",
            "fax_number": "978-343-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WACHUSETT EMERGENCY PHYSICIANS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WACHUSETT EMERGENCY PHYSICIANS, PC",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "978-466-2428",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "601212",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "703641",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9749144",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "M14339",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Kate Vita, MS, RD, LDN
• Julia Vlahopoulos
• Deborah Ann Vogel
• Shayna Vogel, MA
• Susan Voute, M.D.
• Matthew Waite
• Meekly Walden
• Walgreen Co
• Colleen Wall
• Brittany Wallace, MED

• Urgent Care Clinic/Center in Fitchburg, MA
• Providers in Fitchburg, MA by specialty
• Urgent Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.