Active NPI
Peter A. Weitzman, MD
- Family Medicine Physician
- Hadley, MA
National Provider Identifier
1902870322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 60247
- Practice address
- 234 Russell St
#7, Hadley Family Practice
Hadley, MA 01035-3534 - Phone
- (413) 586-6020
- Fax
- (413) 584-0286
- NPI assigned
- Feb 14, 2006
- Last updated
- Oct 10, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 60247 | MA | Primary |
Addresses
Primary practice location
234 Russell St
#7, Hadley Family Practice
Hadley, MA 01035-3534
Mailing address
234 Russell St
Hadley Family Practice
Hadley, MA 01035-3534
Phone (413) 586-6020
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04-3194547 | Other | MA | CONSOLIDATED |
| 04-3194547 | Other | MA | GREAT-WEST |
| 04-3194547 | Other | MA | NORTHEAST HEALTHCARE ALLI |
| 04-3194547 | Other | MA | PRIVATE HEALTHCARE SYSTEM |
| 10241040 | Other | MA | CIGNA |
| 7923 | Other | MA | BMC |
| J07722 | Other | MA | BCBSMA |
| 71792 | Other | MA | HARVARD PILGRIM |
| 04-3194547 | Other | MA | NORTH AMERICAN PREFERRED |
| 20410 | Other | MA | HEALTH NEW ENGLAND |
| 04-3194547 | Other | MA | NORTHEAST HEALTH DIRECT |
| 04-3194547 | Other | MA | UNICARE/GIC |
| 060247 | Other | MA | TUFTS |
| 3039081 | Medicaid | MA | |
| 04-3194547 | Other | MA | PLAN VISTA |
| 2358527 | Other | MA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mass General Brigham Medical Group Western Massachusetts Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cooley Dickinson Medical Group
- Psychiatry Physician
- Northampton, MA
- NPI 1942605373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1902870322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 RUSSELL ST",
"address_2": "HADLEY FAMILY PRACTICE",
"city": "HADLEY",
"state": "MA",
"postal_code": "010353534",
"telephone_number": "413-586-6020",
"fax_number": "413-584-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 RUSSELL ST",
"address_2": "#7, HADLEY FAMILY PRACTICE",
"city": "HADLEY",
"state": "MA",
"postal_code": "010353534",
"telephone_number": "413-586-6020",
"fax_number": "413-584-0286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEITZMAN",
"first_name": "PETER",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MA",
"license": "60247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONSOLIDATED",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT-WEST",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTHCARE ALLI",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE HEALTHCARE SYSTEM",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "10241040",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BMC",
"identifier": "7923",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMA",
"identifier": "J07722",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "71792",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH AMERICAN PREFERRED",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "20410",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTHEAST HEALTH DIRECT",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE/GIC",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "060247",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3039081",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PLAN VISTA",
"identifier": "04-3194547",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2358527",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hadley, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.