Organization Active NPI

Ignis Health

  • Health Service Clinic/Center
  • Webster, MA
National Provider Identifier
1700397080
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
241212 Issued in MA
Legal business name
IGNIS HEALTH
Practice address
106 Main St
Webster, MA 01570-2207
Phone
(508) 461-5422
NPI assigned
Oct 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
Dr. Madeline Colon-Usowicz, M.D.
Title
President
Phone
(774) 454-4997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 241212 MA Primary

Addresses

Primary practice location

106 Main St
Webster, MA 01570-2207

Mailing address

36 Blueberry HL
Webster, MA 01570-3232
Phone (774) 454-4997

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D2124402Ignis Health LLC106 Main St, Webster, MA 01570Certificate of waiverJan 16, 2027

National Provider Directory

National Provider Directory

Locations

106 Main St
Webster, MA 01570
Phone (508) 461-5422

NPI Registry JSON

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1700397080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 BLUEBERRY HL",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015703232",
            "telephone_number": "774-454-4997",
            "fax_number": "508-534-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MAIN ST",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015702207",
            "telephone_number": "508-461-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNIS HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-13",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "COLON-USOWICZ",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "774-454-4997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MA",
            "license": "241212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.