Active NPI
Pittsfield Medical Associates, Inc.
- Internal Medicine Physician
- Pittsfield, MA
National Provider Identifier
1083766588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PITTSFIELD MEDICAL ASSOCIATES, INC.
- Practice address
- 510 North St
Pittsfield, MA 01201-4111 - Phone
- (413) 499-2921
- Fax
- (413) 499-2762
- NPI assigned
- Jan 17, 2007
- Last updated
- Jul 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jean A Connolly
- Title
- Bookkeeper
- Phone
- (413) 499-2921
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
510 North St
Pittsfield, MA 01201-4111
Mailing address
510 North St
Pittsfield, MA 01201-4111
Phone (413) 499-2921
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9712992 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
188 East St
Ste 102
Pittsfield, MA 01201
Phone (413) 442-2100
510 North St
Ste 7
Pittsfield, MA 01201
Phone (413) 447-2300
Interoperability endpoints
- https://api.platform.athenahealth.com/18602/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Pittsfield, MA
- NPI 1649359845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1437436800000",
"number": "1083766588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014111",
"telephone_number": "413-499-2921",
"fax_number": "413-499-2762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014111",
"telephone_number": "413-499-2921",
"fax_number": "413-499-2762"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PITTSFIELD MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-17",
"last_updated": "2015-07-21",
"status": "A",
"authorized_official_last_name": "CONNOLLY",
"authorized_official_first_name": "JEAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "BOOKKEEPER",
"authorized_official_telephone_number": "413-499-2921",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9712992",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.