NPIMap

Organization Active NPI

Springfield Anesthesia Service, Inc.

  • Anesthesiology Physician
  • Springfield, MA
National Provider Identifier
1093768830
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
SPRINGFIELD ANESTHESIA SERVICE, INC.
Practice address
908 Allen St
Springfield, MA 01118-2533
Phone
(781) 407-7713
Fax
(781) 407-0998
NPI assigned
May 19, 2006
Last updated
May 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Authorized official

Name
Michael BailinNPI 1982603858
Title
MD/Authorized Official
Phone
(413) 796-7494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X NU Primary

Addresses

Primary practice location

908 Allen St
Springfield, MA 01118-2533

Mailing address

PO Box 983122
Client Id 800309
Boston, MA 02298-3122
Phone (781) 407-7713

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040709000365 MA Part B Supplier - Clinic/Group Practice 0345228011 Receives reassigned benefits from 144 practitioners
Practice locations: Ware, MA; Westfield, MA; West Springfield, MA; Springfield, MA; Pioneer Valley Surgicenter LLC, MA; Greenfield, MA

National Provider Directory

National Provider Directory

Locations

908 Allen St
Springfield, MA 01118
Phone (413) 732-5139

181 Park Ave
Ste 5
West Springfield, MA 01089
Phone (413) 795-7494

Practitioners & affiliated clinicians

Practitioners 253

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.

View all 253

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464048000000",
    "number": "1093768830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 983122",
            "address_2": "CLIENT ID 800309",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022983122",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 ALLEN ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011182533",
            "telephone_number": "781-407-7713",
            "fax_number": "781-407-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD ANESTHESIA SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-05-24",
        "status": "A",
        "authorized_official_last_name": "BAILIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MD/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "413-796-7494"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 24, 2016; 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.

Verify at the official NPI Registry.