East Elm Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

EAST ELM PEDIATRICS

Practice address

426 East St
Pittsfield, MA 01201-5308

Phone

(413) 442-8267

Fax

(413) 442-8625

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jessica Chapman, RN

Title

Registered Nurse

Phone

(413) 442-8267

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1497132708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 EAST ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015308",
            "telephone_number": "413-442-8267",
            "fax_number": "413-442-8625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 EAST ST",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "012015308",
            "telephone_number": "413-442-8267",
            "fax_number": "413-442-8625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ELM PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "413-442-8267",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110059089A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Durgin
• Zulfiqar Ali Durrani, DMD
• Audrey Helena Duso
• Medhat Mongy Dwidar, DDS
• East Elm Pediatrics
• Ashabilan Ebrahim, MD
• Ebsworth Voice Wellness PLLC
• Rhonda Eckler
• Jessica L Eddy, DPT
• Jerome Edgerton

• Primary Care Clinic/Center in Pittsfield, MA
• Providers in Pittsfield, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.