BAYSTATE MEDICAL PRACTICES, INC (NPI# 1750600482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750600482 |
| Entity Type | Organization |
| Organization Name | BAYSTATE MEDICAL PRACTICES, INC |
| Other Organization Name | HEART AND VASCULAR SERVICES |
| Practice Address |
759 Chestnut St Springfield MA 01199-1001 |
| Mailing Address |
280 Chestnut St 2nd Floor Springfield MA 01199-1000 |
| Practice Telephone | 4137945700 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |
| Authorized Official Name | DEBRA A CREMONTI (DIRECTOR OR MEDICAL STAFF SERVICES) |
| Authorized Official Telephone | 4137945508 |
| Is Organization Subpart | Y |
| Parent Organization Name | BAYSTATE MEDICAL PRACTICES, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LC0200X |
Nurse Practitioner Specialization: Critical Care Medicine |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Heart and Vascular Services | Other Name - Individual/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 |
| 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 |
| 1548205909 | Baystate Medical Practices, Inc | Internal Medicine | 759 Chestnut St, Springfield, MA 01199-1001 | 2006-06-19 |
| 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 | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740728039 | Jenna Schrage | Internal Medicine | 317 N 5th St, Springfield, IL 62701-1003 | 2017-02-07 |
| 1770523532 | Patrick Francis Adrian Magee | Internal Medicine | 5514 Alma Ln, Suite 200, Springfield, VA 22151-4000 | 2006-06-08 |
| 1669004966 | Effingham Hospital, Inc. | Internal Medicine | 459 Highway 119 S Ste A, Springfield, GA 31329-3021 | 2020-02-05 |
| 1023520475 | Michael Robert West | Internal Medicine | 417 Baltimore Pike, Springfield, PA 19064-3810 | 2017-10-25 |
| 1588187397 | Andrea Nicole Bloodworth | Internal Medicine | 619 E Mason St Ste 4p57, Springfield, IL 62701 | 2017-07-24 |
| 1508225616 | Margaret Jordan | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2016-02-17 |
| 1215333604 | Meredith Fleming | Internal Medicine | 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 | 2014-11-12 |
| 1326486515 | Maryna J Popp | Internal Medicine | 800 N 1st St, Springfield, IL 62702-3719 | 2013-06-10 |
| 1730425893 | Nileshkumar J Patel | Internal Medicine | 800 N 1st St, Springfield, IL 62702 | 2012-12-18 |
| 1760770101 | Bhuvnesh Aggarwal | Internal Medicine | 800 N 1st St, Springfield, IL 62702 | 2011-07-19 |
| Find all providers in SPRINGFIELD | ||||
| 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.