NPIMap

Organization Active NPI

Baystate Medical Practices, Inc

  • Family Medicine Physician
  • Springfield, MA
National Provider Identifier
1396064028
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BAYSTATE MEDICAL PRACTICES, INC
Practice address
759 Chestnut St
Springfield, MA 01199-1001
Phone
(413) 794-5700
NPI assigned
May 20, 2010
Last updated
May 20, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
BAYSTATE MEDICAL PRACTICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2010

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

Authorized official

Name
Debra A. Cremonti
Title
Director of Medical Staff Services
Phone
(413) 794-5508

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU
Adult Health Nurse Practitioner 363LA2200X NU
Family Nurse Practitioner 363LF0000X NU
Pediatric Nurse Practitioner 363LP0200X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU
Pediatrics Physician 208000000X NU

Addresses

Primary practice location

759 Chestnut St
Springfield, MA 01199-1001

Mailing address

280 Chestnut St
2ND Floor
Springfield, MA 01199-1000
Phone (413) 794-5700

Other names 1

  • GTR Springfield Primary Care Other name

National Provider Directory

National Provider Directory
Tax ID family
Bmerf Pathology Assoc14 organizations share this tax ID, including this one
Part of
Bmerf Pathology Assoc

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

100 Wason Ave
Ste 220
Springfield, MA 01107
Phone (413) 794-2442

50 Wason Ave
Fl 1
Springfield, MA 01107
Phone (413) 794-5437

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

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": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1396064028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST",
            "address_2": "2ND FLOOR",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991000",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYSTATE MEDICAL PRACTICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BAYSTATE MEDICAL PRACTICES, INC.",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "CREMONTI",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL STAFF SERVICES",
        "authorized_official_telephone_number": "413-794-5508"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GTR Springfield Primary Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 20, 2010; 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.