Organization Active NPI

Pioneer Valley Pediatrics, Inc.

  • Pediatrics Physician
  • Longmeadow, MA
National Provider Identifier
1942371737
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PIONEER VALLEY PEDIATRICS, INC.
Practice address
123 Dwight Rd
Suite 11
Longmeadow, MA 01106-1748
Phone
(413) 567-1031
Fax
(413) 567-7683
NPI assigned
Nov 13, 2006
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
Richard A Segool, M.D.
Title
Ceo
Phone
(413) 567-1031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

123 Dwight Rd
Suite 11
Longmeadow, MA 01106-1748

Mailing address

123 Dwight Rd
Suite 11
Longmeadow, MA 01106-1748
Phone (413) 567-1031

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D0067694Pioneer Valley Pediatrics123 Dwight Rd, Longmeadow, MA 01106Certificate of waiverOct 31, 2027

National Provider Directory

National Provider Directory

Locations

115 Elm St
Ste 107
Enfield, CT 06082
Phone (860) 745-3336

115 Elm St
Enfield, CT 06082
Phone (860) 696-2695

123 Dwight Rd
Ste 100
Longmeadow, MA 01106

123 Dwight Rd
Ste 11
Longmeadow, MA 01106
Phone (413) 567-1031

123 Dwight Rd
Longmeadow, MA 01106
Phone (413) 567-2350

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1177/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942371737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 DWIGHT RD",
            "address_2": "SUITE 11",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061748",
            "telephone_number": "413-567-1031",
            "fax_number": "413-567-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 DWIGHT RD",
            "address_2": "SUITE 11",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061748",
            "telephone_number": "413-567-1031",
            "fax_number": "413-567-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER VALLEY PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEGOOL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "413-567-1031",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmeadow, 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 Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.