Individual provider Active NPI

Gerard A Langlois, PA

  • Physician Assistant
  • Springfield, CT
National Provider Identifier
1790878320
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
471 Issued in CT
Practice address
759 Chestnut St.
Cardiac Surgical Associates of Western New England
Springfield, CT 01107
Phone
(413) 794-5550
Fax
(413) 794-4212
NPI assigned
Oct 2, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 471 CT Primary

Addresses

Primary practice location

759 Chestnut St.
Cardiac Surgical Associates of Western New England
Springfield, CT 01107

Mailing address

PO Box 906
Cardiac Surgical Associates of Western NE
Wilbraham, MA 01095-0906
Phone (508) 595-0531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050614000125 MA Practitioner - Physician Assistant 5193769941 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
471CTMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Berkshire Medical Center, Inc CurrentSince Aug 6, 2015 Accepting new patients
Berkshire Medical Center Inc. CurrentSince Aug 6, 2015 Accepting new patients
Cardiac Surgical Associates of Western Ma, PC Past Accepting new patients

Locations

725 North St
Pittsfield, MA 01201
Phone (413) 447-2839

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790878320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 906",
            "address_2": "CARDIAC SURGICAL ASSOCIATES OF WESTERN NE",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010950906",
            "telephone_number": "508-595-0531",
            "fax_number": "508-829-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST.",
            "address_2": "CARDIAC SURGICAL ASSOCIATES OF WESTERN NEW ENGLAND",
            "city": "SPRINGFIELD",
            "state": "CT",
            "postal_code": "01107",
            "telephone_number": "413-794-5550",
            "fax_number": "413-794-4212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGLOIS",
        "first_name": "GERARD",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.