Organization Active NPI

The Children's Heart Center of Western Massachusetts, LLC

  • Pediatric Cardiology Physician
  • Holyoke, MA
National Provider Identifier
1629358767
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
Legal business name
THE CHILDREN'S HEART CENTER OF WESTERN MASSACHUSETTS, LLC
Practice address
1754 Northampton St
Holyoke, MA 01040-1947
Phone
(413) 315-3117
Fax
(662) 292-7678
NPI assigned
Aug 21, 2011
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Dr. Michael Willers, M.D.NPI 1518087790
Title
Director
Phone
(413) 315-3117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X NU Primary
Medical Specialty Clinic/Center 261QM2500X 237999 MA

Addresses

Primary practice location

1754 Northampton St
Holyoke, MA 01040-1947

Mailing address

1754 Northampton St
Holyoke, MA 01040-1947
Phone (413) 315-3117

Other practice location 1

55 Fruit St
Boston, MA 02114-2621
Phone (413) 315-3117

National Provider Directory

National Provider Directory

Locations

90 Conz St
Ste 101
Northampton, MA 01060
Phone (413) 315-3117

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1313884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1629358767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1754 NORTHAMPTON ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401947",
            "telephone_number": "413-315-3117",
            "fax_number": "413-585-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 NORTHAMPTON ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010401947",
            "telephone_number": "413-315-3117",
            "fax_number": "662-292-7678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "413-315-3117",
            "fax_number": "662-292-7678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CHILDREN'S HEART CENTER OF WESTERN MASSACHUSETTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-21",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "WILLERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "413-315-3117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "237999",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.