Organization Active NPI

Carol a. Barrette, M.D. P.C.

  • Specialist
  • Worcester, MA
National Provider Identifier
1861587057
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
78275 Issued in MA
Legal business name
CAROL A. BARRETTE, M.D. P.C.
Practice address
123 Summer St
Suite 550
Worcester, MA 01608-1216
Phone
(508) 363-6868
Fax
(508) 363-6866
NPI assigned
Oct 4, 2006
Last updated
Jan 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Miss Carol Ann Barrette, M.D.
Title
President
Phone
(508) 363-6868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 78275 MA Primary

Addresses

Primary practice location

123 Summer St
Suite 550
Worcester, MA 01608-1216

Mailing address

113 S Shore Rd
Webster, MA 01570-3341
Phone (508) 943-0623

Other identifiers 4

IdentifierTypeStateIssuer
637717OtherMATUFTS HEALTH PLAN
67582OtherMAFALLON
9729950MedicaidMA
M18303OtherMABLUE SHIELD OF MA

National Provider Directory

National Provider Directory

Locations

123 Summer St
#550
Worcester, MA 01608
Phone (508) 363-6868

Practitioners & affiliated clinicians

Practitioners 4

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.

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": "1295913600000",
    "number": "1861587057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S SHORE RD",
            "city": "WEBSTER",
            "state": "MA",
            "postal_code": "015703341",
            "telephone_number": "508-943-0623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SUMMER ST",
            "address_2": "SUITE 550",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016081216",
            "telephone_number": "508-363-6868",
            "fax_number": "508-363-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROL A. BARRETTE, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "BARRETTE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-363-6868",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "78275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "637717",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON",
            "identifier": "67582",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9729950",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MA",
            "identifier": "M18303",
            "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 Jan 25, 2011; 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.