DR. TIMOTHY J MENZ MD NPI 1013296730

NPI Information

NPI: 1013296730
Provider Name: DR. TIMOTHY J MENZ, MD
Classification: Pediatrics - 2080P0206X
Entity Type: Individual

Specialization: Pediatric Gastroenterology

PECOS Registration: Yes

Address:
50 WASON AVE FL 1
SPRINGFIELD, MA
ZIP 01107
Phone: (413) 794-5437
Get Directions

DR. Timothy J Menz, MD is a pediatric gastroenterology pediatrics in Springfield, MA. The provider is a pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. DR. Timothy J Menz, MD NPI is 1013296730. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

50 WASON AVE FL 1
SPRINGFIELD, MA
ZIP 01107-280
Phone: (413) 794-5437
Fax: (413) 794-8901

The NPI 1013296730 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/11/2011 and was last updated on 7/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0206X	Pediatrics	Pediatric Gastroenterology	2018-01919	NORTH CAROLINA	No
2	2080P0206X	Pediatrics	Pediatric Gastroenterology	MD 14898	RHODE ISLAND	No
3	2080P0206X	Pediatrics	Pediatric Gastroenterology	273207	MASSACHUSETTS	Yes
4	390200000X	Student in an Organized Health Care Education/Training Program				No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2018-01919	OTHER	NORTH CAROLINA	NORTH CAROLINA MEDICAL LICENSE
2	MENZY3045	MEDICAID	NORTH CAROLINA
3	FM5102570	OTHER		DEA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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