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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | 48101 | MA | Managed Care Organizations |
Street Address |
3400 MAIN ST |
City | SPRINGFIELD |
State | MA |
Zip Code | 01199-1003 |
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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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 |
Find all providers in zip 01199 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
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 |
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1588075550 | Seaport Chiropractic | Point of Service | 28 Bessom Street, Marblehead, MA 01945 | 2014-05-13 |
Find all providers with the same taxonomy |
City | SPRINGFIELD |
Zip Code | 01199 |
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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.