Bear Mt Worcester LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

BEAR MT WORCESTER LLC

Practice address

59 Acton St
Worcester, MA 01604-4829

Phone

(508) 791-3147

NPI assigned

Mar 21, 2019

Last updated

Mar 21, 2019By 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

John B Wynne Jr.

Title

Member/Cfo

Phone

(860) 880-8202

Specialties & licenses 1

Addresses

Practitioners 5

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.

• Ajay J Anand, M.D

  • Internal Medicine Physician
  • Weston, MA
  • NPI 1538237813
  NPD (past)
• Kenya Hanspard, MD

  • Hospitalist Physician
  • Burlington, MA
  • NPI 1932170305
  NPD (past)
• Roberto Larios, M.D.

  • Family Medicine Physician
  • Leominster, MA
  • NPI 1679771588
  NPD (past)
• Rabiah Rafique, MD

  • Internal Medicine Physician
  • Watertown, MA
  • NPI 1396009775
  NPD (past)
• Simon Fensterszaub, D.O.

  • Family Medicine Physician
  • Bristol, RI
  • NPI 1003077322
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1619437019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST STE 203",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871741",
            "telephone_number": "860-880-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 ACTON ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044829",
            "telephone_number": "508-791-3147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR MT WORCESTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "WYNNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MEMBER/CFO",
        "authorized_official_telephone_number": "860-880-8202",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne Beagan, MD
• Jenna Beagle
• Katrina Beal, LMHC
• Keith A Beals, PA
• Stephen Bean, M.D.
• Michael David Bear, PHARMD
• Christopher David Beardsley
• Stephen Beaton, D.ED
• Madjina Beaucejour
• Sarah Beauchemin

• Skilled Nursing Facility in Worcester, MA
• Providers in Worcester, MA by specialty
• Skilled Nursing Facility in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.