NPIMap

Organization Active NPI

Geriatric Medical Associates PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Springfield, MA
National Provider Identifier
1063484467
Registry record updated May 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
GERIATRIC MEDICAL ASSOCIATES PC
Practice address
780 Chestnut St
Suite 23
Springfield, MA 01107-1616
Phone
(413) 787-2800
Fax
(413) 787-2822
NPI assigned
Feb 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2008

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

Authorized official

Name
Dr. Victoria Pamela Peters, DO
Title
President
Phone
(413) 787-2800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

780 Chestnut St
Suite 23
Springfield, MA 01107-1616

Mailing address

780 Chestnut St
Suite 23
Springfield, MA 01107-1616
Phone (413) 787-2800

Other identifiers 9

IdentifierTypeStateIssuer
66697OtherHARVARD PILGRIM
M17556OtherBCBS OF MA
3370368OtherAETNA HEALTH
724714J173OtherCONNECTICARE
P00078010OtherRAILROAD MEDICARE
M21439OtherMEDICARE
691352OtherTURFS SECURE HORIZONS
DA9195OtherRAILROAD MEDICARE
000000023021OtherHEALTHNET

National Provider Directory

National Provider Directory

Locations

780 Chestnut St
Ste 23
Springfield, MA 01107
Phone (413) 787-2800

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210291200000",
    "number": "1063484467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CHESTNUT ST",
            "address_2": "SUITE 23",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071616",
            "telephone_number": "413-787-2800",
            "fax_number": "413-787-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 CHESTNUT ST",
            "address_2": "SUITE 23",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071616",
            "telephone_number": "413-787-2800",
            "fax_number": "413-787-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2008-05-09",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "PAMELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-787-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "66697",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MA",
            "identifier": "M17556",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH",
            "identifier": "3370368",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "724714J173",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00078010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "M21439",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TURFS SECURE HORIZONS",
            "identifier": "691352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA9195",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "000000023021",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.