Organization Active NPI

Pavilion Hand Surgeons, Inc.

Doing business as The Hand Center of Western Massachusetts

  • Specialist
  • Springfield, MA
National Provider Identifier
1871655662
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PAVILION HAND SURGEONS, INC.
Doing business as
The Hand Center of Western Massachusetts
Practice address
3550 Main St
Suite 204
Springfield, MA 01107-1089
Phone
(413) 733-2204
Fax
(413) 734-0587
NPI assigned
Dec 15, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Jeffrey C. Wint, M.D.NPI 1760447346
Title
President
Phone
(413) 733-2204

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MA Primary

Addresses

Primary practice location

3550 Main St
Suite 204
Springfield, MA 01107-1089

Mailing address

3550 Main St
Suite 204
Springfield, MA 01107-1089
Phone (413) 733-2204

Other identifiers 1

IdentifierTypeStateIssuer
0151750001OtherMAMEDICARE DME GROUP NUMBER

Other names 1

  • The Hand Center of Western Massachusetts Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050801000257 MA Part B Supplier - Clinic/Group Practice 0143258103 Receives reassigned benefits from 2 practitioners
Practice locations: Longmeadow, MA

National Provider Directory

National Provider Directory

Locations

115 Elm St
Ste 208
Enfield, CT 06082
Phone (413) 736-3163

85 South St
Ware, MA 01082
Phone (413) 967-2201

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871655662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 MAIN ST",
            "address_2": "SUITE 204",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071089",
            "telephone_number": "413-733-2204",
            "fax_number": "413-734-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MAIN ST",
            "address_2": "SUITE 204",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011071089",
            "telephone_number": "413-733-2204",
            "fax_number": "413-734-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAVILION HAND SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WINT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "413-733-2204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME GROUP NUMBER",
            "identifier": "0151750001",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hand Center of Western Massachusetts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.