Organization Active NPI

Greylock Ear Nose and Throat Associates PC

  • Specialist
  • Pittsfield, MA
National Provider Identifier
1386842714
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
48706 Issued in MA
Legal business name
GREYLOCK EAR NOSE AND THROAT ASSOCIATES PC
Practice address
510 North St
Pittsfield, MA 01201-4111
Phone
(413) 443-4800
Fax
(413) 442-9701
NPI assigned
Jul 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Mrs. Jean Hamilton
Title
Medical Secretary
Phone
(413) 443-4800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 48706 MA Primary

Addresses

Primary practice location

510 North St
Pittsfield, MA 01201-4111

Mailing address

510 North St
Pittsfield, MA 01201-4111
Phone (413) 443-4800

Other identifiers 7

IdentifierTypeStateIssuer
0156485MedicaidMA
10925OtherMAHEALTH NEW ENGLAND
776514OtherMATUFTS
I22280OtherMABCBS
04588OtherMAMVP
0482720OtherMAAETNA
000000020943OtherMABOSTON MEDICAL HEALTHNET

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1386842714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014111",
            "telephone_number": "413-443-4800",
            "fax_number": "413-442-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 NORTH ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012014111",
            "telephone_number": "413-443-4800",
            "fax_number": "413-442-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREYLOCK EAR NOSE AND THROAT ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MEDICAL SECRETARY",
        "authorized_official_telephone_number": "413-443-4800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": "48706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156485",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NEW ENGLAND",
            "identifier": "10925",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "776514",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "I22280",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "04588",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0482720",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOSTON MEDICAL HEALTHNET",
            "identifier": "000000020943",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.