Organization Active NPI

Western Mass Medical Group, PC

  • Primary Care Clinic/Center
  • Springfield, MA
National Provider Identifier
1447460654
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WESTERN MASS MEDICAL GROUP, PC
Practice address
100 Wason Avenue
Suite 230
Springfield, MA 01107
Phone
(413) 788-6139
Fax
(413) 737-1549
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Andrew Wetstone, M.D.
Title
Managing Partner
Phone
(413) 788-6139

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 45121 MA
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

100 Wason Avenue
Suite 230
Springfield, MA 01107

Mailing address

100 Wason Avenue
Suite 230
Springfield, MA 01107
Phone (413) 788-6139

National Provider Directory

National Provider Directory

Locations

300 Stafford St
Springfield, MA 01104
Phone (413) 737-1600

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1447460654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WASON AVENUE",
            "address_2": "SUITE 230",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01107",
            "telephone_number": "413-788-6139",
            "fax_number": "413-737-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WASON AVENUE",
            "address_2": "SUITE 230",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "01107",
            "telephone_number": "413-788-6139",
            "fax_number": "413-737-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MASS MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "WETSTONE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "413-788-6139",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "45121",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 6, 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.