Physician Care West PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

80712 Issued in MA

Legal business name

PHYSICIAN CARE WEST PC

Practice address

274 Westfield St
West Springfield, MA 01089-2572

Phone

(413) 733-1900

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Reda Ishak, MDNPI 1366428013

Title

Medical Director

Phone

(413) 733-1900

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reda H Ishak, M.D.

  • Internal Medicine Physician
  • West Springfield, MA
  • NPI 1366428013
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1760594493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 WESTFIELD ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892572",
            "telephone_number": "413-733-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 WESTFIELD ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010892572",
            "telephone_number": "413-733-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN CARE WEST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "ISHAK",
        "authorized_official_first_name": "REDA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "413-733-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MA",
            "license": "80712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "80712",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Performance Rehabilitation of Western New England LLC (ATI Physical Therapy of Western Massachusetts)
• K Perlman, MSW LICSW
• Lisa A Perry, LMHC
• Michael Petersen I
• Therese Phillips, M.A., R.N.
• Sarah Elaine Picard
• Trudy Alix Pierce, CRNA
• Linda Pierre, MED INTERN
• Daniel M Pilachowski, LICSW
• Jeffrey A Pillier

• Primary Care Clinic/Center in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Primary Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.