Provider Demographics
NPI:1437127719
Name:POPKIN, JOEL H (MD)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:H
Last Name:POPKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-595-2513
Mailing Address - Fax:508-854-0822
Practice Address - Street 1:425 N LAKE AVE
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605
Practice Address - Country:US
Practice Address - Phone:508-595-2513
Practice Address - Fax:508-854-0822
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA38702207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3073319Medicaid
7788601OtherAETNA US HEALTHCARE
9900055OtherFALLON COMM HEALTH PLAN
AA1244OtherHARVARD PILGRIM HLTHCARE
042472266OtherPRIVATE HEALTHCARE SYST
N01738OtherBLUE CARE ELECT
N01738OtherBLUE SHIELD HMO BLUE
N01738OtherBLUE SHIELD INDEMNITY
042472266OtherHEALTHCARE VALUE MGMT
2039834OtherFIRST HEALTH
3073319OtherMEDICAID/WELFARE
4042968OtherCIGNA HEALTH PLAN
N01738OtherMEDICARE B
0401696OtherEVERCARE
042472266OtherONE HEALTH PLAN
27142OtherCHILDRENS MED SEC PLAN
27142OtherHEALTHY START
784177OtherMVP HEALTH CARE
4042968OtherCIGNA HEALTH PLAN
9900055OtherFALLON COMM HEALTH PLAN