Active NPI
Thomas Marantz, M.D.
- Cardiovascular Disease Physician
- Springfield, MA
National Provider Identifier
1669432621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 52757
- Practice address
- 2 Medical Center Dr
Suite 401
Springfield, MA 01107-1270 - Phone
- (413) 781-5735
- Fax
- (413) 732-0225
- NPI assigned
- Mar 24, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 52757 | MA | Primary |
Addresses
Primary practice location
2 Medical Center Dr
Suite 401
Springfield, MA 01107-1270
Mailing address
2 Medical Center Dr
Suite 401
Springfield, MA 01107-1270
Phone (413) 781-5735
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6179649 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52757 | MA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Cooley Dickinson Medical Group
- Psychiatry Physician
- Northampton, MA
- NPI 1942605373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1669432621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MEDICAL CENTER DR",
"address_2": "SUITE 401",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071270",
"telephone_number": "413-781-5735",
"fax_number": "413-732-0225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL CENTER DR",
"address_2": "SUITE 401",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071270",
"telephone_number": "413-781-5735",
"fax_number": "413-732-0225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARANTZ",
"first_name": "THOMAS",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MA",
"license": "52757",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6179649",
"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 Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.