Basic Information
| Provider Information | |||||||||
| NPI: | 1801857370 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOSEY | ||||||||
| FirstName: | JOHN | ||||||||
| MiddleName: | T | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 NEPONSET ST FL STREET12 | ||||||||
| Address2: | |||||||||
| City: | WORCESTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 016062714 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5085952855 | ||||||||
| FaxNumber: | 5084255656 | ||||||||
| Practice Location | |||||||||
| Address1: | 5 NEPONSET ST | ||||||||
| Address2: | |||||||||
| City: | WORCESTER | ||||||||
| State: | MA | ||||||||
| PostalCode: | 016062714 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5085952855 | ||||||||
| FaxNumber: | 5084255656 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2006 | ||||||||
| LastUpdateDate: | 09/26/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 78926 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | 3066649 | 01 | MEDICAID WELFARE | OTHER | 4339 | 01 | FALLON COMMUNITY HEALTH P | OTHER | 0189034 | 01 | CIGNA HEALTH PLAN | OTHER | J10475 | 01 | BLUE CARE ELECT | OTHER | 042472266 | 01 | ONE HEALTH PLAN | OTHER | 3066649 | 05 | MA | MEDICAID | 784029 | 01 | MVP HEALTH CARE | OTHER | J10475 | 01 | MEDICARE B | OTHER | 042472266 | 01 | HEALTHCARE VALUE MANAGEME | OTHER | 5960025 | 01 | AETNA | OTHER | J10475 | 01 | BLUE SHIELD HMO BLUE | OTHER | 29178 | 01 | HEALTHY START | OTHER | 917774 | 01 | FIRST HEALTH | OTHER | 29178 | 01 | CHILDRENS MEDICAL SECURIT | OTHER | 3200055 | 01 | EVERCARE | OTHER | AA3712 | 01 | HARVARD PILGRIM HEALTHCAR | OTHER | 042472266 | 01 | PRIVATE HEALTHCARE SYSTEM | OTHER | J10475 | 01 | BLUE SHIELD INDEMNITY | OTHER |