NPIMap

Organization Active NPI

Valley Women'S Health Group, LLC

  • Specialist
  • Springfield, MA
National Provider Identifier
1497978019
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VALLEY WOMEN'S HEALTH GROUP, LLC
Practice address
3550 Main St
Suite 302
Springfield, MA 01107-1089
Phone
(413) 781-8290
Fax
(413) 732-7628
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Karen Ann Koziara
Title
Practice Administrator
Phone
(413) 781-8290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MA Primary

Addresses

Primary practice location

3550 Main St
Suite 302
Springfield, MA 01107-1089

Mailing address

3550 Main St
Suite 302
Springfield, MA 01107-1089
Phone (413) 781-8290

Other identifiers 1

IdentifierTypeStateIssuer
9780114MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050110000008 MA Part B Supplier - Clinic/Group Practice 9234187063 Receives reassigned benefits from 5 practitioners
Practice locations: Springfield, MA

National Provider Directory

National Provider Directory

Locations

1221 Main St
Ste 104
Holyoke, MA 01040
Phone (413) 538-8984

130 Maple St
Ste 239
Springfield, MA 01103
Phone (413) 781-0096

42 Ridgewood Ter
Ste 101
Springfield, MA 01105
Phone (413) 781-8290

3550 Main St
Ste 301
Springfield, MA 01107

3550 Main St
Ste 302
Springfield, MA 01107
Phone (413) 781-8290

Practitioners & affiliated clinicians

Practitioners 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497978019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 MAIN ST",
            "address_2": "SUITE 302",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071089",
            "telephone_number": "413-781-8290",
            "fax_number": "413-732-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MAIN ST",
            "address_2": "SUITE 302",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071089",
            "telephone_number": "413-781-8290",
            "fax_number": "413-732-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY WOMEN'S HEALTH GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOZIARA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "413-781-8290",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9780114",
            "state": "MA"
        }
    ],
    "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.