GERIATRIC MEDICAL ASSOCIATES PC (NPI# 1063484467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063484467 |
| Entity Type | Organization |
| Organization Name | GERIATRIC MEDICAL ASSOCIATES PC |
| Practice Address |
780 Chestnut St Suite 23 Springfield MA 01107-1616 |
| Practice Telephone | 4137872800 |
| Practice Fax Number | 4137872822 |
| Mailing Telephone | 4137872800 |
| Mailing Fax Number | 4137872822 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2008-05-09 |
| Authorized Official Name | DR. VICTORIA PAMELA PETERS (PRESIDENT) |
| Authorized Official Telephone | 4137872800 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE | M21439 | 01 | |
| HEALTHNET | 000000023021 | 01 | |
| BCBS OF MA | M17556 | 01 | |
| AETNA HEALTH | 3370368 | 01 | |
| HARVARD PILGRIM | 66697 | 01 | |
| TURFS SECURE HORIZONS | 691352 | 01 | |
| CONNECTICARE | 724714J173 | 01 | |
| RAILROAD MEDICARE | DA9195 | 01 | |
| RAILROAD MEDICARE | P00078010 | 01 |
| Street Address |
780 CHESTNUT ST SUITE 23 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801269 | Lawrence Henry Field | Physical Medicine & Rehabilitation | 780 Chestnut St, Ste 22, Springfield, MA 01107-1610 | 2005-06-14 |
| 1871048462 | Benjamin C. Dickert | Podiatrist | 780 Chestnut St, Suite 8, Springfield, MA 01107-1637 | 2016-08-24 |
| 1710376934 | Julyvette Rodriguez | Nurse Practitioner | 780 Chestnut St, Springfield, MA 01107-1637 | 2015-01-12 |
| 1841528908 | Ellen Ann Latour | Nurse Practitioner | 780 Chestnut St, Suite 23, Springfield, MA 01107-1637 | 2009-12-01 |
| 1326286378 | Preventive Medicine Associates | Counselor | 780 Chestnut St, Suite 4, Springfield, MA 01107-1637 | 2009-01-29 |
| 1922272822 | Sonography Associates, Inc | Clinical Medical Laboratory | 780 Chestnut St, Ste 4, Springfield, MA 01107-1610 | 2008-04-22 |
| 1316132517 | James S. Rosenthal, Md PC | Ophthalmology | 780 Chestnut St, Suite 19, Springfield, MA 01107-1610 | 2007-09-11 |
| 1821282047 | David J. Goggin | Physical Therapist | 780 Chestnut St, Suite 22, Springfield, MA 01107-1610 | 2007-08-30 |
| 1366654766 | Bruce Michael Ecker | Clinical Neuropsychologist | 780 Chestnut St, Suite 12, Springfield, MA 01107-1610 | 2007-05-06 |
| 1336249622 | Patrick Matthew Jones | Podiatrist | 780 Chestnut St, Suite 8, Springfield, MA 01107-1610 | 2006-09-25 |
| Find all providers in the same location | ||||
| 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 | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912249061 | Christopher Hwang | Internal Medicine | 100 W Sproul Rd Ste 221, Springfield, PA 19064-2033 | 2013-03-26 |
| 1285777698 | Lance Luria | Internal Medicine | 3265 S National Ave, Suite 200, Springfield, MO 65807-7304 | 2007-02-15 |
| 1033197553 | Anne Marsh Egbert | Internal Medicine | 4630 W Farm Road 82, Springfield, MO 65803-6065 | 2006-01-04 |
| 1932601887 | Luybang Trinh | Internal Medicine | 300 Stafford St, Springfield, MA 01104-4110 | 2018-03-07 |
| 1154779445 | Post Acute Care Clinicians, LLC | Internal Medicine | 819 Worcester St Ste 1, Springfield, MA 01151-1056 | 2016-05-27 |
| 1043626856 | Maryam M Hasan | Internal Medicine | 759 Chestnut St, Springfield, MA 01107-1619 | 2014-07-02 |
| 1285955476 | Maria Jose Ferrera | Internal Medicine | 380 Plainfield St, Springfield, MA 01199-1619 | 2010-06-22 |
| 1235339607 | Erin J Leahy | Internal Medicine | 759 Chestnut St, S2668, Springfield, MA 01107-1619 | 2007-07-23 |
| 1982820726 | Rebecca S Starr | Internal Medicine | 11 Wilbraham Rd, Springfield, MA 01109-3161 | 2007-04-18 |
| 1326174574 | Alison Whitney Grover | Internal Medicine | 101 Wason Ave, Springfield, MA 01107-1140 | 2007-02-24 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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| 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.