Organization Active NPI

Louis G. Petcu, M.D., P.C.

  • Otolaryngic Allergy Physician
  • Holyoke, MA
National Provider Identifier
1164597993
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
75221 Issued in MA
Legal business name
LOUIS G. PETCU, M.D., P.C.
Practice address
10 Hospital Dr
Ste 103
Holyoke, MA 01040-6603
Phone
(413) 538-8899
Fax
(413) 538-7122
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Authorized official

Name
Dr. Louis George Petcu, M.D., M.S.
Title
President
Phone
(413) 538-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0602X 75221 MA Primary

Addresses

Primary practice location

10 Hospital Dr
Ste 103
Holyoke, MA 01040-6603

Mailing address

785 Williams St
#354
Longmeadow, MA 01106-2063
Phone (413) 538-8899

National Provider Directory

National Provider Directory

Locations

10 Hospital Dr
Ste 103
Holyoke, MA 01040
Phone (413) 535-4757

785 Williams St
Longmeadow, MA 01106
Phone (203) 598-6045

Practitioners & affiliated clinicians

Practitioners 1

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184025600000",
    "number": "1164597993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 WILLIAMS ST",
            "address_2": "#354",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011062063",
            "telephone_number": "413-538-8899",
            "fax_number": "413-538-7122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HOSPITAL DR",
            "address_2": "STE 103",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010406603",
            "telephone_number": "413-538-8899",
            "fax_number": "413-538-7122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS G. PETCU, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-10",
        "status": "A",
        "authorized_official_last_name": "PETCU",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-538-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "MA",
            "license": "75221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2007; 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.