Individual provider · Type 1 NPI

Kevin Mishan, DO

Emergency Medicine Physician · Worcester, MA

NPI number 1306595111 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Call (508) 334-1000 Map

Mailing address

281 Lincoln St, Provider Enrollment Department
Worcester, MA 01605-2138

Other practice locations

  • 4422 3rd Ave, Bronx, NY 10457-2594 · (718) 960-6240

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X1026042 (MA)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

2,922 other providers at this address

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About NPI 1306595111

Kevin Mishan, DO's National Provider Identifier is 1306595111, issued on Mar 20, 2022. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Worcester, MA. The record was last updated on Apr 24, 2026.