PIONEER VALLEY NEPHROLOGY PC NPI 1548206626

NPI Information

NPI: 1548206626
Provider Name: PIONEER VALLEY NEPHROLOGY, PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
300 STAFFORD ST
SUITE 161
SPRINGFIELD, MA
ZIP 01104
Phone: (413) 787-0090
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PIONEER VALLEY NEPHROLOGY, PC is a nephrology internal medicine in Springfield, MA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. PIONEER VALLEY NEPHROLOGY, PC NPI is 1548206626. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 STAFFORD ST
SUITE 161
SPRINGFIELD, MA
ZIP 01104-581
Phone: (413) 787-0090
Fax: (413) 787-0089

The provider's authorized official is Crystal Gillis .
The authorized official title is Billing Manager and has the following contact phone number (413) 787-0090.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 1/17/2014.

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	207RN0300X	Internal Medicine	Nephrology			Yes

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	M17055	OTHER	MASSACHUSETTS	BCBS GROUP NUMBER
2	C02760	MEDICARE ID-TYPE UNSPECIFIED	CONNECTICUT	CT GROUP NUMBER
3	003109932	MEDICAID	CONNECTICUT
4	M20833	MEDICARE ID-TYPE UNSPECIFIED	MASSACHUSETTS	GROUP MEDICARE NUMBER
5	9709312	MEDICAID	MASSACHUSETTS

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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