Active NPI
Pioneer Valley Travel Medicine PC
- Internal Medicine Physician
- Northampton, MA
National Provider Identifier
1679610968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 54512
- Legal business name
- PIONEER VALLEY TRAVEL MEDICINE PC
- Practice address
- 43 Center St
Suite 201
Northampton, MA 01060-3063 - Phone
- (413) 587-4223
- Fax
- (413) 587-0416
- NPI assigned
- Jan 30, 2007
- 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
- Ann K Markes, MD
- Title
- Owner
- Phone
- (413) 587-4223
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 54512 | MA | Primary |
Addresses
Primary practice location
43 Center St
Suite 201
Northampton, MA 01060-3063
Mailing address
43 Center St
Suite 201
Northampton, MA 01060-3063
Phone (413) 587-4223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M18918 | Other | MA | BCBS |
| 623474 | Other | MA | TUFTS |
National Provider Directory
National Provider DirectoryLocations
43 Center St
Ste 201
Northampton, MA 01060
Phone (413) 579-8290
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201478400000",
"number": "1679610968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 CENTER ST",
"address_2": "SUITE 201",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603063",
"telephone_number": "413-587-4223",
"fax_number": "413-587-0416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43 CENTER ST",
"address_2": "SUITE 201",
"city": "NORTHAMPTON",
"state": "MA",
"postal_code": "010603063",
"telephone_number": "413-587-4223",
"fax_number": "413-587-0416"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER VALLEY TRAVEL MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-30",
"last_updated": "2008-01-28",
"status": "A",
"authorized_official_last_name": "MARKES",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "413-587-4223",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MA",
"license": "54512",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "M18918",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "623474",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Northampton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.