Individual provider Active NPI

Neal Warshaw, PA-C

  • Medical Physician Assistant
  • Great Barrington, MA
National Provider Identifier
1730120742
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2273 Issued in MA
Practice address
780 Main St
Suite 1
Great Barrington, MA 01230-2148
Phone
(419) 528-2418
Fax
(413) 528-2907
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2273 MA Primary

Addresses

Primary practice location

780 Main St
Suite 1
Great Barrington, MA 01230-2148

Mailing address

780 Main St
Suite 1
Great Barrington, MA 01230-2148
Phone (419) 528-2418

Other identifiers 1

IdentifierTypeStateIssuer
361107OtherNYMVP

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2273MAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
East Mountain Medical Associates P C CurrentSince Jan 2, 2007 Accepting new patients
Prime Columbia Greene Medical Associates, PC Past Accepting new patients

Locations

780 Main St
Ste 1
Gt Barrington, MA 01230
Phone (413) 528-2418

Interoperability endpoints

  • Direct secure messaging: neal.warshaw@emma.directbygreenway.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1730120742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "SUITE 1",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012302148",
            "telephone_number": "419-528-2418",
            "fax_number": "413-528-2907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 MAIN ST",
            "address_2": "SUITE 1",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012302148",
            "telephone_number": "419-528-2418",
            "fax_number": "413-528-2907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARSHAW",
        "first_name": "NEAL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MA",
            "license": "2273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "361107",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Barrington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.