THE CHILDREN'S HEART CENTER OF WESTERN MASSACHUSETTS, LLC (NPI# 1629358767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629358767 |
| Entity Type | Organization |
| Organization Name | THE CHILDREN'S HEART CENTER OF WESTERN MASSACHUSETTS, LLC |
| Practice Address |
1754 Northampton St Holyoke MA 01040-1947 |
| Practice Telephone | 4133153117 |
| Practice Fax Number | 4135855122 |
| Mailing Telephone | 4133153117 |
| Mailing Fax Number | 4135855122 |
| Enumeration Date | 2011-08-21 |
| Last Update Date | 2019-09-20 |
| Authorized Official Name | DR. MICHAEL WILLERS (DIRECTOR) |
| Authorized Official Telephone | 4133153117 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
237999 | MA | Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 Maple Ave, Great Barrington, MA 012301963 | 4133153117 | 4135855122 |
| Street Address |
1754 NORTHAMPTON ST |
| City | HOLYOKE |
| State | MA |
| Zip Code | 01040-1947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255945325 | Holyoke Care Center, LLC | Skilled Nursing Facility | Holyoke Care Center, LLC, 35 Holy Family Road, Holyoke, MA 01040 | 2020-09-04 |
| 1225646904 | Jasmine Glover | Counselor | 476 Appleton St. Suite 5, Holyoke, MA 01040 | 2020-07-17 |
| 1932662319 | Damaris Santingo Martinez | Registered Nurse | 46 Magnolia Ave, Holyoke, MA 01040 | 2019-04-11 |
| 1104302371 | Cheryl Ann Lauben | Counselor | 476 Appleton Street, Suite 2, Holyoke, MA 01040 | 2018-07-11 |
| 1740704741 | Miranda Lynn Fogg | Behavior Technician | 244 Westfield Rd, Holyoke, MA 01040 | 2017-08-01 |
| 1770020018 | Total Wellness Centers, LLC | Clinical Medical Laboratory | 59 Bobala Rd, Holyoke, MA 01040 | 2017-01-25 |
| 1184097768 | Chi Wan Wong | Physical Therapy Assistant | 110 Cherry Street, Holyoke, MA 01040 | 2015-11-04 |
| 1841666724 | Danielle Moroney | Counselor | River Valley Counseling Center Mental Health Service, 303 Beech St, Holyoke, MA 01040 | 2015-08-14 |
| 1285019638 | Ashley Papineau | Social Worker | 9 Faille Ave, Apt 3, Holyoke, MA 01040 | 2015-07-28 |
| 1205216967 | Vanessa Vazquez | Counselor | 1233 Main St., Holyoke, MA 01040 | 2015-06-08 |
| Find all providers in zip 01040 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306400478 | Valentine Eye Group | Clinic/Center | 80 Erdman Way # 205, Leominster, MA 01453-1840 | 2019-04-24 |
| 1578034641 | Zuhayr Hemady Md Bi PC | Clinic/Center | 1261 Furnace Brook Pkwy Ste 33, Quincy, MA 02169-4762 | 2018-12-16 |
| 1528448693 | Dr. Susan Rodgin | Clinic/Center | 39 W Plain St, Wayland, MA 01778-4409 | 2015-06-04 |
| 1205215373 | Mass Medical Group, LLC | Clinic/Center | 200 Central St, Suite #2, Lowell, MA 01852-2201 | 2015-05-22 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1053740241 | Aesthetic Plastic Surgery of North Shore PC | Clinic/Center | 900 Cummings Ctr Ste 301u, Beverly, MA 01915-6181 | 2013-11-07 |
| 1518217694 | Sarah M Barnett Md Pllc | Clinic/Center | 119 Drum Hill Rd # 128, Chelmsford, MA 01824-1505 | 2012-09-14 |
| 1255687166 | James V Kowalski M.d. P.C. | Clinic/Center | 795 W Main St, Hyannis, MA 02601-3424 | 2012-07-29 |
| 1548564073 | Mind Body Healthlink | Clinic/Center | 26 Castle Rd, Northborough, MA 01532-1249 | 2010-12-23 |
| 1316184005 | Simon Faynzilbergmd PC | Clinic/Center | 157 Winthrop Rd Unit 2, Brookline, MA 02445-4642 | 2009-01-16 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THE CHILDREN'S HEART CENTER OF WESTERN MASSACHUSETTS, LLC.
| 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.