Active NPI
Cardiac Surgical Associates of Western Ma, PC
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Springfield, MA
National Provider Identifier
1659304731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Legal business name
- CARDIAC SURGICAL ASSOCIATES OF WESTERN MA, PC
- Practice address
- 759 Chestnut St
Springfield, MA 01107-1619 - Phone
- (413) 794-5550
- Fax
- (413) 794-4212
- NPI assigned
- Jul 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel T. Engelman, M.D.
- Title
- President
- Phone
- 41379455550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | Primary |
Addresses
Primary practice location
759 Chestnut St
Springfield, MA 01107-1619
Mailing address
PO Box 906
Wilbraham, MA 01095-0906
Phone (508) 595-0531
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M14081 | Other | MA | BLUE CROSS OF MA |
| 0013239 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 607540 | Other | MA | TUFTS |
| 9745068 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
759 Chestnut St
#4629
Springfield, MA 01107
Phone (413) 784-5550
759 Chestnut St
Rm 4628
Springfield, MA 01107
Phone (413) 784-5550
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Springfield, MA
- NPI 1215095070
-
- Surgical Physician Assistant
- Worcester, MA
- NPI 1598726218
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Boston, MA
- NPI 1629174537
-
- Physician Assistant
- Springfield, CT
- NPI 1790878320
-
- Surgery Physician
- Port Matilda, PA
- NPI 1699713818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203292800000",
"number": "1659304731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 906",
"city": "WILBRAHAM",
"state": "MA",
"postal_code": "010950906",
"telephone_number": "508-595-0531",
"fax_number": "508-829-5367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 CHESTNUT ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071619",
"telephone_number": "413-794-5550",
"fax_number": "413-794-4212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDIAC SURGICAL ASSOCIATES OF WESTERN MA, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2008-02-18",
"status": "A",
"authorized_official_last_name": "ENGELMAN",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "41379455550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MA",
"identifier": "M14081",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0013239",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "607540",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9745068",
"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 Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.