DR. MICHELE A GORTAKOWSKI (NPI# 1710243621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710243621 |
| Entity Type | Individual |
| Full Name | DR. MICHELE A GORTAKOWSKI |
| Credential | M.D. |
| Practice Address |
3300 Main St Fl 3 Springfield MA 01107-1112 |
| Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1001 |
| Practice Telephone | 4137947031 |
| Practice Fax Number | 4137947133 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
268474 | MA | Allopathic & Osteopathic Physicians |
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
268474 | MA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 252039 | MA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 50 Wason Ave Fl 1, Springfield, MA 011071280 | 4137945437 | 4137940395 |
| Street Address |
3300 MAIN ST FL 3 |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730703208 | Sophie Caitlin England | Physician Assistant | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2020-06-01 |
| 1326517723 | Amanda Macrae | Nurse Practitioner | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2018-11-15 |
| 1710490057 | Melissa Moulton Pitsiladis | Nurse Practitioner | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2017-11-08 |
| 1639581515 | Alina D Bayer | Psychiatry & Neurology | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2014-05-27 |
| 1841619236 | Sharjeel Panjwani | Psychiatry & Neurology | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2014-04-14 |
| 1770900128 | Robert W Regenhardt | Psychiatry & Neurology | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2014-03-24 |
| 1114284890 | Megan Carol Gallagher | Internal Medicine | 3300 Main St Fl 3, Springfield, MA 01107-1112 | 2012-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
| 1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
| 1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
| 1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
| 1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
| 1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
| 1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
| 1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
| 1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
| 1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
| Find all providers in zip 01107 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1538319447 | Joy Debbie Sudler | Internal Medicine | 28 Cottage Ln, Springfield, NJ 07081-2303 | 2008-09-27 |
| 1295714657 | Catherine M Hegarty | Internal Medicine | 2150 Main Street, Springfield, MA 01104 | 2006-01-13 |
| 1174510978 | Marina K Russo | Internal Medicine | 1118 Legacy Pointe Dr, Springfield, IL 62711 | 2005-10-05 |
| 1124023726 | Linda R. Macgorman | Internal Medicine | 960 E Walnut Lawn, Suite 201, Springfield, MO 65807 | 2005-06-20 |
| 1871948414 | Prospect Health Access Network, Inc. | Internal Medicine | 190 W Sproul Rd, Suite 102, Springfield, PA 19064-2027 | 2016-05-02 |
| 1467894527 | Sanober Parveen | Internal Medicine | 751 N Rutledge St Ste 1700, Springfield, IL 62702-4968 | 2013-07-17 |
| 1811338841 | Mariam Murtaza Ali | Internal Medicine | 751 N Rutledge St Ste 1700, Springfield, IL 62702-4968 | 2013-07-05 |
| 1316382823 | Cecilia A Davis | Internal Medicine | 3300 Main Street, Springfield, MA 01107-1112 | 2013-05-10 |
| 1821337627 | New England Endocrine and Thyroid Center, PC | Internal Medicine | 299 Carew St, Suite 323, Springfield, MA 01104-2301 | 2013-02-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
Please comment or provide details below to improve the information on DR. MICHELE A GORTAKOWSKI.
| 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.