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BAYSTATE MEDICAL PRACTICES INC. NPI 1336205582


NPI Information

NPI: 1336205582
Provider Name: BAYSTATE MEDICAL PRACTICES, INC.

Other Name: BMP, DEPT OF OBGYN

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
759 CHESTNUT ST
SPRINGFIELD, MA
ZIP 01199
Phone: (413) 794-5700
Get Directions

BAYSTATE MEDICAL PRACTICES, INC. is an obstetrics gynecology in Springfield, MA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. BAYSTATE MEDICAL PRACTICES, INC. NPI is 1336205582. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Bmp, Dept Of Obgyn.

The provider's business location address is:

759 CHESTNUT ST
SPRINGFIELD, MA
ZIP 01199-001
Phone: (413) 794-5700
Fax: (413) 794-1629

The provider's authorized official is Randall L Vaill .
The authorized official title is Manager Provider Enrollment and has the following contact phone number (413) 794-7976.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 2/26/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VE0102XObstetrics & GynecologyReproductive EndocrinologyNo
2207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
3207VX0201XObstetrics & GynecologyGynecologic OncologyNo
4367A00000XAdvanced Practice MidwifeNo
5363LF0000XNurse PractitionerFamilyNo
6363LW0102XNurse PractitionerWomen's HealthNo
7207V00000XObstetrics & GynecologyYes

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
1M14270MEDICARE PINMASSACHUSETTS

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: 4/28/2024

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