CENTRAL MASS PEDIATRIC GI & NUTRITION, P.C. - NPI 1114195179

Q: What is Central Mass Pediatric Gi & Nutrition, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

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About Central Mass Pediatric Gi & Nutrition, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL MASS PEDIATRIC GI & NUTRITION, P.C. (NPI 1114195179) is a healthcare organization registered as a pediatric gastroenterology in Worcester, Massachusetts and active in the NPI registry since February 2008. The organization lists Idris Dahod, President, as its authorized official.

NPPES Registry Identity

NPI1114195179

Entity TypeOrganization

Primary Taxonomy2080P0206X

Legal Business NameCENTRAL MASS PEDIATRIC GI & NUTRITION, P.C.

Location Address123 SUMMER STREET, SUITE 630Worcester, MA 01608

Mailing AddressPo Box 1025Worcester, MA 01613-1025 · (508) 363-7344

Phone(508) 363-7344

Organization SubpartNo

Authorized OfficialIdris DahodPresident · (508) 363-7344

Enumeration DateFebruary 13, 2008

✔ NPI 1114195179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0206X

License✔ Licensed in MA · 156574

Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.

123 SUMMER STREET, Worcester, MA 01608

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Other Identifiers 4

OtherM18069MA · Blue Cross Blue Shield

Other55515MA · Fallon

Other691538MA · Tufts

Medicaid3185796MA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANIEL M STEIGMAN MD

Internal Medicine (Pulmonary Disease)

123 SUMMER STREET, SUITE 390
WORCESTER, MA 01608

Worcester County (508) 368-3120

TARUN JAYATHILAGAR MD

Student in an Organized Health Care Education/Training Program

123 SUMMER STREET, ST VINCENT HOSPITAL
WORCESTER, MA 01608

Worcester County (508) 363-5000

KHUSHI GOYAL MD

Student in an Organized Health Care Education/Training Program

123 SUMMER STREET, ST. VINCENT HOSPITAL
WORCESTER, MA 01608

Worcester County (508) 363-5000

GREGORY T WILLIAMS MD

Internal Medicine (Infectious Disease)

123 SUMMER STREET, SUITE 220 S
WORCESTER, MA 01608

Worcester County (508) 368-3122

ROBERT C HARIZI MD

Internal Medicine (Cardiovascular Disease)

123 SUMMER STREET
WORCESTER, MA 01608

Worcester County (508) 368-3130

IMAN MOULA MD

Student in an Organized Health Care Education/Training Program

123 SUMMER STREET, ST VINCENT HOSPITAL
WORCESTER, MA 01608

Worcester County (508) 363-5000

KEVIN B MARTIN MD

Internal Medicine (Pulmonary Disease)

123 SUMMER STREET, SUITE 390
WORCESTER, MA 01608

Worcester County (508) 368-3120

GARY L. PETERS MD

Specialist

123 SUMMER STREET, SUITE 320
WORCESTER, MA 01608

Worcester County (508) 368-3140

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Mass Pediatric Gi & Nutrition, P.C.'s NPI number?

The NPI number for Central Mass Pediatric Gi & Nutrition, P.C. is 1114195179. It was assigned to this organization in the NPPES registry on February 13, 2008.

Where is Central Mass Pediatric Gi & Nutrition, P.C. located?

Central Mass Pediatric Gi & Nutrition, P.C. is located at 123 Summer Street Suite 630, Worcester, MA 01608. The listed phone number is (508) 363-7344.

What is Central Mass Pediatric Gi & Nutrition, P.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

When was this NPI record last updated?

The NPPES record for Central Mass Pediatric Gi & Nutrition, P.C. was last updated on February 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.