Active NPI
Douglas Keith Hyde, M.D.
- Gastroenterology Physician
- Springfield, MA
National Provider Identifier
1164520169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 52499
- Practice address
- 299 Carew St
Suite 419
Springfield, MA 01104-2301 - Phone
- (413) 737-7951
- Fax
- (413) 747-0443
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 52499 | MA | Primary |
Addresses
Primary practice location
299 Carew St
Suite 419
Springfield, MA 01104-2301
Mailing address
86 Blueberry Hill Rd
Longmeadow, MA 01106-1660
Phone (413) 567-3084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6182992 | Medicaid | MA |
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 |
|---|---|---|---|
| 52499 | MA | MD | Gastroenterology Physician |
Interoperability endpoints
- https://api.platform.athenahealth.com/13063/brand/1/csg/1/fhir/r4
- douglas.hyde.1@13063.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1164520169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "86 BLUEBERRY HILL RD",
"city": "LONGMEADOW",
"state": "MA",
"postal_code": "011061660",
"telephone_number": "413-567-3084",
"fax_number": "413-747-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 CAREW ST",
"address_2": "SUITE 419",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011042301",
"telephone_number": "413-737-7951",
"fax_number": "413-747-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "DOUGLAS",
"middle_name": "KEITH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MA",
"license": "52499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6182992",
"state": "MA"
}
],
"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 Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.