BAYSTATE MEDICAL PRACTICES, INC.


Address: 759 Chestnut St, Springfield, MA 01199-1001
Phone: 4137945700

BAYSTATE MEDICAL PRACTICES, INC. (NPI# 1366509473) 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) 1366509473
Entity Type Organization
Organization Name BAYSTATE MEDICAL PRACTICES, INC.
Other Organization Name BMP, DEPT OF SURGERY
Practice Address 759 Chestnut St
Springfield
MA 01199-1001
Mailing Address 280 Chestnut St
2nd Floor
Springfield
MA 01199-1000
Practice Telephone 4137945700
Practice Fax Number 4137941629
Mailing Telephone 4137945700
Mailing Fax Number 4137941629
Enumeration Date 2007-01-02
Last Update Date 2014-02-26
Authorized Official Name RANDALL L VAILL JR. (MANAGER PROVIDER ENROLLMENT)
Authorized Official Telephone 4137947976
Is Organization Subpart Y
Parent Organization Name BAYSTATE MEDICAL PRACTICES, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2086S0129X Surgery
Specialization: Vascular Surgery
Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
Physician Assistants & Advanced Practice Nursing Providers
N 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
Allopathic & Osteopathic Physicians
N 363LF0000X Nurse Practitioner
Specialization: Family
Physician Assistants & Advanced Practice Nursing Providers
N 207T00000X Neurological Surgery Allopathic & Osteopathic Physicians
N 207X00000X Orthopaedic Surgery Allopathic & Osteopathic Physicians
N 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
Allopathic & Osteopathic Physicians
N 2086S0127X Surgery
Specialization: Trauma Surgery
Allopathic & Osteopathic Physicians
N 2086X0206X Surgery
Specialization: Surgical Oncology
Allopathic & Osteopathic Physicians
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Allopathic & Osteopathic Physicians
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
BMP, Dept of Surgery Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1982761094 Baystate Medical Practices, Inc. Family Medicine 759 Chestnut St, Springfield, MA 01199-1001 2007-01-02
1336205582 Baystate Medical Practices, Inc. Obstetrics & Gynecology 759 Chestnut St, Springfield, MA 01199-1001 2006-12-29

Office Location

Street Address 759 CHESTNUT ST
City SPRINGFIELD
State MA
Zip Code 01199-1001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578569828 Diane L Dietzen Internal Medicine 759 Chestnut St, Springfield, MA 01199-1619 2005-06-22
1689274987 Michele Lee Houghton Registered Nurse 759 Chestnut St, Springfield, MA 01199-1001 2020-10-27
1922612621 Justine Trowbridge Physician Assistant 759 Chestnut St, Springfield, MA 01199-2225 2020-09-01
1316550221 Vi Thuy Do Registered Nurse 759 Chestnut St, Springfield, MA 01199-1001 2020-08-29
1689282519 Anum Fatima Student in an Organized Health Care Education/Training Program 759 Chestnut St, Springfield, MA 01199-0001 2020-07-16
1033737432 Subahana Aboobucker Student in an Organized Health Care Education/Training Program 759 Chestnut St, Springfield, MA 01199-0001 2020-07-12
1083232003 Yunika Burgos Depalma Physician Assistant 759 Chestnut St, Springfield, MA 01199-0001 2020-07-07
1437774858 Yelisei Murauski Physician Assistant 759 Chestnut St, Springfield, MA 01107-1619 2020-06-11
1073138517 Zaid Obaida Student in an Organized Health Care Education/Training Program 759 Chestnut St, Springfield, MA 01199-0001 2020-06-10
1265054886 Rachel Christine Schmidt Student in an Organized Health Care Education/Training Program 759 Chestnut St, Springfield, MA 01199-0001 2020-05-18
Find all providers in the same location

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
Find all providers in zip 01199

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184114480 New Jersey Bariatric Group, PC Surgery 193 Morris Ave Fl 2, Springfield, NJ 07081-1211 2018-05-14
1174903488 Samuel J Rheinhardt Surgery 701 N 1st St Ste D327, Springfield, IL 62702-3757 2015-06-02
1588099725 Francis Milton Corry Surgery 2859 E. Utica, Springfield, MO 65804 2013-09-06
1881033926 Frank A. Cornella Dds, Md PC Surgery 3237 E Sunshine St Ste B, Springfield, MO 65804-6919 2013-06-21
1881943678 Roland Folse Surgery 2 Virginia Lane, Springfield, IL 62712 2012-09-07
1780939462 Daniel Caleb Persinger Surgery 100 W Mccreight Ave Ste 110, Springfield, OH 45504-1890 2012-07-18
1154618775 Alexandria Dailey Mcdow Surgery 701 N 1st St Ste D308, Springfield, IL 62702-3757 2011-07-04
1356655054 Allison Melissa Key Surgery 1965 S Fremont Ave Ste 230, Springfield, MO 65804-2258 2010-08-05
1679704761 James P Buwen Surgery 193 Morris Ave, 2nd Floor, New Jersey Bariatric Center, Springfield, NJ 07081 2009-08-06
1386871069 Lindsey Leigh Saint Surgery 315 W Carpenter St Fl 2, Springfield, IL 62702 2009-06-19
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 01199

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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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