BAYSTATE MEDICAL PRACTICES, INC (NPI# 1548205909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548205909 |
| Entity Type | Organization |
| Organization Name | BAYSTATE MEDICAL PRACTICES, INC |
| Other Organization Name | BAYSTATE MEDICAL EDUCATION & RESEARCH FOUNDATION, INC. |
| 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 | 2006-06-19 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | JUSTIN CHOINIERE JR. (MANAGER PROVIDER ENROLLMENT) |
| Authorized Official Telephone | 4137947976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
000000 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
MA | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
MA | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Baystate Medical Education & Research Foundation, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104145838 | Baystate Medical Practices, Inc | Allergy & Immunology | 759 Chestnut St, Springfield, MA 01199-1001 | 2010-05-20 |
| 1831418565 | Baystate Medical Practices, Inc | Internal Medicine | 759 Chestnut St, Springfield, MA 01199-1001 | 2010-05-20 |
| 1396064028 | Baystate Medical Practices, Inc | Internal Medicine | 759 Chestnut St, Springfield, MA 01199-1001 | 2010-05-20 |
| 1750600482 | Baystate Medical Practices, Inc | Radiology | 759 Chestnut St, Springfield, MA 01199-1001 | 2010-05-20 |
| 1275690380 | Baystate Medical Practices, Inc | Pathology | 759 Chestnut St, Springfield, MA 01199-1001 | 2007-01-02 |
| 1033275284 | Baystate Medical Practices, Inc | Family Medicine | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-12-29 |
| 1417013830 | Baystate Medical Practices, Inc | Family Medicine | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-12-29 |
| 1093871261 | Baystate Medical Practices, Inc | Psychiatry & Neurology | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-12-29 |
| Street Address |
759 CHESTNUT ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01199-1001 |
| 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 | ||||
| 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 Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588622070 | David J Doyle | Emergency Medicine | 1515 Allen Street, Springfield, MA 01118 | 2006-05-03 |
| 1285602086 | Erin P Reilly | Emergency Medicine | 860 Beltline Rd, Springfield, OR 97477-1091 | 2006-03-09 |
| 1558347450 | David W Lawhorn | Emergency Medicine | 100 Northcrest Drive, Northcrest Medical Center, Ed Department, Springfield, TN 37172 | 2005-12-22 |
| 1710061387 | Robert H Baevsky | Emergency Medicine | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952768558 | Westfield Medical Corp | Emergency Medicine | 24 North Westfield St, Ste 1, Feeding Hills, MA 01030 | 2016-01-27 |
| 1689006322 | Westfield Medical Corporation | Emergency Medicine | 57 Union St, Ste 101, Westfield, MA 01085-2658 | 2013-08-05 |
| 1023215696 | Howard Theodore Hermann | Emergency Medicine | 34 Prospect Park, Newtonville, MA 02460-2309 | 2007-06-28 |
| 1770694556 | Iqubal S. Dhaliwal | Emergency Medicine | 24 Common St, Suite 3, Wrentham, MA 02093-1399 | 2006-08-31 |
| 1295849198 | Yong Hwa Lee | Emergency Medicine | 280 Highland Ave, Somerville, MA 02143-1324 | 2006-08-18 |
| 1730103268 | James Phillip Varner | Emergency Medicine | 2324 Washington St, Suite 1, Canton, MA 02021-1159 | 2006-07-27 |
| 1730136425 | Anita Karcz | Emergency Medicine | 89 Bailey Rd, East Watertown, MA 02472-4925 | 2006-05-28 |
| 1750334371 | Kimberly Schoen | Emergency Medicine | 370 Providence Hwy, Dedham, MA 02026-1875 | 2006-05-17 |
| 1194715292 | Robert L. Spangler | Emergency Medicine | 84 Pinewood Dr, Unit 3-b, Gardner, MA 01440 | 2005-10-28 |
| 1013529502 | Henry Heywood Memorial Hospital | Emergency Medicine | 242 Green St, Gardner, MA 01440-1336 | 2020-08-18 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 01199 |
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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.