Heather Wark, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

76508 Issued in MA

Practice address

548 Elm St
Northampton, MA 01060-2832

Phone

(413) 586-3150

Fax

(413) 774-7049

NPI assigned

Aug 8, 2006

Last updated

Apr 9, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

University of Vermont College of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heather Wark MD LLCGroup PAC ID 1850659384, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascend Hospice Hospice, Worcester, MA, CCN 221566
• Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
• Care One at Northampton Nursing home, Northampton, MA, CCN 225257

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heather Wark MD LLC

  • Internal Medicine Physician
  • Northampton, MA
  • NPI 1871015750
  Medicare reassignment Care Compare group NPD Authorized official
• 548 Elm Street Operating Company, LLC

  dba Calvin Coolidge Nursing &Rehab Center of Northhampton

  • Skilled Nursing Facility
  • Northampton, MA
  • NPI 1669471389
  NPD (past)
• Sisters of Providence Care CTRS Inc

  dba Beaven Kelly Home

  • Adult Care Home Facility
  • Holyoke, MA
  • NPI 1790776698
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• 548 Elm Street Operating Company, LLC

  dba Calvin Coolidge Nursing &Rehab Center of Northhampton

  • Skilled Nursing Facility
  • Northampton, MA
  • NPI 1669471389

  Nursing home

  Care Compare affiliation
• Care Alternatives of Massachusetts, LLC

  dba Ascend Hospice

  • Community Based Hospice Care Agency
  • Worcester, MA
  • NPI 1053379388
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310
  Care Compare affiliation
• Cooley Dickinson Hospital Inc

  • Psychiatric Hospital Unit
  • Northampton, MA
  • NPI 1871512814
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1063422749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 ELM ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602832",
            "telephone_number": "413-586-3150",
            "fax_number": "413-586-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 ELM ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602832",
            "telephone_number": "413-586-3150",
            "fax_number": "413-774-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARK",
        "first_name": "HEATHER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "76508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3143384",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BMC HEALTHNET",
            "identifier": "25338",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MA",
            "identifier": "J16239",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine E Walsh, PHD, LICSW
• Katie Lynn Walsh
• Virginia L. Walters, MD
• Abigail Wanamaker-Ordorica
• Amy T Wardell, RD. LDN
• Binca C Warren, DMD
• Jennifer R Washington, RN
• Ethan Sherrerd Wattley, LMHC
• Sheryl S Waxler
• Wayne Shim DMD LLC

• Internal Medicine Physician in Northampton, MA
• Providers in Northampton, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.