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NORTHEND MEDICAL ASSOCIATES INC NPI 1528221629


NPI Information

NPI: 1528221629
Provider Name: NORTHEND MEDICAL ASSOCIATES INC

Doing Business As: RAINBOW PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 22D2029610

Address:
475 SUMNER AVE
SPRINGFIELD, MA
ZIP 01108
Phone: (413) 241-6152
Get Directions

NORTHEND MEDICAL ASSOCIATES INC is a pediatrics in Springfield, MA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. NORTHEND MEDICAL ASSOCIATES INC NPI is 1528221629. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rainbow Pediatrics.

The provider's business location address is:

475 SUMNER AVE
SPRINGFIELD, MA
ZIP 01108-321
Phone: (413) 241-6152
Fax: (413) 241-6153

The provider's authorized official is Akinniyi Babasola Odutola .
The authorized official title is Member and has the following contact phone number (413) 241-6152.

The CLIA number assigned to this NPI record is 22D2029610 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2008 and was last updated on 3/11/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics210668MASSACHUSETTSYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A3503501OTHERGROUP MEMBER: AKINNIYI B. ODUTOLA; NPI 1588629240
23036020; 3036024OTHERUNITED HEALTH
30007987OTHERMASSACHUSETTSPTAN
4000000049627OTHERMASSACHUSETTSBOSTON MEDICAL CENTER HEALTHNET
51915999OTHERAETNA
60045591OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
79738550 / 110080708AMEDICAIDMASSACHUSETTS

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

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