Active NPI
Elizabeth A. Otmaskin, D.O.
- Obstetrics & Gynecology Physician
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 274604
- Practice address
- 3455 Main Street Suite C
Baysttate OB GYN Group Inc
Springfield, MA 01107 - Phone
- (413) 794-8484
- Fax
- (413) 794-8477
- NPI assigned
- Apr 1, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 274604 | MA | Primary |
Addresses
Primary practice location
3455 Main Street Suite C
Baysttate OB GYN Group Inc
Springfield, MA 01107
Mailing address
3455 Main St Ste C
Springfield, MA 01107-1187
Phone (413) 794-8484
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of New England, College of Osteo Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
21 Dwight Rd
Suite 201
Longmeadow, MA 01106-1765
Phone (413) 794-8484
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baystate OB/GYN Group Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Center for Pelvic Physical Therapy, LLC | Past | Accepting new patients | |
| Baystate Medical Center Inc | Past | Accepting new patients | |
| Baystate Medical Practices, Inc | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
200 Silver St
Unit 112
Agawam, MA 01001
Phone (413) 648-8758
21 Dwight Rd
Longmeadow, MA 01106
Phone (413) 795-4555
21 Dwight Rd
Ste 201
Longmeadow, MA 01106
Phone (413) 794-8484
470 Granby Rd
South Hadley, MA 01075
Phone (413) 533-3926
3455 Main St
Ste C
Springfield, MA 01107
Phone (413) 794-8484
Interoperability endpoints
- https://api.platform.athenahealth.com/12089/brand/1/csg/1/fhir/r4
- elizabeth.otmaskin.1@12089.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Springfield, MA
- NPI 1366542342
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
Obstetrics & Gynecology
-
- Physical Therapy Clinic/Center
- West Springfield, MA
- NPI 1043607351
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baystate Medical Center
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
-
dba Baystate Reference Laboratories
- Clinical Medical Laboratory
- Springfield, MA
- NPI 1568488450
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600214400000",
"number": "1659799161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 MAIN ST STE C",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071187",
"telephone_number": "413-794-8484",
"fax_number": "413-479-4184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 MAIN STREET SUITE C",
"address_2": "BAYSTTATE OB GYN GROUP INC",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "01107",
"telephone_number": "413-794-8484",
"fax_number": "413-794-8477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTMASKIN",
"first_name": "ELIZABETH",
"middle_name": "A.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-01",
"last_updated": "2020-09-16",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MA",
"license": "274604",
"primary": true
}
],
"identifiers": [],
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.