Active NPI
Diane R. Amsterdam, MD
- Obstetrics & Gynecology Physician
- Hadley, MA
National Provider Identifier
1093784340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 52989
- Practice address
- 234 Russell St
#3
Hadley, MA 01035-3534 - Phone
- (413) 586-2022
- Fax
- (413) 586-1679
- NPI assigned
- Mar 17, 2006
- Last updated
- Apr 5, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 52989 | MA | Primary |
Addresses
Primary practice location
234 Russell St
#3
Hadley, MA 01035-3534
Mailing address
234 Russell St
#3
Hadley, MA 01035-3534
Phone (413) 586-2022
Other identifiers 18
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-3194547 | Other | MA | NORTHEAST HEALTH DIRECT |
| 04-3194547 | Other | MA | PHCS |
| 000000020368 | Other | MA | BMC |
| 04-3194547 | Other | MA | NORTHEAST HEALTHCARE ALLI |
| 04-3194547 | Other | MA | PLAN VISTA |
| 2631116 | Other | MA | AETNA |
| 8151907003 | Other | MA | CIGNA |
| 8151907003 | Other | MA | PRUCARE |
| 131144 | Other | MA | HARVARD PILGRIM |
| 24236 | Other | MA | HNE |
| 04-3194547 | Other | MA | NORTH AMERICAN PREFERRED |
| 2329163 | Other | MA | US HEALTHCARE |
| 04-3194547 | Other | MA | GREAT-WEST |
| 052989 | Other | MA | CONNECTICARE |
| 052989 | Other | MA | TUFTS |
| 6178545 | Medicaid | MA | |
| 160053989 | Other | MA | MEDICARE RAILROAD |
| J03309 | Other | MA | BCBSMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52989 | MA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Cooley Dickinson Medical Group
- Psychiatry Physician
- Northampton, MA
- NPI 1942605373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333584000000",
"number": "1093784340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 RUSSELL ST",
"address_2": "#3",
"city": "HADLEY",
"state": "MA",
"postal_code": "010353534",
"telephone_number": "413-586-2022",
"fax_number": "413-586-1679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 RUSSELL ST",
"address_2": "#3",
"city": "HADLEY",
"state": "MA",
"postal_code": "010353534",
"telephone_number": "413-586-2022",
"fax_number": "413-586-1679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMSTERDAM",
"first_name": "DIANE",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2012-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "52989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTH DIRECT",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "000000020368",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTHCARE ALLI",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLAN VISTA",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2631116",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "8151907003",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRUCARE",
"identifier": "8151907003",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "131144",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HNE",
"identifier": "24236",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH AMERICAN PREFERRED",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "2329163",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT-WEST",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "052989",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "052989",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6178545",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "160053989",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "J03309",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hadley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.