Christopher Jeremiah Driscoll
Pediatrics | Male
Christopher Jeremiah Driscoll is a Worcester, Massachusetts based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Christopher Jeremiah Driscoll is
55 Lake Ave N, Worcester, Massachusetts - 01655-0002. He can be contacted on phone at
774-442-5545 and fax number 774-443-7042.
Christopher Jeremiah Driscoll is a sole proprietor of his business.
NPI number (Unique professional ID) for Christopher Jeremiah Driscoll is
1356872683 which was assigned by NPPES on 27 Mar, 2017 and it was last updated on 03 Jul, 2021.
Christopher Jeremiah Driscoll license number is
287714 for Pediatrics (208000000X) in Massachusetts.
Christopher Jeremiah Driscoll is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Christopher Jeremiah Driscoll basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Christopher Jeremiah Driscoll |
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| Gender : | Male |
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Business Address:
Christopher Jeremiah Driscoll address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 55 Lake Ave N
Worcester, MA, 01655-0002
United States |
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| Phone Number : | 774-442-5545 |
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| Fax Number : | 774-443-7042 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1356872683 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Mar, 2017 |
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| Last Updated On : | 03 Jul, 2021 |
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Medicare Participation:
Christopher Jeremiah Driscoll participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 1153695994 |
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| Medicare Enrollment ID : | I20210813000660 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2017 |
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| Accepts Medicare? | Yes. Christopher Jeremiah Driscoll accepts medicare insurance. |
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Group Practice Association:
Christopher Jeremiah Driscoll is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Christopher Jeremiah Driscoll is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Umass Memorial Medical Group Inc | 4284539891 | 1738 | 55 Lake Ave N
Worcester, MA - 016550002
Ph: 5083341000 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Christopher Jeremiah Driscoll are as mentioned. Primary taxonomy code for Christopher Jeremiah Driscoll is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207R00000X | Internal Medicine | No | 287714 | MA |
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | |
| 208000000X | Pediatrics | Yes | 287714 | MA |
Legacy Identifiers:
Other legacy medical identifiers of Christopher Jeremiah Driscoll such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 110126465A | MEDICAID | MA | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
FHIR
(FHIR URL) | https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
| No affiliation |
|
| 55 LAKE AVE N,
WORCESTER, MA, 01655-0002
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 415348
Boston, MA, 02241-5348
United States |
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| Phone Number : | 800-225-8885 |
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| Fax Number : | 508-334-1977 |
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Business Location:
Patients can refer following map for directions to
Christopher Jeremiah Driscoll practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.