Active NPI
Paul C Hetzel, M.D.
- Medical Oncology Physician
- Springfield, MA
National Provider Identifier
1194768424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 39373
- Practice address
- 2150 Main St
Springfield, MA 01104-3300 - Phone
- (413) 739-5676
- Fax
- (413) 739-2278
- NPI assigned
- Jun 14, 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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 39373 | MA | Primary |
Addresses
Primary practice location
2150 Main St
Springfield, MA 01104-3300
Mailing address
2150 Main Street
Springfield, MA 01104
Phone (413) 739-5676
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N51714 | Other | MA | BLUE CROSS BLUE SHIELD |
| 13044 | Other | MA | HEALTH NEW ENGLAND |
| 2068443 | Medicaid | MA | |
| 039373 | Other | MA | TUFTS HEALTH PLAN |
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 |
|---|---|---|---|
| 39373 | MA | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266364800000",
"number": "1194768424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 MAIN STREET",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01104",
"telephone_number": "413-739-5676",
"fax_number": "413-739-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011043300",
"telephone_number": "413-739-5676",
"fax_number": "413-739-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETZEL",
"first_name": "PAUL",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2010-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MA",
"license": "39373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "N51714",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "13044",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2068443",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "039373",
"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 Feb 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.