Organization Active NPI

David G Doctor MD Orthopaedics and Sports Medicine PC

  • Specialist
  • Springfield, MA
National Provider Identifier
1194914317
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
080082 Issued in MA
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

Updated by the provider on Feb 2, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
M16239OtherMABC BS OF MA
9774483MedicaidMA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.