Organization Active NPI

Greenfield OB-GYN Associates, PC

  • Gynecology Physician
  • Greenfield, MA
National Provider Identifier
1306915285
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
28664 Issued in MA
Legal business name
GREENFIELD OB-GYN ASSOCIATES, PC
Practice address
5 Park St
Greenfield, MA 01301-2909
Phone
(413) 773-5481
Fax
(413) 774-3244
NPI assigned
Nov 7, 2006
Last updated
Oct 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Authorized official

Name
William Callahan, MD
Title
Owner
Phone
(413) 773-5481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 28664 MA Primary

Addresses

Primary practice location

5 Park St
Greenfield, MA 01301-2909

Mailing address

5 Park St
Greenfield, MA 01301-2909
Phone (413) 773-5481

Other identifiers 2

IdentifierTypeStateIssuer
9734686MedicaidMA
M13127OtherMABCMA GROUP

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1306915285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 PARK ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012909",
            "telephone_number": "413-773-5481",
            "fax_number": "413-774-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 PARK ST",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012909",
            "telephone_number": "413-773-5481",
            "fax_number": "413-774-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD OB-GYN ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-773-5481",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MA",
            "license": "28664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9734686",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCMA GROUP",
            "identifier": "M13127",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.