Active NPI
Fred Mensch MD, PC
- Dermatology Physician
- Pittsfield, MA
National Provider Identifier
1871799866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- FRED MENSCH MD, PC
- Practice address
- 510 North St
Pittsfield, MA 01201-4111 - Phone
- (413) 499-1526
- Fax
- (413) 448-2704
- NPI assigned
- Jun 26, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carol McGinty
- Title
- Office Manager
- Phone
- (413) 499-1526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
510 North St
Pittsfield, MA 01201-4111
Mailing address
510 North St
Pittsfield, MA 01201-4111
Phone (413) 499-1526
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M14588 | Other | MA | BLUE SHIELD |
| 9769366 | Medicaid | MA |
National Provider Directory
National Provider DirectoryLocations
426 South St
Pittsfield, MA 01201
Phone (413) 441-8765
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.
-
- Plastic Surgery Physician
- Pittsfield, MA
- NPI 1053354175
-
- Family Nurse Practitioner
- Pittsfield, MA
- NPI 1285298018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871799866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014111",
"telephone_number": "413-499-1526",
"fax_number": "413-448-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012014111",
"telephone_number": "413-499-1526",
"fax_number": "413-448-2704"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED MENSCH MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCGINTY",
"authorized_official_first_name": "CAROL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "413-499-1526"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "M14588",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9769366",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.