Ambulatory Care Physicians

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

PA5932 Issued in MA

Legal business name

AMBULATORY CARE PHYSICIANS

Practice address

30 Locust St
Northampton, MA 01060-2052

Phone

(413) 582-2363

NPI assigned

Oct 26, 2016

Last updated

Oct 26, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

COOLEY DICKINSON HOSPITALAs reported in NPPES

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

Authorized official

Name

Dr. Khama Ennis, M.D.

Title

Emergency Medicine Physician

Phone

(413) 582-5299

Specialties & licenses 1

Addresses

Part of

Cooley Dickinson Hosp

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1750833661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 CITY VIEW AVE",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892511",
            "telephone_number": "413-896-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 LOCUST ST",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010602052",
            "telephone_number": "413-582-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBULATORY CARE PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COOLEY DICKINSON HOSPITAL",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "ENNIS",
        "authorized_official_first_name": "KHAMA",
        "authorized_official_title_or_position": "EMERGENCY MEDICINE PHYSICIAN",
        "authorized_official_telephone_number": "413-582-5299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "MA",
            "license": "PA5932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marla Ruth Allisan, MSW
• David B Alpern, MD
• Kristin Anne Alrick, PSYD
• Hollis Altman, M.A. CCC-A
• Mary Elisabeth Ambrose, LICSW
• Ambulatory Care Physicians at CDH, PC
• Akyaa Amo-Badu
• Jeremy Kent Andersen
• William Anderson
• Olyn Amanda Andrade, MD

• Emergency Care Clinic/Center in Northampton, MA
• Providers in Northampton, MA by specialty
• Emergency Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.