Active NPI
Cardiology and Internal Medicine Associates Inc
- Internal Medicine Physician
- Springfield, MA
National Provider Identifier
1295718617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CARDIOLOGY AND INTERNAL MEDICINE ASSOCIATES INC
- Practice address
- 222 Carew St
Springfield, MA 01104-4103 - Phone
- (413) 781-1186
- Fax
- (413) 734-5456
- NPI assigned
- Nov 21, 2005
- 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
- Mark J Mullan, MD
- Title
- President
- Phone
- (413) 781-1186
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
222 Carew St
Springfield, MA 01104-4103
Mailing address
PO Box 789
Ludlow, MA 01056-0789
Phone (413) 509-1000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9787283 | Medicaid | MA | |
| M17405 | Other | MA | BLUE CROSS GRP |
National Provider Directory
National Provider DirectoryLocations
222 Carew St
#4
Springfield, MA 01104
Phone (413) 781-1186
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Agawam, MA
- NPI 1184601635
-
- Family Nurse Practitioner
- Norfolk, VA
- NPI 1003091182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217808000000",
"number": "1295718617",
"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": "222 CAREW ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011044103",
"telephone_number": "413-781-1186",
"fax_number": "413-734-5456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIOLOGY AND INTERNAL MEDICINE ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-21",
"last_updated": "2008-08-04",
"status": "A",
"authorized_official_last_name": "MULLAN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "413-781-1186",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9787283",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS GRP",
"identifier": "M17405",
"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 Aug 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.