NORTHEND MEDICAL ASSOCIATES INC (NPI# 1528221629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528221629 |
| Entity Type | Organization |
| Organization Name | NORTHEND MEDICAL ASSOCIATES INC |
| Other Organization Name | RAINBOW PEDIATRICS |
| Practice Address |
475 Sumner Ave Springfield MA 01108-2321 |
| Mailing Address |
84 Lawrence Dr Longmeadow MA 01106-1618 |
| Practice Telephone | 4132416152 |
| Practice Fax Number | 4132416153 |
| Mailing Telephone | 4132416152 |
| Mailing Fax Number | 4132416153 |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2016-03-11 |
| Authorized Official Name | AKINNIYI BABASOLA ODUTOLA (MEMBER) |
| Authorized Official Telephone | 4132416152 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 210668 | MA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BOSTON MEDICAL CENTER HEALTHNET | 000000049627 | 01 |
| UNITED HEALTH | 3036020; 3036024 | 01 | |
| GROUP MEMBER: AKINNIYI B. ODUTOLA; NPI 1588629240 | A3503501 | 01 | |
| AETNA | 1915999 | 01 | |
| MA | 9738550 / 110080708A | 05 | |
| MA | PTAN | 0007987 | 01 |
| MA | NEIGHBORHOOD HEALTH PLAN | 0045591 | 01 |
| Other Name | Type Code |
|---|---|
| RAINBOW PEDIATRICS | Doing Business As Name - Organization |
| Street Address |
475 SUMNER AVE |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01108-2321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588629240 | Akinniyi Babasola Odutola | Pediatrics | 475 Sumner Ave, Springfield, MA 01108-2321 | 2006-04-18 |
| 1033359344 | Goodwill Industries of The Springfield/hartford Area, Inc. | Case Management | 475 Sumner Ave, Springfield, MA 01108-2321 | 2009-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700256419 | Samantha Shirley | Specialist/Technologist | 6 Sumner Avenue, Apt 11, Springfield, MA 01108 | 2015-10-07 |
| 1073868543 | Caroline Alicia Bixby | Counselor | 95 Granby St, Springfield, MA 01108 | 2012-07-19 |
| 1659521508 | Heidi Walter | Counselor | 40 Eleanor Rd, Springfield, MA 01108 | 2008-09-29 |
| 1316154289 | Tamador S Gibreel | Counselor | 15 Lenox Street, Springfield, MA 01108 | 2007-05-17 |
| 1831219203 | Patricia Ann Langlitz | Massage Therapist | 80 Sumner Avenue, Springfield, MA 01108 | 2007-03-30 |
| 1548397920 | Bennett N Gaev | Psychiatry & Neurology | 167 Dwight Rd # 104, Longmeadow, MA 01108 | 2007-02-27 |
| 1841332145 | Emanuel Bonifale Brown | Counselor | 227 Mill Street, Springfield, MA 01108 | 2007-02-13 |
| 1639231863 | Robert Francis Vanvalkenburg | Dentist | 529 White St, Springfield, MA 01108 | 2006-12-14 |
| 1336214238 | Jeffrey Lee Lite | Dentist | 390 Sumner Ave, Springfield, MA 01108 | 2006-11-24 |
| 1043310477 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 615 621belmont Ave, Springfield, MA 01108 | 2006-09-25 |
| Find all providers in zip 01108 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074492 | Kinnera Are | Pediatrics | 400 N 9th St Ste 4a, Springfield, IL 62702-5310 | 2020-05-13 |
| 1306208368 | Mckenzie Smith | Pediatrics | 2115 S Fremont Ave Ste 2900, Springfield, MO 65804-2233 | 2016-03-28 |
| 1790181402 | Sonam Verma | Pediatrics | 400 N 9th St # 4a, Springfield, IL 62702-5310 | 2014-11-06 |
| 1619382132 | Eric D Mcfeely | Pediatrics | 280 Chestnut Street, 2nd Floor, Springfield, MA 01199-1001 | 2014-06-23 |
| 1073923231 | Charlotte Mcknight | Pediatrics | 6120 Brandon Ave Ste 308, Springfield, VA 22150-2504 | 2014-04-28 |
| 1336437078 | Rashmi Jain | Pediatrics | 1965 S Fremont Ave Ste 260, Springfield, MO 65804-2257 | 2011-07-15 |
| 1861785958 | Sienna Vorono Winer | Pediatrics | 6501 Loisdale Ct., Springfield, VA 22150 | 2011-05-23 |
| 1649581570 | Kendra Suzanne Woods | Pediatrics | 415 N 9th St Ste 2w126, Springfield, IL 62702-5303 | 2010-06-25 |
| 1518117159 | Jyoti Assudani | Pediatrics | 301 N 8th Street, Springfield, IL 62701 | 2008-09-19 |
| 1417105024 | Stephen Edward Saunders | Pediatrics | 5 Orchard Ln, Springfield, IL 62712-8911 | 2008-09-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01108 |
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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.