MERCY SPECIALIST PHYSICIANS INC (NPI# 1558500462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558500462 |
| Entity Type | Organization |
| Organization Name | MERCY SPECIALIST PHYSICIANS INC |
| Other Organization Name | TRINITY HEALTH OF NEW ENGLAND MEDICAL GROUP |
| Practice Address |
300 Carew St Suite 1 Springfield MA 01104 |
| Mailing Address |
91 Stiles Rd Salem NH 03079-5804 |
| Practice Telephone | 4137812211 |
| Mailing Telephone | 6038904420 |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | JAMES M HARRIS (REGIONAL DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 8607144396 |
| Is Organization Subpart | Y |
| Parent Organization Name | THE MERCY HOSPITAL, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0105X |
Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| Y | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Trinity Health Of New England Medical Group | Doing Business As Name - Organization |
| Street Address |
300 CAREW ST SUITE 1 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528069887 | Michael R Sorrell | Psychiatry & Neurology | 300 Carew St, Suite 2, Springfield, MA 01104-2485 | 2005-08-09 |
| 1508048430 | Stacey Panasci | Physician Assistant | 300 Carew St, Suite 2, Springfield, MA 01104-2485 | 2007-12-03 |
| 1407058035 | William Flanagan | Counselor | 300 Carew St, Suite 2, Springfield, MA 01104-2485 | 2007-06-05 |
| 1356466460 | Springfield Neurology Associates, LLC | Psychiatry & Neurology | 300 Carew St, Suite 2, Springfield, MA 01104-2485 | 2007-03-20 |
| 1376625061 | Thomas Mcdowell | Physician Assistant | 300 Carew St, Suite 1, Springfield, MA 01104-2485 | 2006-10-20 |
| 1427095058 | Adam D Simmons | Psychiatry & Neurology | 300 Carew St, Suite # 2, Springfield, MA 01104-2485 | 2006-06-01 |
| 1033162235 | Natasha Mckay | Neurological Surgery | 300 Carew St, Suite 1, Springfield, MA 01104-2485 | 2006-05-18 |
| 1689675761 | Michael L Rossen | Psychiatry & Neurology | 300 Carew St, Suite 2, Springfield, MA 01104-2485 | 2005-08-10 |
| 1548262660 | George S Patrick | Psychiatry & Neurology | 300 Carew St, Suite 2, Springfield, MA 01104-2485 | 2005-08-10 |
| 1912908229 | Emilio M Melchionna | Psychiatry & Neurology | 300 Carew St, Suite 2, Springfield, MA 01104-2485 | 2005-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346727567 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2155 Main Street, Suite 131/133, Springfield, MA 01104 | 2018-07-20 |
| 1508385618 | Demetrios Sotiropoulos | Physician Assistant | 175 Carew St Ste 250, Springfield, MA 01104 | 2017-09-11 |
| 1114382942 | Rosana Rivera-delgado | Psychologist | 4017 Liberty St, Springfield, MA 01104 | 2015-12-21 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1437588837 | Ariam Ivette Pena | Counselor | 85 St. George Road, Springfield, MA 01104 | 2013-11-06 |
| 1891124293 | Ana E. Centeno | Counselor | 85 St. George Road., Springfield, MA 01104 | 2013-11-06 |
| 1275962003 | Swany Matos | Counselor | 2155 Main St., Springfield, MA 01104 | 2013-11-02 |
| 1184053910 | Claudia Eileen Quesada | Counselor | 2155 Main Street and St. George Road, The Gandara Center, Springfield, MA 01104 | 2013-11-02 |
| 1194023044 | Hungry Hill Family Practice | Clinic/Center | 776 Liberty Street, Hungry Hill Family Practice, Springfield, MA 01104 | 2011-03-02 |
| 1710115308 | Michael Allen Roche | Counselor | 332 Bernie Ave, Center for Human Development, Springfield, MA 01104 | 2009-06-23 |
| Find all providers in zip 01104 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871114371 | Justin Michael | Neurological Surgery | 701 N 1st St Ste D-319, Springfield, IL 62702-3757 | 2020-05-06 |
| 1023678638 | Matthew Weber | Neurological Surgery | 701 N 1st St, Suite D-319, Springfield, IL 61702 | 2019-06-17 |
| 1194080010 | Scott B Raymond | Neurological Surgery | 2 Medical Center Dr Ste 503, Springfield, MA 01107-1273 | 2012-07-06 |
| 1396988051 | Kevin J Mansfield | Neurological Surgery | 1229 E Seminole St Ste 220, Springfield, MO 65804 | 2009-04-10 |
| 1881853158 | Mayur Jayarao | Neurological Surgery | 3801 S National Ave Ste 700, Springfield, MO 65807 | 2008-06-03 |
| 1164691358 | Donald Hall Pearson | Neurological Surgery | 5116 Eagle Rdg, Springfield, IL 62711-7811 | 2008-02-21 |
| 1750301875 | Jeffrey W. Cozzens | Neurological Surgery | 751 N Rutledge St Fl 3, Springfield, IL 62702-4968 | 2006-07-20 |
| 1972537132 | Alan M. Scarrow | Neurological Surgery | 1965 S Fremont Ave Ste 130, Springfield, MO 65804-2252 | 2006-07-11 |
| 1780628719 | Andrew J Kokkino | Neurological Surgery | 3377 Riverbend Dr Fl 5, Springfield, OR 97477-8803 | 2006-06-16 |
| 1134613961 | Nathan Nordmann | Neurological Surgery | 701 N 1st St, Springfield, IL 62702-3757 | 2018-06-15 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01104 |
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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.