Organization Active NPI

Women'S Health of Central Ma. PC

  • Obstetrics & Gynecology Physician
  • Worcester, MA
National Provider Identifier
1669567616
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
WOMEN'S HEALTH OF CENTRAL MA. PC
Practice address
328 Shrewsbury St
Ste 100
Worcester, MA 01604-4613
Phone
(508) 755-4861
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Janet Bergeron
Title
Group
Phone
(508) 755-4861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

328 Shrewsbury St
Ste 100
Worcester, MA 01604-4613

Mailing address

328 Shrewsbury St
Ste 100
Worcester, MA 01604-4613
Phone (508) 755-4861

Other identifiers 4

IdentifierTypeStateIssuer
9712828MedicaidMA
691534OtherMATUFTS
M17958OtherMABLUE CROSS BLUE SHEILD
53149OtherMAFALLON

National Provider Directory

National Provider Directory

Locations

8 Two Mile Rd
Ste 204
Farmington, CT 06032
Phone (860) 246-8568

70 Inwood Rd
Rocky Hill, CT 06067
Phone (860) 727-4064

320 Bolton St
Fl 1
Marlborough, MA 01752

340 Maple St
Ste 125
Marlborough, MA 01752
Phone (508) 485-1056

340 Maple St
Marlborough, MA 01752
Phone (508) 485-7779

118 Main St
Sturbridge, MA 01566
Phone (508) 347-5755

325 Thompson Rd
Ste 1
Webster, MA 01570
Phone (508) 755-4851

328 Shrewsbury St
Ste 100
Worcester, MA 01604
Phone (508) 755-4861

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1669567616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 SHREWSBURY ST",
            "address_2": "STE 100",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044613",
            "telephone_number": "508-755-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 SHREWSBURY ST",
            "address_2": "STE 100",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016044613",
            "telephone_number": "508-755-4861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH OF CENTRAL MA. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "BERGERON",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "GROUP",
        "authorized_official_telephone_number": "508-755-4861"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9712828",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "691534",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "M17958",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "53149",
            "state": "MA"
        }
    ],
    "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 Nov 30, 2016; 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.