Trailside Health LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

209410 Issued in MA

Legal business name

TRAILSIDE HEALTH LLC

Practice address

111 Bridge St
Shelburne Falls, MA 01370-1142

Phone

(413) 625-6240

Fax

(413) 625-6290

NPI assigned

Apr 17, 2014

Organization subpart

No

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

Authorized official

Name

Stefan A. Topolski, MD

Title

Ceo

Phone

(413) 625-6240

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1497175459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BRIDGE ST",
            "city": "SHELBURNE FALLS",
            "state": "MA",
            "postal_code": "013701142",
            "telephone_number": "413-625-6240",
            "fax_number": "413-625-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BRIDGE ST",
            "city": "SHELBURNE FALLS",
            "state": "MA",
            "postal_code": "013701142",
            "telephone_number": "413-625-6240",
            "fax_number": "413-625-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILSIDE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "TOPOLSKI",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "413-625-6240",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1030561",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "209410",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "213928",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Massage of Shelburne Falls, LLC
• Sheila Thorn
• Threshold Experiential Therapy, Inc.
• Stefan A. Topolski, M.D.
• Town of Rowe
• Richard S Warner, MD
• Marisa Waters
• West County Physicians PC
• Jennifer R. West, L.I.C.S.W.
• Jane D Willis, MD

• Family Medicine Physician in Shelburne Falls, MA
• Providers in Shelburne Falls, MA by specialty
• Family Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.