NPI 1396064028 · live from the CMS NPI Registry
Baystate Medical Practices, INC
Family Medicine in Springfield, MA. National Provider Identifier 1396064028, active.
NPI record
| NPI | 1396064028 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 | Gtr Springfield Primary Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | — |
| Pediatrics | 208000000X | — |
| Physician Assistant, Medical | 363AM0700X | — |
| Nurse Practitioner, Adult Health | 363LA2200X | — |
| Nurse Practitioner, Family | 363LF0000X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.