Worcester Internal Medicine

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

264759 Issued in MA

Legal business name

WORCESTER INTERNAL MEDICINE

Practice address

416 Belmont St
Worcester, MA 01604-1086

Phone

(508) 756-1808

Fax

(508) 798-0538

NPI assigned

Mar 16, 2015

Last updated

Mar 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Patnaude, MD

Title

Physician

Phone

(508) 756-1808

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1426464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426464000000",
    "number": "1578956595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041086",
            "telephone_number": "508-756-1808",
            "fax_number": "508-798-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 BELMONT ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016041086",
            "telephone_number": "508-756-1808",
            "fax_number": "508-798-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORCESTER INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-16",
        "last_updated": "2015-03-16",
        "status": "A",
        "authorized_official_last_name": "PATNAUDE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "508-756-1808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "264759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Worcester Health and Rehabilitation Center LLC (Union Hill Rehabilitation and Nursing Center)
• Worcester Health Center, LLC (Worcester Health Center)
• Worcester Health Group, LLC (Lutheran Rehabilitation and Skilled Care Center)
• Worcester Hills Dental PC
• Worcester Home Healthcare
• Worcester Internal Medicine, Inc.
• Worcester Light, LLC (Anna Maria Rest Home)
• Worcester Ma SNF LLC (Worcester Rehabilitation & Health Care Center)
• Worcester Medical Transportation LLC
• Worcester Ophthalmology Associates, Inc

• Primary Care Nurse Practitioner in Worcester, MA
• Providers in Worcester, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; 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.