BAYSTATE MEDICAL CENTER, INC. (NPI# 1861597411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861597411 |
| Entity Type | Organization |
| Organization Name | BAYSTATE MEDICAL CENTER, INC. |
| Other Organization Name | BAYSTATE PHARMACY |
| Practice Address |
380 Plainfield St Springfield MA 01107-1524 |
| Practice Telephone | 4137949442 |
| Practice Fax Number | 4137949443 |
| Mailing Telephone | 4137949442 |
| Mailing Fax Number | 4137949443 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2017-03-20 |
| Authorized Official Name | MR. GARY KERR (CHIEF PHARMACY OFFICER) |
| Authorized Official Telephone | 4137943178 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
MA0045484 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0445401 | 05 | |
| MA | 110020829/D | 05 | |
| NABP NUMBER | 2236380 | 01 | |
| DEA NUMBER | BB4776716 | 01 |
| Other Name | Type Code |
|---|---|
| BAYSTATE PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629409875 | Baystate Medical Center, Inc. | Pharmacy | 50 Wason Ave, Springfield, MA 01107-1132 | 2013-12-12 |
| 1972936623 | Baystate Medical Center, Inc. | Pharmacy | 3300 Main St, Springfield, MA 01107-1112 | 2013-08-16 |
| 1922301779 | Baystate Medical Center, Inc. | Durable Medical Equipment & Medical Supplies | 85 South St, Room D101, Ware, MA 01082-1625 | 2010-12-17 |
| 1881799427 | Baystate Medical Center, Inc. | Pharmacy | 140 High St, Springfield, MA 01105-1442 | 2006-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BAYSTATE MEDICAL CENTER, INC. | 759 Chestnut St, Springfield, MA 01199-1001 |
| Connecticut Business Registrations | BAYSTATE MEDICAL CENTER, INC. | 759 Chestnut Street, Springfield, MA 01199 |
| Street Address |
380 PLAINFIELD ST |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01107-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089846 | Sarah L Goff | Internal Medicine | 380 Plainfield St, Springfield, MA 01107-1524 | 2005-11-08 |
| 1053932392 | Ryann Nichole Mcchesney | Registered Nurse | 380 Plainfield St, Springfield, MA 01107-1524 | 2020-04-28 |
| 1215455175 | Anne Bayerle | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01107-1524 | 2017-08-31 |
| 1730505868 | Amelia Agnes Stiles | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01107-1524 | 2014-03-13 |
| 1487925376 | Christina Ann Lima | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01107-1524 | 2012-01-24 |
| 1699061853 | Somaira Rafiq-yasin | Family Medicine | 380 Plainfield St, Springfield, MA 01107-1524 | 2011-06-24 |
| 1053601096 | Matthew R Chabot | Internal Medicine | 380 Plainfield St, Springfield, MA 01107-1524 | 2011-04-11 |
| 1285955476 | Maria Jose Ferrera | Internal Medicine | 380 Plainfield St, Springfield, MA 01199-1619 | 2010-06-22 |
| 1679605091 | Commonwealth Clinical Alliance, Inc | Case Manager/Care Coordinator | 380 Plainfield St, Springfield, MA 01107-1524 | 2007-03-12 |
| 1902938103 | Lynn A Minnick | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01107-1524 | 2007-03-12 |
| Find all providers in the same location | ||||
| 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 | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| 1033347828 | Advocates for A Healthy Community | Pharmacy | 440 E Tampa St, Springfield, MO 65806-1131 | 2009-06-30 |
| 1881799427 | Baystate Medical Center, Inc. | Pharmacy | 140 High St, Springfield, MA 01105-1442 | 2006-09-14 |
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| 1235292863 | Ppf Inc | Pharmacy | 499 Eastern Ave, Lynn, MA 01902-1570 | 2006-12-18 |
| 1326155458 | The Commonwealth of Massachusetts | Pharmacy | 165 Quincy St, Brockton, MA 02302-2988 | 2006-08-24 |
| 1689144982 | Brigham & Womens Hospital, Inc. | Pharmacy | 45 Francis St, Boston, MA 02115-6105 | 2018-11-29 |
| 1144743410 | Community Health Center of Cape Cod, Inc. | Pharmacy | 123 Waterhouse Rd, Bourne, MA 02532-3890 | 2017-07-19 |
| 1164860540 | Atrius Health Inc. Dba Harvard Vanguard Medical Associates | Pharmacy | 330 Baker Ave, Concord, MA 01742-2188 | 2013-06-07 |
| 1497198303 | Steward St. Anne's Hospital Corp. Reginal Cancer Center | Pharmacy | 537 Faunce Corner Rd, North Dartmouth, MA 02747-1242 | 2013-04-10 |
| 1295068559 | Charles River Community Health, Inc | Pharmacy | 495 Western Ave, Brighton, MA 02135-1007 | 2009-09-17 |
| 1487894291 | Cvs Pharmacy, Inc. | Pharmacy | 55 Dimock St, Roxbury, MA 02119-1029 | 2009-03-06 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGFIELD |
| Zip Code | 01107 |
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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.