NPIMap

Organization Active NPI

Springfield Neurology Associates, LLC

  • Neurology Physician
  • Springfield, MA
National Provider Identifier
1356466460
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
SPRINGFIELD NEUROLOGY ASSOCIATES, LLC
Practice address
300 Carew St
Suite 2
Springfield, MA 01104-2485
Phone
(413) 781-5050
Fax
(413) 781-2510
NPI assigned
Mar 20, 2007
Last updated
Feb 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Michael R Sorrell, MD
Title
Managing Partner
Phone
(413) 781-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

300 Carew St
Suite 2
Springfield, MA 01104-2485

Mailing address

300 Carew St
Suite 2
Springfield, MA 01104-2485
Phone (413) 781-5050

Other identifiers 1

IdentifierTypeStateIssuer
9725750MedicaidMA

National Provider Directory

National Provider Directory

Locations

300 Carew St
Ste 2
Springfield, MA 01104
Phone (413) 781-5050

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1356466460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CAREW ST",
            "address_2": "SUITE 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042485",
            "telephone_number": "413-781-5050",
            "fax_number": "413-781-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CAREW ST",
            "address_2": "SUITE 2",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011042485",
            "telephone_number": "413-781-5050",
            "fax_number": "413-781-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD NEUROLOGY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "SORRELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "413-781-5000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9725750",
            "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 19, 2016; 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.