Individual provider Active NPI

Marcia W Vanvleet, MD

  • Pediatrics Physician
  • Greenfield, MA
National Provider Identifier
1609895804
Registry record updated Oct 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
265603 Issued in MA
Practice address
164 High Street
Greenfield, MA 01301
Phone
(413) 772-0211
NPI assigned
Jul 19, 2006
Last updated
Oct 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD11238 RI
Pediatrics Physician 208000000X 265603 MA Primary

Addresses

Primary practice location

164 High Street
Greenfield, MA 01301

Mailing address

280 Chestnut St
2ND Floor
Springfield, MA 01199-1001
Phone (413) 794-5700

Other practice location 1

759 Chestnut St
W2810
Springfield, MA 01199-1619
Phone (413) 794-5370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160318000639 MA Practitioner - Pediatric Medicine 7517870876 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD11238RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Pediatrics CurrentSince Feb 29, 2016 Accepting new patients
SHS Ventures, Inc Past Accepting new patients
Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Memorial Hospital PastSince Jan 1, 1990 Accepting new patients
Baystate Franklin Medical Center Past Accepting new patients
Memorial Hospital Pediatrics PastSince Jan 1, 1990 Accepting new patients
Memorial Hospital of Ri PastSince Jan 1, 1990 Accepting new patients
Memorial Hospital of Rhode Island Physicians, Inc. PastSince Jan 1, 1990 Accepting new patients

Locations

164 High St
Greenfield, MA 01301
Phone (413) 772-0211

280 Chestnut St
Fl 2
Springfield, MA 01199
Phone (413) 788-4385

759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233

759 Chestnut St
#W2810
Springfield, MA 01199
Phone (413) 794-5370

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1609895804",
    "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": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 HIGH STREET",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "01301",
            "telephone_number": "413-772-0211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Chestnut St",
            "address_2": "W2810",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011991619",
            "country_code": "US",
            "telephone_number": "413-794-5370",
            "fax_number": "413-794-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANVLEET",
        "first_name": "MARCIA",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD11238",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "265603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

Verify at the official NPI Registry.