CLIFFORD JOHN PRESTIA


Address: 125 Liberty St, Ste 401, Springfield, MA 01103-1117
Phone: 4137370950

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 35199 MA Allopathic & Osteopathic Physicians

Other Provider Identifier

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

Office Location

Street Address 125 LIBERTY ST
STE 401
City SPRINGFIELD
State MA
Zip Code 01103-1117

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City SPRINGFIELD
Zip Code 01103

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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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