NPI 1104145838 · live from the CMS NPI Registry
Baystate Medical Practices, INC
Family Medicine in Springfield, MA. National Provider Identifier 1104145838, active.
NPI record
| NPI | 1104145838 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 759 Chestnut St, Springfield, MA 01199 |
| Practice phone | 413-794-5700 |
| Mailing address | 280 Chestnut St, 2nd Floor, Springfield, MA 01199 |
| Enumerated | May 20, 2010 |
| Last updated | May 20, 2010 |
| Authorized official | Debra Cremonti, Director Of Medical Staff Services |
| Other names | Northern Region |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Allergy & Immunology | 207K00000X | — |
| Internal Medicine | 207R00000X | — |
| Internal Medicine, Gastroenterology | 207RG0100X | — |
| Internal Medicine, Pulmonary Disease | 207RP1001X | — |
| Obstetrics & Gynecology | 207V00000X | — |
| Orthopaedic Surgery | 207X00000X | — |
| Pediatrics | 208000000X | — |
| Psychiatry & Neurology, Neurology | 2084N0400X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Surgery | 208600000X | — |
| Urology | 208800000X | — |
| Hospitalist | 208M00000X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.