NPIMap

Organization Active NPI

Robert L. Van Uitert, M.D., P.C.

  • Neurology with Special Qualifications in Child Neurology Physician
  • North Adams, MA
National Provider Identifier
1770601809
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
45570 Issued in MA
Legal business name
ROBERT L. VAN UITERT, M.D., P.C.
Practice address
77 Hospital Ave
Suite 202
North Adams, MA 01247-2550
Phone
(413) 664-6321
Fax
(413) 663-9208
NPI assigned
Mar 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

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

Authorized official

Name
Dr. Robert Legrande Van Uitert, M.D.
Title
President
Phone
(413) 664-6321

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0402X 45570 MA Primary

Addresses

Primary practice location

77 Hospital Ave
Suite 202
North Adams, MA 01247-2550

Mailing address

77 Hospital Ave
Suite 202
North Adams, MA 01247-2550
Phone (413) 664-6321

Other identifiers 1

IdentifierTypeStateIssuer
0140554MedicaidMA

National Provider Directory

National Provider Directory

Locations

77 Hospital Ave
Ste 202
North Adams, MA 01247
Phone (413) 664-6321

Practitioners & affiliated clinicians

Practitioners 5

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1770601809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL AVE",
            "address_2": "SUITE 202",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472550",
            "telephone_number": "413-664-6321",
            "fax_number": "413-663-9208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HOSPITAL AVE",
            "address_2": "SUITE 202",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012472550",
            "telephone_number": "413-664-6321",
            "fax_number": "413-663-9208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. VAN UITERT, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "VAN UITERT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEGRANDE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-664-6321",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MA",
            "license": "45570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0140554",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; 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.