Elm Street Adult Medicine, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELM STREET ADULT MEDICINE, P.C.

Practice address

264 Elm St
Suites 10 & 12
Northampton, MA 01060-2857

Phone

(413) 586-1100

Fax

(413) 584-7062

NPI assigned

Dec 4, 2006

Last updated

Nov 20, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edward M Dean, M.D.NPI 1376528638

Title

Managing Partner

Phone

(413) 586-1100

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward M Dean, MD

  • Internal Medicine Physician
  • Northampton, MA
  • NPI 1376528638
  Authorized official Same address or phone
• Anne McKinnon, MD

  • Internal Medicine Physician
  • Northampton, MA
  • NPI 1255311452
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1306914601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 ELM ST",
            "address_2": "SUITES 10 & 12",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602857",
            "telephone_number": "413-586-1100",
            "fax_number": "413-584-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 ELM ST",
            "address_2": "SUITES 10 & 12",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602857",
            "telephone_number": "413-586-1100",
            "fax_number": "413-584-7062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELM STREET ADULT MEDICINE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "413-586-1100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Eklund
• Lydia Rose Elison, MD
• Denise Ellen Elliott, PSY.D.
• Lynne Saxon Elliott, PSY.D.
• Courtney Jean Ellis
• Alaina Y Elrington, DDS
• Peter Andrew Elsea, MD
• Barry D. Elson, M.D.
• Embodiment Institute LLC
• Edward Emery, PHD

• Internal Medicine Physician in Northampton, MA
• Providers in Northampton, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.