SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC (NPI# 1043655897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043655897 |
| Entity Type | Organization |
| Organization Name | SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC |
| Practice Address |
3640 Main St. Suite 208 Springfield MA 01107 |
| Mailing Address |
3640 Main St Ste 2018 Springfield MA 01107-1145 |
| Practice Telephone | 4132532767 |
| Practice Fax Number | 4132539767 |
| Mailing Telephone | 4132532767 |
| Mailing Fax Number | 4132539767 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2019-07-26 |
| Authorized Official Name | GEORGE F HOWARD III (OWNER / PHYSICIAN) |
| Authorized Official Telephone | 4132532767 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA00527 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
236642 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
50228 | MA | Allopathic & Osteopathic Physicians |
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
80036 | MA | Allopathic & Osteopathic Physicians |
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
MA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750332771 | Sleep Medicine Services of Western Massachusetts LLC | Psychiatry & Neurology | 3640 Main St Ste 208, Springfield, MA 01107-1192 | 2006-05-15 |
| 1891994042 | Sleep Medicine Services of Western Massachusetts LLC | Durable Medical Equipment & Medical Supplies | 3640 Main St Ste 208, Springfield, MA 01107-1192 | 2007-07-17 |
| Street Address |
3640 MAIN ST. SUITE 208 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689660284 | Brian K Bredvik | Specialist | 3640 Main St., Suite 205, Springfield, MA 01107-1145 | 2005-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013159409 | Advanced Sleep Diagnostics, Inc. | Clinic/Center | 200 5th Avenue, Springfield, TN 37172 | 2009-03-31 |
| 1295005858 | Digitrace Care Services Inc | Clinic/Center | 760 W Sproul Rd, 102b, Springfield, PA 19064-4001 | 2012-01-12 |
| 1174776454 | Sleepcures LLC | Clinic/Center | 300 Stafford St, Ste 102, Springfield, MA 01104-3581 | 2008-10-30 |
| 1912126467 | Digitrace Care Services Inc | Clinic/Center | 8344 Traford Ln, D-2, Springfield, VA 22152-1657 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649508409 | Sleep Health Centers LLC | Clinic/Center | 84 Faunce Corner Rd, N Dartmouth, MA 02747-1276 | 2009-12-05 |
| 1346402385 | Sleep Cures, LLC | Clinic/Center | 100 Cabot St, Needham, MA 02494-2802 | 2008-07-01 |
| 1962664904 | Sleepcures, LLC | Clinic/Center | 64 Border Way, West Springfield, MA 01089-4626 | 2008-07-01 |
| 1952563991 | Sleepcures, LLC | Clinic/Center | 200 Jubilee Dr, Peabody, MA 01960-4007 | 2008-07-01 |
| 1255593281 | Sleep Cures, LLC | Clinic/Center | 4 Home Depot Dr, Plymouth, MA 02360-2669 | 2008-07-01 |
| 1427210467 | Sleepcures, LLC | Clinic/Center | 503 Plantation St, Worcester, MA 01605-4310 | 2008-07-01 |
| 1285849349 | Milford Regional Sleep Center | Clinic/Center | 194 West St, Suite 10, Milford, MA 01757 | 2007-05-11 |
| 1538286703 | Neurocare, Inc. | Clinic/Center | 22 Christy Dr, Brockton, MA 02301-1839 | 2007-03-23 |
| 1497887236 | Digitrace Care Services, Inc | Clinic/Center | 332 Pleasant Street, Northampton, MA 01060 | 2007-03-09 |
| 1376624783 | Healthwise Diagnostic Center | Clinic/Center | 175 Walpole St, Norwood, MA 02062-3230 | 2006-10-19 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on SLEEP MEDICINE SERVICES OF WESTERN MASSACHUSETTS LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.