ADULT AND GERIATRIC MEDICINE PARTNERS, L.L.C. (NPI# 1215384409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215384409 |
Entity Type | Organization |
Organization Name | ADULT AND GERIATRIC MEDICINE PARTNERS, L.L.C. |
Practice Address |
125 Liberty St Suite 403 Springfield MA 01103-1114 |
Mailing Address |
Po Box 70323 Springfield MA 01107-0323 |
Practice Telephone | 4134551217 |
Enumeration Date | 2016-05-18 |
Last Update Date | 2016-05-18 |
Authorized Official Name | VICTORIA PETERS (PRESIDENT) |
Authorized Official Telephone | 4134551217 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
76807 | MA | Allopathic & Osteopathic Physicians |
Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
76807 | MA | Allopathic & Osteopathic Physicians |
Street Address |
125 LIBERTY ST SUITE 403 |
City | SPRINGFIELD |
State | MA |
Zip Code | 01103-1114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619977402 | Peter T Demos | Dermatology | 125 Liberty St, Springfield, MA 01103-2961 | 2005-07-22 |
1881206241 | Carl Amyas Taylor | Counselor | 125 Liberty St, Springfield, MA 01103-1114 | 2020-08-18 |
1346892437 | L&l Life Enrichment Center LLC | Psychologist | 125 Liberty St, Springfield, MA 01103-1114 | 2019-07-10 |
1912440892 | Metrocare of Springfield | Nursing Care | 125 Liberty St, Suite 404, Springfield, MA 01103-1114 | 2016-11-28 |
1730622614 | Metrocare of Springfield | Custodial Care Facility | 125 Liberty St, Springfield, MA 01103-1114 | 2016-11-28 |
1457717795 | Metrocare of Springfield LLC | In Home Supportive Care | 125 Liberty St, Suite 404, Springfield, MA 01103-1109 | 2015-12-31 |
1457729741 | Right Choice Health Group LLC | Clinic/Center | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
1730557018 | Mindcare Agency PC | Community/Behavioral Health | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
1427431402 | Nicole Dacampo | Registered Nurse | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-07-08 |
1427435262 | Nancie Moran | Nurse Practitioner | 125 Liberty St, Suite 403, Springfield, MA 01103-1114 | 2015-04-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
Find all providers in zip 01103 |
Taxonomy Code | 207QA0505X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Adult Medicine |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104456052 | Briana Arnett | Family Medicine | 2308 Memorial Blvd Ste D, Springfield, TN 37172-3929 | 2020-01-20 |
1144532490 | Eric M Gifford | Family Medicine | 3555 S National Ave, Springfield, MO 65807-7310 | 2010-07-01 |
1659407385 | Halina Kulaga | Family Medicine | 2239 E Cook St, Springfield, IL 62703-1944 | 2007-02-26 |
1003912460 | Mary E King | Family Medicine | 300 Stafford St, Ste 300, Springfield, MA 01104-3581 | 2006-09-15 |
1043316409 | Kevin E Schmidt | Family Medicine | 300 Stafford St, Ste 300, Springfield, MA 01104-3581 | 2006-09-15 |
1164534269 | Priya Jagannathan | Family Medicine | 6501 Loisdale Ct, Springfield, VA 22150-1826 | 2006-08-31 |
1164432001 | Sandy Danielle Turner | Family Medicine | 211 Northparke Dr, Springfield, OH 45503-1117 | 2006-08-09 |
1861471815 | Seema Chaudhary | Family Medicine | 6501 Loisdale Ct, Kaiser Permanente Springfield Medical Ctr, Springfield, VA 22150-1826 | 2006-01-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093359499 | Melissa Lemayian | Family Medicine | 26 Ames St, Lowell, MA 01852-2604 | 2019-10-30 |
1679819031 | Joan F Tryzelaar | Family Medicine | 500 Cummings Ctr Ste 1800, Beverly, MA 01915 | 2012-12-12 |
1972677680 | Thomas Kevin Hicks | Family Medicine | 309 Belmont Street, Worcester Recovery Center and Hopsital, Worcester, MA 01604 | 2006-11-17 |
1083785000 | Edward Robert Harned | Family Medicine | 49 Echo Lane, North Chatham, MA 02650 | 2006-11-13 |
1912095589 | Robert Geer Insley | Family Medicine | 78 Crowell Rd, Chatham, MA 02633-1966 | 2006-10-10 |
1609976448 | Margaret Shelly | Family Medicine | 1755 Commonwealth Ave, Brighton, MA 02135-4040 | 2006-09-22 |
1194735449 | Bodkhe & Dickey Associates, LLC | Family Medicine | 51 Sanderson St Ste 10, Greenfield, MA 01301-2739 | 2006-08-09 |
1255356705 | Stephen Oliver Chastain | Family Medicine | 33 Lawrence St, Methuen, MA 01844-4445 | 2006-07-13 |
1568438513 | Anne Marie Treadup | Family Medicine | 500 Faunce Corner Rd Ste 160, North Dartmouth, MA 02747-1277 | 2006-02-28 |
1790779908 | Martin Lesser | Family Medicine | 1236 Main St, Suite 201, Holyoke, MA 01040-5370 | 2005-09-01 |
Find all providers with the same taxonomy |
City | SPRINGFIELD |
Zip Code | 01103 |
Please comment or provide details below to improve the information on ADULT AND GERIATRIC MEDICINE PARTNERS, L.L.C..
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.