DR. HALINA WICZYK (NPI# 1194711374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194711374 |
| Entity Type | Individual |
| Full Name | DR. HALINA WICZYK |
| Credential | MD |
| Practice Address |
3300 Main St 4th Floor Springfield MA 01107-1112 |
| Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137947045 |
| Practice Fax Number | 4137947345 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2016-05-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
59263 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
3300 MAIN ST 4TH FLOOR |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144226382 | James Kuo Chang Wang | Obstetrics & Gynecology | 3300 Main St, 4th Floor, Suite D, Springfield, MA 01107-1112 | 2005-06-22 |
| 1225639131 | Rachel M Carr | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2020-11-06 |
| 1891337770 | Matthew Steven Baker | Physician Assistant | 3300 Main St, Springfield, MA 01107-1112 | 2019-10-12 |
| 1174091474 | Tracie Lacasse | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2018-11-05 |
| 1366921983 | Elizabeth Marie Jarry | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2018-08-14 |
| 1871009886 | Sage Kenyon Dow | Nurse Practitioner | 3300 Main St, Springfield, MA 01107-1112 | 2017-12-28 |
| 1124566948 | Elizabeth Howell Mitchell Burns | Clinical Neuropsychologist | 3300 Main St, Springfield, MA 01107-1112 | 2017-02-01 |
| 1245780774 | Lauren Elyse Miller | Student in an Organized Health Care Education/Training Program | 3300 Main St, Suite 4a, Springfield, MA 01199-1002 | 2016-10-07 |
| 1326597253 | Emily Annette Jackson | Advanced Practice Midwife | 3300 Main St, Ste 4d, Springfield, MA 01107-1112 | 2016-10-04 |
| 1588017024 | Janet Namono | Social Worker | 3300 Main St, 4th Floor, Springfield, MA 01199-1002 | 2016-07-20 |
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| 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 |
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| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609833979 | Phillip Charles Galle | Obstetrics & Gynecology | 340 W Miller Street, Springfield, IL 62702 | 2006-04-28 |
| 1770750226 | Baystate Medical Practice, Inc | Obstetrics & Gynecology | 759 Chestnut St, Springfield, MA 01199-1001 | 2008-05-14 |
| 1952513483 | Reproductive Endocrinology Associates, S.c. | Obstetrics & Gynecology | 340 W Miller Street, Springfield, IL 62702 | 2007-05-04 |
| 1336205582 | Baystate Medical Practices, Inc. | Obstetrics & Gynecology | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-12-29 |
| 1619063310 | Daniel R Grow | Obstetrics & Gynecology | 3300 Main St, 4th Fl, Springfield, MA 01107-1112 | 2006-10-04 |
| 1790885804 | Kelly A Lynch | Obstetrics & Gynecology | 3300 Main St, 4th Floor, Springfield, MA 01107-1112 | 2006-09-25 |
| 1821017450 | Cynthia K Sites | Obstetrics & Gynecology | 3300 Main Street, 4th Floor, Springfield, MA 01107-1112 | 2006-07-18 |
| 1669406302 | Donna L O'shea | Obstetrics & Gynecology | 3300 Main St, 4th Floor, Springfield, MA 01199-1619 | 2006-07-10 |
| 1174581680 | Mary Ann Mcrae | Obstetrics & Gynecology | 340 W Miller Street, Springfield, IL 62702 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154851368 | Crmb Physician Group Pllc | Obstetrics & Gynecology | 300 Boylston, Newton Corner, MA 02459 | 2017-06-20 |
| 1295918027 | Samuel Allen Pauli | Obstetrics & Gynecology | 450 Bedford St Ste 1000, Lexington, MA 02420-1520 | 2007-12-16 |
| 1669663662 | Sander S Shapiro | Obstetrics & Gynecology | 18 Duck Pond Road, West Tisbury, MA 02575 | 2007-08-05 |
| 1568556702 | Robert Howe, Md, PC | Obstetrics & Gynecology | 281 Maple St, East Longmeadow, MA 01028-2712 | 2006-10-03 |
| 1013022078 | Charles-chidi W Obasiolu | Obstetrics & Gynecology | Ctr for Fertility & Repro Hlth, 133 Brookline Ave, Boston, MA 02215 | 2006-08-20 |
| 1942243076 | Alison E Zimon | Obstetrics & Gynecology | 300 Boylston Street, Ccrm Boston, Suite 300, Newton Corner, MA 02459 | 2006-06-14 |
| 1962459131 | Dan Tulchinsky | Obstetrics & Gynecology | 1 Forbes Rd., Reproductive Science Ctr., Lexington, MA 02421 | 2006-05-31 |
| 1992742191 | Kim L Thornton | Obstetrics & Gynecology | 130 2d Avenue, Boston Ivf - The Waltham Center, Waltham, MA 02451 | 2006-05-31 |
| 1154375038 | Steven Robert Bayer | Obstetrics & Gynecology | 1 Brookline Pl Ste 302, Boston Ivf - The Boston Center, Brookline, MA 02445-7237 | 2006-05-22 |
| 1255391256 | John H Derry | Obstetrics & Gynecology | One Forbes Road, Lexington, MA 02421 | 2006-03-24 |
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| 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.