Active NPI
Children'S Health Care Cooperative
- Pediatrics Physician
- Worcester, MA
National Provider Identifier
1730544461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 202628
- Legal business name
- CHILDREN'S HEALTH CARE COOPERATIVE
- Practice address
- 372 Chandler St
Suite 104
Worcester, MA 01602-3314 - Phone
- (508) 767-3997
- Fax
- (508) 767-3999
- NPI assigned
- Dec 23, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine Freemer, M.D.
- Title
- President/Owner
- Phone
- (508) 767-3997
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 202628 | MA | Primary |
Addresses
Primary practice location
372 Chandler St
Suite 104
Worcester, MA 01602-3314
Mailing address
372 Chandler St
Suite 104
Worcester, MA 01602-3314
Phone (508) 767-3997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110112529A | Medicaid | MA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Worcester, MA
- NPI 1467551879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1730544461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "372 CHANDLER ST",
"address_2": "SUITE 104",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023314",
"telephone_number": "508-767-3997",
"fax_number": "508-767-3999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "372 CHANDLER ST",
"address_2": "SUITE 104",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016023314",
"telephone_number": "508-767-3997",
"fax_number": "508-767-3999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S HEALTH CARE COOPERATIVE",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-23",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "FREEMER",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "508-767-3997",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MA",
"license": "202628",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110112529A",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.