BAYSTATE NORTHERN EDGE ADULT MEDICINE


Address: 3400 Main St, Springfield, MA 01199-1003
Phone: 4137998777

BAYSTATE NORTHERN EDGE ADULT MEDICINE (NPI# 1295289056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295289056
Entity Type Organization
Organization Name BAYSTATE NORTHERN EDGE ADULT MEDICINE
Practice Address 3400 Main St
Springfield
MA 01199-1003
Practice Telephone 4137998777
Practice Fax Number 4137998266
Mailing Telephone 4137998777
Mailing Fax Number 4137998266
Enumeration Date 2016-08-10
Last Update Date 2016-08-10
Authorized Official Name DR. EUGENE BOSS (MD)
Authorized Official Telephone 4137948777
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 305S00000X Point of Service 48101 MA Managed Care Organizations

Office Location

Street Address 3400 MAIN ST
City SPRINGFIELD
State MA
Zip Code 01199-1003

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457331050 Howard S Goldberg Internal Medicine 3400 Main St, Springfield, MA 01107-1113 2006-01-19
1326669730 Andrea Nolan-schmidt Social Worker 3400 Main St, Springfield, MA 01107-1113 2020-04-27
1083148951 Clare Devine Counselor 3400 Main St, 2nd Floor, Springfield, MA 01199-1003 2017-04-17
1083159370 Trevor Jaskiw Counselor 3400 Main St, Springfield, MA 01199-1003 2016-12-22
1134675200 Julie Kristy Grondin Nurse Practitioner 3400 Main St, Springfield, MA 01107-1113 2016-08-29
1306206149 Daniel Fabian Counselor 3400 Main St, Springfield, MA 01199-1003 2016-03-06
1518386424 Taryn Brandt Counselor 3400 Main St, Springfield, MA 01107-1113 2014-04-08
1962792085 Sarah M Dreiling Internal Medicine 3400 Main St, Springfield, MA 01107-1113 2011-04-11
1801186911 Eva M Lewin Internal Medicine 3400 Main St, Springfield, MA 01107-1113 2011-04-10
1972814960 Kimberly A Bucknor Internal Medicine 3400 Main St, Springfield, MA 01107-1113 2010-06-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194211227 Alice Perman Leveston Social Worker 759 Chestnut St # S2660, Springfield, MA 01199 2018-07-01
1043732415 Calvin Keith Craig Student in an Organized Health Care Education/Training Program Baystate Medical Center 759 Chestnut Street, Springfield, MA 01199 2017-07-07
1598026494 Yesenia Greeff Internal Medicine 3300 Main St Ste 3a, Springfield, MA 01199 2012-06-06
1912231903 Abistanand Ankam Anesthesiology 759 Chestnut St Department of Anesthesia, Baystate Medical Center, Holyoke, MA 01199 2009-09-24
1205099553 Ejaz Khalid Internal Medicine 759 Chest Nut Street, Department of Internal Medicine Attn Linda Baillargeon, Springfield, MA 01199 2008-07-08
1184817926 Asha Thomas Pediatrics 3300 Main Street 4th Floor, Suite A&b, Springfield, MA 01199 2007-08-24
1730381435 Vicki Weld Social Worker 3300 Main Street, Suite 4a, Springfield, MA 01199 2007-06-04
1699976266 Jim Maloney Physical Therapist 360 Birnie Avenue, Springfield, MA 01199 2007-05-30
1881780690 Lawrence C Peters Psychiatry & Neurology 759 Chestnut Street S5632, Springfield, MA 01199 2006-10-05
1366460222 Stephen A Luippold Registered Nurse 759 Chesnut Street, S2676, Springfield, MA 01199 2006-07-18
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Taxonomy Information

Taxonomy Code 305S00000X
Grouping Managed Care Organizations
Classification Point of Service

Taxonomy Definition

This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891998084 Timberwood Assisted Living, LLC Point of Service 1090 Gateway Loop, Springfield, OR 97477-1113 2007-06-06
1629528674 Springfield Dentistry and Braces, PC Point of Service 405 Armory St, Springfield, MA 01104-2305 2016-10-13
1194111252 Commonwealthcare Alliance Point of Service 101 Wason Ave, Springfield, MA 01107-1140 2015-04-15
1417358219 New England Family Dentistry,pc Point of Service 376 Cooley St, Springfield, MA 01128-1144 2014-09-11
1578817169 Center for Human Developement Point of Service 622 State St, Springfield, MA 01109-4104 2012-11-03
1699733881 Community Mercy Health Partners Point of Service 100 Medical Center Dr, Springfield, OH 45504-2687 2006-05-04
1255399655 Community Mercy Health Partners Point of Service 2615 E High St, Springfield, OH 45505-1412 2006-05-03
1790743102 Community Mercy Health Partners Point of Service 2615 E High St, Springfield, OH 45505-1412 2006-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1396208690 Marla P. Meyer, Licsw LLC Point of Service 39 Norman St Fl 3, Salem, MA 01970-3380 2019-04-12
1972037562 Metrowest Dental Center Point of Service 433 Center St Ste 7, Ludlow, MA 01056-2857 2017-04-20
1063963353 Fitchburgh Dentistry and Braces PC Point of Service 505 John Fitch Hwy, Fitchburg, MA 01420-8403 2016-10-21
1427506443 Chrystal Jenkins Point of Service 26 Millett St, Unit #1, Gloucester, MA 01930-2846 2016-09-19
1083168132 Mendon Family Dentistry Point of Service 14 Hastings St, Mendon, MA 01756-1079 2016-08-06
1770969024 Beacon Aba Services Point of Service 5111 Avalon Dr, Weymouth, MA 02188-4614 2015-08-09
1679958573 Any Lab Draw Now LLC Point of Service 64 Lambert Ave, Apt 1, Roxbury, MA 02119-1737 2015-07-21
1447637236 Patrick Assioun Dmd PC Point of Service 150 Coolidge Rd, Berlin, MA 01503-1326 2015-04-30
1407257207 New England Family Dentistry Point of Service 70 Westgate Drive, Brockton, MA 02301 2014-09-11
1588075550 Seaport Chiropractic Point of Service 28 Bessom Street, Marblehead, MA 01945 2014-05-13
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Competitor

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City SPRINGFIELD
Zip Code 01199

Improve Information

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Dataset Information

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.

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