Provider Type Icon

SUGARLOAF PEDIATRICS PC NPI 1366684433


NPI Information

NPI: 1366684433
Provider Name: SUGARLOAF PEDIATRICS, PC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
2 PARK ST
UNIT 3
SOUTH DEERFIELD, MA
ZIP 01373
Phone: (413) 665-9111
Get Directions

SUGARLOAF PEDIATRICS, PC is a pediatrics in South Deerfield, 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. SUGARLOAF PEDIATRICS, PC NPI is 1366684433. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2 PARK ST
UNIT 3
SOUTH DEERFIELD, MA
ZIP 01373-035
Phone: (413) 665-9111
Fax: (413) 665-9211

The provider's authorized official is Gina L O'brien .
The authorized official title is Owner and has the following contact phone number (413) 665-9111.

The enumeration date for this NPI number is 4/3/2009 and was last updated on 3/24/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics205161MASSACHUSETTSYes

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
10103616MEDICAIDMASSACHUSETTS
2A31163MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.