WESTERN NEW ENGLAND UNIVERSITY (NPI# 1356713572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356713572 |
| Entity Type | Organization |
| Organization Name | WESTERN NEW ENGLAND UNIVERSITY |
| Other Organization Name | WESTERN NEW ENGLAND UNIVERSITY SPORTS MEDICINE |
| Practice Address |
1215 Wilbraham Rd Springfield MA 01119-2612 |
| Mailing Address |
Po Box 650850 Dept 1011 Dallas TX 75265-0850 |
| Practice Telephone | 4137821202 |
| Practice Fax Number | 9723673451 |
| Mailing Telephone | 9723674845 |
| Mailing Fax Number | 9723673452 |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2015-10-27 |
| Authorized Official Name | MOUZON BASS III (AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Western New England University Sports Medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740740737 | Western New England University | Physician Assistant | 215 Wilbraham Road, Springfield, MA 01119 | 2019-03-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WESTERN NEW ENGLAND UNIVERSITY | 1215 Wilbraham Rd, Springfield, MA 01119-2655 |
| Street Address |
1215 WILBRAHAM RD |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01119-2612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477519114 | Kelly M Klein | Specialist/Technologist | 1215 Wilbraham Rd, Springfield, MA 01119-2654 | 2006-04-21 |
| 1891281226 | Tracy Ann Midwood | Specialist/Technologist | 1215 Wilbraham Rd, Springfield, MA 01119-2612 | 2018-07-09 |
| 1043711047 | Zachary David Smith | Specialist/Technologist | 1215 Wilbraham Rd, Springfield, MA 01119-2612 | 2018-02-24 |
| 1598266736 | Ashley Marie Bovat | Specialist/Technologist | 1215 Wilbraham Rd, Springfield, MA 01119-2612 | 2018-02-22 |
| 1124541958 | Helen Schneider | Specialist/Technologist | 1215 Wilbraham Rd, Springfield, MA 01119-2612 | 2017-07-24 |
| 1518357912 | Erin Cloutier | Specialist/Technologist | 1215 Wilbraham Rd, Springfield, MA 01119-2612 | 2015-01-23 |
| 1205099033 | Loni M Kearney | Physician Assistant | 1215 Wilbraham Rd, Springfield, MA 01119-2612 | 2008-07-02 |
| 1235343799 | Wayne D Carpenter | Counselor | 1215 Wilbraham Rd, Counseling Services, Springfield, MA 01119-2654 | 2007-05-10 |
| 1154451920 | Dennis Kolodziejski | Psychologist | 1215 Wilbraham Rd, Wnec Box # 5001, Springfield, MA 01119-2654 | 2007-03-07 |
| 1053450973 | David Adair | Registered Nurse | 1215 Wilbraham Rd, Springfield, MA 01119-2612 | 2007-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689228140 | Dr Dental of Massachusetts PC | Clinic/Center | 1101 Boston Road, Springfield, MA 01119 | 2019-08-01 |
| 1740740737 | Western New England University | Physician Assistant | 215 Wilbraham Road, Springfield, MA 01119 | 2019-03-25 |
| 1801289814 | Erica Morin | Student in an Organized Health Care Education/Training Program | 45 Jonquil Drive, Springfield, MA 01119 | 2015-03-16 |
| 1255764890 | Jennifer Marie Alli | Nurse Practitioner | 1215 Wilbraham Road, Springfield, MA 01119 | 2013-08-19 |
| 1437282423 | James H Courniotes II | Podiatrist | 1786 Wilbraham Road, Springfield, MA 01119 | 2007-03-13 |
| 1598876260 | Kevin Louis Trombly | Dentist | 1575 Wilbraham Rd, Springfield, MA 01119 | 2006-08-31 |
| 1356378970 | Michael A Vallee | Specialist/Technologist | Western New England College, 1215 Wilbraham Rd., Springfield, MA 01119 | 2006-06-27 |
| 1124005699 | Foot Specialists Associates Inc | Podiatrist | 1786 Wilbraham Rd, Springfield, MA 01119 | 2005-12-27 |
| 1598242182 | Sarah Ann Lak | Social Worker | 3350 Main Street, Springfied, MA 01119 | 2018-07-26 |
| 1881988475 | Tanya O'neil | Occupational Therapist | 68 Wollaston St, Springfield, MA 01119 | 2011-06-01 |
| Find all providers in zip 01119 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1639675077 | Anand Kanjolia, M.d. LLC | Internal Medicine | 222 Carew St Fl 4, Springfield, MA 01104-4109 | 2018-04-04 |
| 1376068817 | Personal Primary Care and Weight Management, LLC | Internal Medicine | 299 Carew St Ste 234, Springfield, MA 01104-2368 | 2017-08-05 |
| 1184145682 | Basma Al-bast | Internal Medicine | 701 N 1st St Ste 434, Springfield, IL 62702-3757 | 2017-07-05 |
| 1689124604 | John Duff | Internal Medicine | 2909 S Camber Ave, Springfield, MO 65809-3547 | 2016-10-13 |
| 1669834941 | Siddhi Joshi | Internal Medicine | 5501 Backlick Rd Ste 105, Springfield, VA 22151-3940 | 2016-03-24 |
| 1265898936 | Mohammad Rahimuddin | Internal Medicine | 2556 Snyder Domer Rd, Springfield, OH 45502-8161 | 2016-01-11 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1033589304 | Hshs Medical Group Inc | Internal Medicine | 3215 Executive Park Dr, Springfield, IL 62703-4514 | 2015-09-30 |
| 1679992895 | Ahlam Elbadri | Internal Medicine | 2115 S Fremont Ave Ste 2300, Springfield, MO 65804-2233 | 2014-04-15 |
| 1528487543 | Barbara Vinci | Internal Medicine | 2443 Troy Rd, Springfield, OH 45504-4233 | 2014-04-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01119 |
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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.