CLIFFORD JOHN PRESTIA (NPI# 1497740351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497740351 |
| Entity Type | Individual |
| Full Name | CLIFFORD JOHN PRESTIA |
| Credential | MD |
| Practice Address |
125 Liberty St Ste 401 Springfield MA 01103-1117 |
| Practice Telephone | 4137370950 |
| Practice Fax Number | 4137372944 |
| Mailing Telephone | 4137370950 |
| Mailing Fax Number | 4137372944 |
| Enumeration Date | 2005-09-16 |
| Last Update Date | 2007-07-08 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-04-05 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35199 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HARVARD PILGRIM | 65187 | 01 | |
| TUFTS HEALTH PLAN | 065199 | 01 | |
| CONNECTICARE MA | 48411 | 01 | |
| HEALTH NEW ENGLAND | 15565 | 01 | |
| BLUE CROSS BLUE SHIELD MA | H01009 | 01 |
| Street Address |
125 LIBERTY ST STE 401 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01103-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619977402 | Peter T Demos | Dermatology | 125 Liberty St, Springfield, MA 01103-2961 | 2005-07-22 |
| 1881206241 | Carl Amyas Taylor | Counselor | 125 Liberty St, Springfield, MA 01103-1114 | 2020-08-18 |
| 1346892437 | L&l Life Enrichment Center LLC | Psychologist | 125 Liberty St, Springfield, MA 01103-1114 | 2019-07-10 |
| 1912440892 | Metrocare of Springfield | Nursing Care | 125 Liberty St, Suite 404, Springfield, MA 01103-1114 | 2016-11-28 |
| 1730622614 | Metrocare of Springfield | Custodial Care Facility | 125 Liberty St, Springfield, MA 01103-1114 | 2016-11-28 |
| 1215384409 | Adult and Geriatric Medicine Partners, L.L.C. | Family Medicine | 125 Liberty St, Suite 403, Springfield, MA 01103-1114 | 2016-05-18 |
| 1457717795 | Metrocare of Springfield LLC | In Home Supportive Care | 125 Liberty St, Suite 404, Springfield, MA 01103-1109 | 2015-12-31 |
| 1457729741 | Right Choice Health Group LLC | Clinic/Center | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
| 1730557018 | Mindcare Agency PC | Community/Behavioral Health | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-09-03 |
| 1427431402 | Nicole Dacampo | Registered Nurse | 125 Liberty St, Suite 205, Springfield, MA 01103-1114 | 2015-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336790609 | Mahmoud Al Homsi | Dentist | 41 Taylor St. 4th Fl, Springfield, MA 01103 | 2019-09-26 |
| 1427521749 | Pedro Cruz | Student in an Organized Health Care Education/Training Program | 95 Frank B Murray, Springfield, MA 01103 | 2019-01-09 |
| 1003325010 | Amber Lynn Chisholm | Counselor | 130 Maple St., Springfield, MA 01103 | 2017-09-21 |
| 1750737391 | Mande' Counseling | Community/Behavioral Health | 1365 Main St Suite 401, Springfield, MA 01103 | 2016-05-13 |
| 1528467248 | Amanda M Galloway | Physician Assistant | 1038-1050 Main St, Springfield, MA 01103 | 2014-08-19 |
| 1114326113 | Anne Marie Belinda | Nurse Practitioner | 1049 Main St., Springfield, MA 01103 | 2014-08-15 |
| 1538575295 | Sunrise Behavioral Health Clinic, LLC | Clinic/Center | 95 Frank B. Murray Street, Springfield, MA 01103 | 2014-07-02 |
| 1548675093 | Jessica Lynn Pasalacqua | Dietitian, Registered | 870 Main St., Springfield, MA 01103 | 2014-06-24 |
| 1003220443 | Ivan Rosario | Counselor | 1695 Main St Ste400, Springfield, MA 01103 | 2014-06-13 |
| 1275964769 | Leeandrew Rick Wilson | Counselor | 1695 Main St., Springfield, MA 01103 | 2013-12-09 |
| Find all providers in zip 01103 | ||||
| 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 | 01103 |
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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.