Active NPI
David G Doctor MD Orthopaedics and Sports Medicine PC
- Specialist
- Springfield, MA
National Provider Identifier
1194914317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 080082
- Legal business name
- DAVID G DOCTOR MD ORTHOPAEDICS AND SPORTS MEDICINE PC
- Practice address
- 299 Carew Street
Suite 305
Springfield, MA 01104 - Phone
- (413) 788-7321
- Fax
- (413) 733-6369
- NPI assigned
- Oct 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David G Doctor, MD
- Title
- President
- Phone
- (413) 788-7321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 080082 | MA | Primary |
Addresses
Primary practice location
299 Carew Street
Suite 305
Springfield, MA 01104
Mailing address
PO Box 789
Ludlow, MA 01056-0789
Phone (413) 509-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M16239 | Other | MA | BC BS OF MA |
| 9774483 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
299 Carew St
Ste 410
Springfield, MA 01104
Phone (413) 734-1883
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265068800000",
"number": "1194914317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 789",
"city": "LUDLOW",
"state": "MA",
"postal_code": "010560789",
"telephone_number": "413-509-1000",
"fax_number": "413-509-1003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 CAREW STREET",
"address_2": "SUITE 305",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01104",
"telephone_number": "413-788-7321",
"fax_number": "413-733-6369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID G DOCTOR MD ORTHOPAEDICS AND SPORTS MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2010-02-02",
"status": "A",
"authorized_official_last_name": "DOCTOR",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "413-788-7321",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "MA",
"license": "080082",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF MA",
"identifier": "M16239",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9774483",
"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 2, 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.