Active NPI
Howard G Trietsch, MD
- Gynecology Physician
- Springfield, MA
National Provider Identifier
1629031448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 55382
- Practice address
- 3455 Main St Ste C
Springfield, MA 01107-1187 - Phone
- (413) 794-8484
- Fax
- (413) 794-8477
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 55382 | MA | Primary |
Addresses
Primary practice location
3455 Main St Ste C
Springfield, MA 01107-1187
Mailing address
22 Lower Cove Rd
Ware, MA 01082-9484
Phone (413) 237-2323
Other practice location 1
382 N Main St Ste 205
East Longmeadow, MA 01028-1830
Phone (413) 794-8484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3195287 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate Medical Practices, Inc | Past | Accepting new patients | |
| Center for Pelvic Physical Therapy, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
-
- Physical Therapy Clinic/Center
- West Springfield, MA
- NPI 1043607351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1629031448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 LOWER COVE RD",
"city": "WARE",
"state": "MA",
"postal_code": "010829484",
"telephone_number": "413-237-2323",
"fax_number": "413-794-8477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 MAIN ST STE C",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071187",
"telephone_number": "413-794-8484",
"fax_number": "413-794-8477"
}
],
"practiceLocations": [
{
"address_1": "382 N Main St Ste 205",
"address_purpose": "LOCATION",
"city": "East Longmeadow",
"state": "MA",
"postal_code": "010281830",
"country_code": "US",
"telephone_number": "413-794-8484",
"fax_number": "413-794-8477",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRIETSCH",
"first_name": "HOWARD",
"middle_name": "G",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "MA",
"license": "55382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3195287",
"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 Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.