Irene N Cody, M.D.

Individual provider Active NPI Internal Medicine Physician · Agawam, MA

NPI 1912965468 · NPPES record last updated Apr 20, 2011

Key facts

NPI
1912965468
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
227389 (MA)
Practice address
230 Main St
Agawam, MA 01001-1838
Phone
(413) 789-6800
Fax
(413) 789-5171
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Riverbend Medical Group, Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 227389 MA Yes

Addresses

Primary practice location

230 Main St
Agawam, MA 01001-1838

Mailing address

230 Main St
Agawam, MA 01001-1838
Phone (413) 789-6800

Other identifiers

IdentifierTypeStateIssuer
2127661MedicaidMA

Other providers in Agawam, MA

All providers in Agawam, MA · Internal Medicine Physician in Massachusetts

Sources for this page

Verify at the official NPI Registry.