NPIMap

Individual provider Active NPI

Gregory B Park, M.D.

  • Physical Medicine & Rehabilitation Physician
  • West Springfield, MA
National Provider Identifier
1255445151
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
216754 Issued in MA
Practice address
271 Park St
West Springfield, MA 01089-3311
Phone
(413) 785-1153
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 216754 MA Primary

Addresses

Primary practice location

271 Park St
West Springfield, MA 01089-3311

Mailing address

271 Park St
West Springfield, MA 01089-3311
Phone (413) 785-1153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031120000234 MA Practitioner - Physical Medicine and Rehabilitation 7810891090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Medical Branch at Galveston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pioneer Spine and Sports Physicians PCGroup PAC ID 5991609174, 30 clinicians

Practice addresses (Care Compare)

271 Park St
West Springfield, MA 01089-3311
Phone (413) 785-1153

766 N King St
Northampton, MA 01060-1142
Phone (413) 785-1153

Hospital & facility affiliations

  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • Berkshire Medical Center Hospital, Pittsfield, MA, CCN 220046
  • Fairview Hospital Hospital, Great Barrington, MA, CCN 221302
  • Baystate Franklin Medical Center Hospital, Greenfield, MA, CCN 220016
  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Spine and Sports Physicians PC Physical Medicine & Rehabilitation CurrentSince Aug 31, 2009 Accepting new patients
Mdsine, LLC Current Accepting new patients
Acupuncture Center of Dallas Inc Past Accepting new patients
Connecticut Spine and Sports Physicians, Inc. Physical Medicine & Rehabilitation Past Accepting new patients
Wholistic Herbs Inc. Past Accepting new patients
Pioneer Spine and Sports Physicians, PC PastSince Jun 23, 2003 Accepting new patients

Locations

55 Pittsfield Rd
Ste 12A
Lenox, MA 01240
Phone (413) 785-1153

766 N King St
Northampton, MA 01060
Phone (413) 586-0230

1275 Elm St
West Springfield, MA 01089
Phone (413) 785-1153

271 Park St
West Springfield, MA 01089
Phone (413) 785-1153

Interoperability endpoints

  • Direct secure messaging: gpark@spinesports.medentdirect.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362960000000",
    "number": "1255445151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893311",
            "telephone_number": "413-785-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 PARK ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893311",
            "telephone_number": "413-785-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARK",
        "first_name": "GREGORY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2013-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "216754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.