BAYSTATE OB/GYN GROUP INC (NPI# 1366542342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366542342 |
| Entity Type | Organization |
| Organization Name | BAYSTATE OB/GYN GROUP INC |
| Practice Address |
3455 Main St Ste C Springfield MA 01107-1187 |
| Mailing Address |
354 Birnie Ave Ste 202 Springfield MA 01107-1109 |
| Practice Telephone | 4137948484 |
| Practice Fax Number | 4137948477 |
| Mailing Telephone | 4137948484 |
| Mailing Fax Number | 4137948477 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | HOWARD G TRIETSCH (PRESIDENT) |
| Authorized Official Telephone | 4137948484 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9785396 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 382 N Main St, East Longmeadow, MA 010281828 | 4137948484 | 4137948477 |
| 470 Granby Rd, South Hadley, MA 010753218 | 4137948484 | 4137948477 |
| Street Address |
3455 MAIN ST STE C |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629031448 | Howard G Trietsch | Obstetrics & Gynecology | 3455 Main St Ste C, Springfield, MA 01107-1187 | 2006-04-11 |
| 1225682495 | Michelle Elizabeth Mills | Advanced Practice Midwife | 3455 Main St Ste C, Springfield, MA 01107-1187 | 2019-07-26 |
| 1841773348 | Aliza Rosenstein | Midwife | 3455 Main St Ste C, Springfield, MA 01107-1187 | 2018-09-11 |
| 1295244291 | Vanessa Lee Thomas | Advanced Practice Midwife | 3455 Main St Ste C, Springfield, MA 01107-1187 | 2017-09-22 |
| 1306398409 | Kelly Tull | Nurse Practitioner | 3455 Main St Ste C, Springfield, MA 01107-1187 | 2016-10-25 |
| 1417013228 | Erica Liebermann | Nurse Practitioner | 3455 Main St Ste C, Springfield, MA 01107-1187 | 2006-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134578628 | Lauren L.o. Diskin | Obstetrics & Gynecology | 2135 S Fremont Ave Ste 200, Springfield, MO 65804-2239 | 2016-06-06 |
| 1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1821433368 | Jeffrey Alan Davis | Obstetrics & Gynecology | 522 Northcrest Drive, Northcrest Center for Women's Health, Springfield, TN 37172 | 2013-05-09 |
| 1134473457 | New Beginnings, Ob/gyn, LLC | Obstetrics & Gynecology | 193 Mountain Ave, Springfield, NJ 07081-1755 | 2012-11-08 |
| 1104196641 | Henry Olugbenga Adekola | Obstetrics & Gynecology | 415 N 9th St # 6w30, Springfield, IL 62702-5303 | 2011-12-30 |
| 1043506801 | Megan Christine Rooney Thompson | Obstetrics & Gynecology | 3850 S National Ave Ste 400, Springfield, MO 65807-5287 | 2011-06-21 |
| 1891008074 | Shanon M. Tuter | Obstetrics & Gynecology | 3231 S National Ave Ste 250, Springfield, MO 65807-7304 | 2010-07-16 |
| 1730415407 | Carl Lance De Fronzo | Obstetrics & Gynecology | 216 Short Hills Ave, Springfield, NJ 07081-1010 | 2009-10-30 |
| 1083887582 | Myron Seymour Soled | Obstetrics & Gynecology | 71 Tree Top Drive, Springfield, NJ 07081 | 2008-04-07 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.