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BAYSTATE MEDICAL PRACTICES INC. NPI 1366509473


NPI Information

NPI: 1366509473
Provider Name: BAYSTATE MEDICAL PRACTICES, INC.

Other Name: BMP, DEPT OF SURGERY

Classification: Surgery - 208600000X
Entity Type: Organization
Address:
759 CHESTNUT ST
SPRINGFIELD, MA
ZIP 01199
Phone: (413) 794-5700
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BAYSTATE MEDICAL PRACTICES, INC. is a surgery in Springfield, MA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. BAYSTATE MEDICAL PRACTICES, INC. NPI is 1366509473. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Bmp, Dept Of Surgery.

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 1/2/2007 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
12086S0129XSurgeryVascular SurgeryNo
22085R0202XRadiologyDiagnostic RadiologyNo
32085R0204XRadiologyVascular & Interventional RadiologyNo
4363LA2100XNurse PractitionerAcute CareNo
5363LA2200XNurse PractitionerAdult HealthNo
6207RC0000XInternal MedicineCardiovascular DiseaseNo
7363LF0000XNurse PractitionerFamilyNo
8207T00000XNeurological SurgeryNo
9207X00000XOrthopaedic SurgeryNo
102086S0122XSurgeryPlastic and Reconstructive SurgeryNo
112086S0127XSurgeryTrauma SurgeryNo
122086X0206XSurgerySurgical OncologyNo
13208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)No
14208600000XSurgeryYes

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
1M14361MEDICARE 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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