CENTRAL MASS PEDIATRIC GI & NUTRITION, P.C. – NPI #1114195179
Pediatrics

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.

Health Care Provider Taxonomy Code for Pediatrics

CENTRAL MASS PEDIATRIC GI & NUTRITION, P.C. is a provider located in WORCESTER, MA. NPPES has assigned the NPI number 1114195179 to CENTRAL MASS PEDIATRIC GI & NUTRITION, P.C. on February 13, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0206X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Gastroenterology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL MASS PEDIATRIC GI & NUTRITION, P.C. below.

NPI Profile for
CENTRAL MASS PEDIATRIC GI & NUTRITION, P.C.

NPI Number
1114195179
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL MASS PEDIATRIC GI & NUTRITION, P.C.
Primary location
123 SUMMER STREET
SUITE 630
WORCESTER, MA 01608
Phone: (508) 363-7344 Fax:
Mailing address
PO BOX 1025
WORCESTER, MA 01613-1025
Phone: (508) 363-7344 Fax:
Organization Subpart
No
Authorized Official
IDRIS DAHOD
PRESIDENT
Phone: (508) 363-7344
Updated
Identifiers

Identifiers for CENTRAL MASS PEDIATRIC GI & NUTRITION, P.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDMAM18069
OTHERFALLONMA55515
OTHERTUFTSMA691538
MEDICAIDMA3185796
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0206X
- Pediatrics / Pediatric Gastroenterology (Primary)		 MA 156574

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.