Individual provider Active NPI

Ann Marie Visconti, PAC

  • Otolaryngology Physician
  • Pittsfield, MA
National Provider Identifier
1841363215
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
AP915 Issued in MA
Practice address
294 First Street
Pittsfield, MA 01201
Phone
(413) 341-1889
Fax
(413) 344-4747
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X AP915 MA Primary

Addresses

Primary practice location

294 First Street
Pittsfield, MA 01201

Mailing address

294 First Street
Pittsfield, MA 01201
Phone (413) 341-1889

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
I20150428000145 MA Practitioner - Physician Assistant 2860711793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Wellness Centers LLCGroup PAC ID 2860536919, 39 clinicians

Practice addresses (Care Compare)

170 Main St
Tewksbury, MA 01876-1765
Phone (781) 348-9041

1985 Main St
Suite E
Springfield, MA 01103-1016
Phone (413) 736-1458

211 State St
Unit C
Belchertown, MA 01007-9271
Phone (413) 725-4214

306 Race St
FL 2
Holyoke, MA 01040-5720
Phone (413) 650-0590

489 Bernardston Rd
Suite 108
Greenfield, MA 01301-1239
Phone (413) 376-4343

53 Eagle St
FL 3
Pittsfield, MA 01201-5376
Phone (413) 347-4088

61 Industrial Park Rd
Suite 2
Plymouth, MA 02360-7246
Phone (508) 503-5020

900 Memorial Ave
West Springfield, MA 01089-3557
Phone (413) 584-2173

92 Grape St
New Bedford, MA 02740-2104
Phone (774) 202-2264

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP915MAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Wellness Centers, LLC CurrentSince Mar 2, 2015 Accepting new patients

Locations

59 Bobala Rd
Holyoke, MA 01040
Phone (413) 486-7819

77 Hospital Ave
Ste 107
North Adams, MA 01247
Phone (413) 664-6111

294 1st St
Pittsfield, MA 01201
Phone (413) 443-7799

53 Eagle St
Ste 3
Pittsfield, MA 01201
Phone (413) 236-5959

900 Memorial Ave
West Springfield, MA 01089
Phone (413) 739-9001

Organizations & group practices 1

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": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1841363215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 FIRST STREET",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-341-1889",
            "fax_number": "413-344-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 FIRST STREET",
            "city": "PITTSFIELD",
            "state": "MA",
            "postal_code": "01201",
            "telephone_number": "413-341-1889",
            "fax_number": "413-344-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISCONTI",
        "first_name": "ANN MARIE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MA",
            "license": "AP915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsfield, MA

Sources for this page

Verify at the official NPI Registry.