Pediatric Gastroenterology And Nutrition Group, P.c.
Pediatrics, Pediatric Gastroenterology in Springfield, Massachusetts
1164733093- Practice location
- 3640 Main St, Suite 204, Springfield, MA 01107-1145
- Phone
- 413-304-2650
- Fax
- —
- Last updated
- June 25, 2010
Pediatric Gastroenterology And Nutrition Group, P.c. is a healthcare organization based in Springfield, MA. Pediatric Gastroenterology And Nutrition Group, P.c. practices in Springfield, MA. The NPI Number for Pediatric Gastroenterology And Nutrition Group, P.c. is 1164733093 and holds a License No. 233855 (MA). The current practice location address for Pediatric Gastroenterology And Nutrition Group, P.c. is 3640 Main St, Suite 204, Springfield, MA 01107-1145 and can be reached out via phone at 413-304-2650.
Provider Profile Details
- NPI Number
- 1164733093
- Provider Name
- Pediatric Gastroenterology And Nutrition Group, P.c.
- Provider Entity Type
- Organization
- Address
- 3640 Main St, Suite 204, Springfield, MA 01107-1145
- Phone Number
- 413-304-2650
- Primary Taxonomy
- Pediatrics, Pediatric Gastroenterology · 2080P0206X
- Organization Subpart
- No
- Authorized Official
- Dr. Susan P Goode, MD · President · 347-327-3874
- Provider Enumeration Date
- June 25, 2010
- Last Update Date
- June 25, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3640 Main St
Suite 204
Springfield, MA 01107-1145 - City
- Springfield
- State
- Massachusetts
- Zip
- 01107-1145
- Phone Number
- 413-304-2650
Provider Business Mailing Address Details
- Address
- 3640 Main St
Suite 204
Springfield, MA 01107-1145 - City
- Springfield
- State
- MA
- Zip
- 01107-1145
- Phone Number
- 413-304-2650
License Information
- License Number
- 233855
- License State
- MA
- Taxonomy
- Pediatrics, Pediatric Gastroenterology · 2080P0206X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics, Pediatric Gastroenterology providers near Springfield, MA
View all Pediatrics, Pediatric Gastroenterology providers in Springfield →- Anastasios G Angelides, MDPediatrics, Pediatric Gastroenterology · NPI 1265413009
- Barry Z Hirsch, MDPediatrics, Pediatric Gastroenterology · NPI 1457333726
- Caitriona Pollikoff, PA-CPhysician Assistant · NPI 1154112753
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- Kayla M Cardona, DNPNurse Practitioner, Family · NPI 1114822046
- Jay D Markham, MDInternal Medicine, Cardiovascular Disease · NPI 1427022508
Frequently Asked Questions
What is the NPI number of Pediatric Gastroenterology And Nutrition Group, P.c.?
The NPI number of Pediatric Gastroenterology And Nutrition Group, P.c. is 1164733093. It was assigned on June 25, 2010 and is currently active in the NPPES registry.
What is the specialty of Pediatric Gastroenterology And Nutrition Group, P.c.?
Pediatric Gastroenterology And Nutrition Group, P.c. is registered under the primary taxonomy Pediatrics, Pediatric Gastroenterology (code 2080P0206X), licensed in MA under license number 233855.
Where does Pediatric Gastroenterology And Nutrition Group, P.c. practice?
The practice location is 3640 Main St, Suite 204, Springfield, MA 01107-1145. The office can be reached at 413-304-2650 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164733093 directly on the NPPES registry website.