JACQUELINE SPAIN MD NPI 1063482339

NPI Information

NPI: 1063482339
Provider Name: JACQUELINE SPAIN, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
230 MAPLE ST
HOLYOKE, MA
ZIP 01040
Phone: (413) 420-2200
Get Directions

Jacqueline Spain, MD is a pediatrics in Holyoke, 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. Jacqueline Spain, MD NPI is 1063482339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

230 MAPLE ST
HOLYOKE, MA
ZIP 01040-124
Phone: (413) 420-2200
Fax: (413) 420-2260

The enumeration date for this NPI number is 1/26/2006 and was last updated on 10/17/2011.

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	208000000X	Pediatrics		77663	MASSACHUSETTS	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	SPJ18312	OTHER	MASSACHUSETTS	BLUE CROSS BLUE SHIELD
2	G33459	MEDICARE UPIN	MASSACHUSETTS
3	976243	OTHER	MASSACHUSETTS	NETWORK HEALTH
4	0010026	OTHER	MASSACHUSETTS	NEIGHBORHOOD HEALTH PLAN
5	8339	OTHER	MASSACHUSETTS	BOSTON HEALTH NET

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: 5/5/2024

NPI Synchronization or Removal

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